Agile and bani approaches in human resource management of healthcare institutions in Ukraine

The paper is devoted to the study of the integration of Agile methodology and the BANI paradigm into human resource management in healthcare institutions of Ukraine. The relevance of the problem is determined by the functioning of healthcare facilities under conditions of global instability, armed conflicts, demographic crisis, rapid technological transformations, and constant staffing challenges. Traditional management models based on rigid hierarchies and long-term planning increasingly demonstrate limited effectiveness in situations characterized by systemic fragility, high staff anxiety, nonlinearity of processes, and complexity of forecasting. The paper summarizes scientific approaches to the application of Agile in personnel management and considers BANI as an analytical framework for describing the current operating environment of healthcare institutions. The proposed integrated HR model combines the contextual characteristics of BANI (Brittle, Anxious, Nonlinear, Incomprehensible) with Agile tools (flexible planning, team self-organization, iterative change, transparent communication). This approach helps mitigate the negative consequences of instability by establishing multidisciplinary teams, implementing scenario-based planning, introducing digital HR platforms, developing mental health support programs, and applying microlearning strategies. The study proves that integrating Agile and BANI approaches enhances the organizational resilience of healthcare facilities, reduces staff vulnerability, lowers professional anxiety, and optimizes management processes under crisis conditions. The proposed model operates on three levels: strategic (formulating resilience-oriented HR policies), tactical (establishing autonomous Agile teams), and operational (providing psychological support and developing staff competencies). The authors present practical recommendations for national healthcare policy, healthcare institutions, staff development, and the academic community. These include developing guidelines by the Ministry of Health on applying Agile and BANI in HR practices, implementing digital HR platforms, launching crisis coaching and microlearning programs, and training a new generation of HR professionals. Thus, the article substantiates the necessity of applying the integrated Agile–BANI–HR model as a strategic tool for human resource management in Ukrainian healthcare institutions, ensuring flexibility, effectiveness, and staff safety under the conditions of contemporary global challenges.