Building Resilience in Emergency Care Teams: A Scoping Review of Team-Based and Organisational Strategies for Nurses and Allied Health Professionals

This scoping review aims to systematically map and synthesise the existing evidence on team-based and organisational-level interventions designed to enhance resilience among emergency care teams, including nurses and allied health professionals (AHPs) working in emergency department (ED) settings. Emergency healthcare workers — including nurses, paramedics, emergency medical technicians, radiographers, and other AHPs — face extraordinary workplace stressors, including heavy workloads, exposure to traumatic events, rotating shift systems, and high patient acuity, which collectively contribute to burnout, compassion fatigue, and staff turnover. While individual-focused resilience training has been extensively studied, there remains a paucity of consolidated evidence regarding how team-based and organisational strategies — such as peer support programs, leadership-driven initiatives, communication culture enhancement, and structural support systems — contribute to building and sustaining resilience across the emergency care workforce. This review will identify the types, components, and outcomes of such interventions, map the research landscape, and highlight gaps for future investigation. The expected outcomes include a comprehensive evidence map of organisational resilience strategies, identification of best practices for multidisciplinary implementation, and actionable recommendations for healthcare leaders and policymakers seeking to build a sustainable and resilient emergency care workforce.