SAĞLIK KRİZLERİNE YANITTA İNSAN KAYNAKLARI YÖNETİMİNİN ROLÜ: KARMA KANIT TEMELLİ SİSTEMATİK DERLEME

Öz

Sağlık krizleri, sağlık sistemlerinin sürdürülebilirliğini tehdit eden ve kurumlardan hızlı, koordineli yanıt gerektiren olağanüstü durumlardır. Bu karma kanıt temelli sistematik derlemede, sağlık krizlerine yanıtta insan kaynakları yönetiminin (İKY) rolü incelenmiştir. PRISMA 2020 doğrultusunda raporlanan derlemede PubMed ve Scopus veri tabanlarında 2020-2026 yılları taranmış; belirlenen 32 kayıttan 21 yayın derlemeye dâhil edilmiştir. Çalışma seçimi, veri çekimi ve metodolojik değerlendirme iki araştırmacı tarafından bağımsız yürütülmüş; birincil, ikincil ve bağlamsal kanıtlar tasarımlarına uygun araçlarla değerlendirilmiş ve eşdeğer kabul edilmemiştir. Bulgular beş tema altında sentezlenmiştir: İKY’nin stratejik rolü; iş gücü planlaması ve kapasite yönetimi; çalışan sağlığı, güvenliği ve psikososyal destek; liderlik, iletişim ve koordinasyon; örgütsel dayanıklılık, krizlere hazırlık ve hizmet sürekliliği. Kanıtlar, İKY’nin rutin personel yönetiminin ötesine geçerek iş gücünün sürdürülebilirliğini, çalışanların korunmasını ve kurumların uyum kapasitesini destekleyebileceğine işaret etmektedir. İKY’nin krizlere hazırlık, müdahale ve iyileşme süreçlerinin stratejik bir bileşeni olarak ele alınması önerilmektedir.

Anahtar Kelimeler

• afet planlaması
• COVID-19
• personel yönetimi
• sağlık iş gücü
• sistematik inceleme

The Role of Human Resource Management in Health-Crisis Response: A Mixed-Evidence Systematic Review

Öz

Health crises threaten the sustainability of health systems and require rapid, coordinated institutional responses. This mixed-evidence systematic review examined the role of human resource management (HRM) in health-crisis response and was reported following PRISMA 2020. PubMed and Scopus were searched for publications from 2020 to 2026; of 32 records identified, 21 publications were included. Study selection, data extraction, and methodological appraisal were conducted independently by two researchers; primary, secondary, and contextual evidence was appraised with design-appropriate tools and not treated as equivalent. Findings were synthesized under five themes: the strategic role of HRM; workforce planning and capacity management; employee health, safety, and psychosocial support; leadership, communication, and coordination; and organizational resilience and service continuity. The evidence indicates that HRM extends beyond routine personnel administration and may support workforce sustainability, employee protection, and institutional adaptive capacity, and should be treated as a strategic component of crisis preparedness, response, and recovery.

Anahtar Kelimeler

• disaster planning
• COVID-19
• personnel management
• health workforce
• systematic review

