Navigating crisis: A qualitative study of nurse middle managers' role in building resilience during times of crisis

This study underscores the pivotal role of nurse middle managers in fostering organizational resilience during healthcare crises. Their leadership, adaptability, and capacity to support teams through uncertainty were instrumental in maintaining care continuity. However, systemic challenges-including limited preparedness frameworks, ethical ambiguities, and resource constraints-hindered their effectiveness. These findings highlight the urgent need for structured crisis leadership training, investment in mental health support, and inclusive preparedness planning. Strengthening these areas can enhance organizational readiness, reduce burnout, and reinforce the resilience of both the workforce and the healthcare system at large.