Nursing Workforce Preparedness and Resilience in Health Emergencies (2000-2025): A Bibliometric Review of Thematic Evolution and Emerging Hotspots.
To map research on nursing workforce preparedness and resilience in health emergencies from 2000 to 2025 and propose an integrated framework.
Bibliometric review with science mapping and thematic evolution.
Scopus was searched for journal articles and reviews on nursing workforce preparedness and resilience in health emergencies published from 2000 to 2025. Records were screened using year, language, document type, duplicate title, and metadata-based scope criteria. Co-citation and co-word analyses were conducted to map intellectual foundations and conceptual structures. Time-sliced analysis examined thematic evolution across 2000-2009, 2010-2019, and 2020-2025, while emerging hotspots were identified using keyword growth and recency indicators.
The final retained corpus included 7570 documents, composed of 6950 articles and 620 reviews. Publication output showed a marked post-2020 surge. Co-citation analysis highlighted intellectual foundations related to disaster nursing competence, psychological resilience and mental health, leadership, staffing, safety, and workforce systems. Co-word analysis indicated major domains of clinical competence, emergency and acute-care delivery, pandemic-related psychological burden and resilience, workforce organization and emergency service capacity, and nursing education for disaster preparedness. Emerging hotspots included burnout, moral distress, resilience, telemedicine, mental health, and qualitative inquiry.
Nursing workforce preparedness research has evolved into a multidimensional, system-oriented agenda that integrates competence, resilience, and structural readiness.
Nurse managers should treat emergency preparedness as a strategic workforce-management responsibility, not only as a clinical or disaster-planning task. The findings support competency-based preparedness training, workforce policies for surge staffing and role deployment, organizational capacity building, mental health and resilience supports, leadership preparation, safety infrastructure, and data-informed preparedness planning to sustain nursing performance during future health emergencies.
Bibliometric review with science mapping and thematic evolution.
Scopus was searched for journal articles and reviews on nursing workforce preparedness and resilience in health emergencies published from 2000 to 2025. Records were screened using year, language, document type, duplicate title, and metadata-based scope criteria. Co-citation and co-word analyses were conducted to map intellectual foundations and conceptual structures. Time-sliced analysis examined thematic evolution across 2000-2009, 2010-2019, and 2020-2025, while emerging hotspots were identified using keyword growth and recency indicators.
The final retained corpus included 7570 documents, composed of 6950 articles and 620 reviews. Publication output showed a marked post-2020 surge. Co-citation analysis highlighted intellectual foundations related to disaster nursing competence, psychological resilience and mental health, leadership, staffing, safety, and workforce systems. Co-word analysis indicated major domains of clinical competence, emergency and acute-care delivery, pandemic-related psychological burden and resilience, workforce organization and emergency service capacity, and nursing education for disaster preparedness. Emerging hotspots included burnout, moral distress, resilience, telemedicine, mental health, and qualitative inquiry.
Nursing workforce preparedness research has evolved into a multidimensional, system-oriented agenda that integrates competence, resilience, and structural readiness.
Nurse managers should treat emergency preparedness as a strategic workforce-management responsibility, not only as a clinical or disaster-planning task. The findings support competency-based preparedness training, workforce policies for surge staffing and role deployment, organizational capacity building, mental health and resilience supports, leadership preparation, safety infrastructure, and data-informed preparedness planning to sustain nursing performance during future health emergencies.
Authors
Wider Wider, Aledeh Aledeh, Feitosa Feitosa, Da Costa Da Costa, Santos Santos, Borromeo Borromeo
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