Kaynakça

1. Adam, J.-P., Khazaka, M., Charikhi, F., Clervil, M., Huot, D. D., Jebailey, J., O, P., Morin, J., & Langevin, M.-C. (2021). Management of human resources of a pharmacy department during the COVID-19 pandemic: Take-aways from the first wave. Research in Social and Administrative Pharmacy, 17(1), 1990–1996. https://doi.org/10.1016/j.sapharm.2020.10.014
2. Adams, J. G., & Walls, R. M. (2020). Supporting the health care workforce during the COVID-19 global epidemic. JAMA, 323(15), 1439–1440. https://doi.org/10.1001/jama.2020.3972
3. Ares-Blanco, S., Astier-Peña, M. P., Gómez-Bravo, R., Fernández-García, M., & Bueno-Ortiz, J. M. (2021). Human resource management and vaccination strategies in primary care in Europe during COVID-19 pandemic. Atención Primaria, 53(10), 102132. https://doi.org/10.1016/j.aprim.2021.102132
4. Aromataris, E., Fernandez, R., Godfrey, C. M., Holly, C., Khalil, H., & Tungpunkom, P. (2015). Summarizing systematic reviews: Methodological development, conduct and reporting of an umbrella review approach. International Journal of Evidence-Based Healthcare, 13(3), 132–140. https://doi.org/10.1097/XEB.0000000000000055
5. Azizi, M. R., Atlasi, R., Ziapour, A., Abbas, J., & Naemi, R. (2021). Innovative human resource management strategies during the COVID-19 pandemic: A systematic narrative review approach. Heliyon, 7(6), e07233. https://doi.org/10.1016/j.heliyon.2021.e07233
6. Baatiema, L., de-Graft Aikins, A., Koram, K. K., Kunfah, S. M. P., Allen, L. N., Abimbola, S., & Kruk, M. (2024). Frontline health workers’ experiences of providing care for people living with non-communicable diseases during the COVID-19 pandemic in Ghana: A qualitative study. BMJ Open, 14(5), e078957. https://doi.org/10.1136/bmjopen-2023-078957
7. Baethge, C., Goldbeck-Wood, S., & Mertens, S. (2019). SANRA—A scale for the quality assessment of narrative review articles. Research Integrity and Peer Review, 4, 5. https://doi.org/10.1186/s41073-019-0064-8
8. Barello, S., Palamenghi, L., & Graffigna, G. (2020). Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Research, 290, 113129. https://doi.org/10.1016/j.psychres.2020.113129

9. Boin, A., ’t Hart, P., Stern, E., & Sundelius, B. (2017). The politics of crisis management: Public leadership under pressure (2. baskı). Cambridge University Press.
10. Bundy, J., Pfarrer, M. D., Short, C. E., & Coombs, W. T. (2017). Crises and crisis management: Integration, interpretation, and research development. Journal of Management, 43(6), 1661–1692. https://doi.org/10.1177/0149206316680030
11. Bustamante Izquierdo, J. P., Puertas, E. B., Hernández Hernández, D., & Sepúlveda, H. (2023). COVID-19 and human resources for health: Analysis of planning, policy responses and actions in Latin American and Caribbean countries. Human Resources for Health, 21, 21. https://doi.org/10.1186/s12960-023-00795-8
12. Caruso, C. C. (2014). Negative impacts of shiftwork and long work hours. Rehabilitation Nursing, 39(1), 16–25. https://doi.org/10.1002/rnj.107
13. Cavalcante de Oliveira, A. P., Galante, M. L., Maia, L. S., Craveiro, I., Pereira da Silva, A., Fronteira, I., Chança, R., Cometto, G., Ferrinho, P., & Dal Poz, M. (2023). Implementation of policy and management interventions to improve health and care workforce capacity to address the COVID-19 pandemic response: A systematic review. Human Resources for Health, 21, 80. https://doi.org/10.1186/s12960-023-00856-y
14. Collings, D. G., Nyberg, A. J., Wright, P. M., & McMackin, J. (2021). Leading through paradox in a COVID-19 world: Human resources comes of age. Human Resource Management Journal, 31(4), 819–833. https://doi.org/10.1111/1748-8583.12343
15. Critical Appraisal Skills Programme. (2024). CASP qualitative studies checklist. https://casp-uk.net/casp-tools-checklists/
16. Dirani, K. M., Abadi, M., Alizadeh, A., Barhate, B., Garza, R. C., Gunasekara, N., Ibrahim, G., & Majzun, Z. (2020). Leadership competencies and the essential role of human resource development in times of crisis: A response to COVID-19 pandemic. Human Resource Development International, 23(4), 380–394. https://doi.org/10.1080/13678868.2020.1780078
17. Eriş, H., Ayhan, Z., Çelik, R., & Uysal, Ş. A. (2026). Effects of COVID-19 supplementary payments on healthcare workers’ performance in Türkiye. Discover Public Health, 23, 414. https://doi.org/10.1186/s12982-026-01836-y
18. Fried, B. J., & Fottler, M. D. (2015). Human resources in healthcare: Managing for success (4. baskı). Health Administration Press.
19. Ghahramani, S., Kasraei, H., Hayati, R., Tabrizi, R., & Marzaleh, M. A. (2023). Health care workers’ mental health in the face of COVID-19: A systematic review and meta-analysis. International Journal of Psychiatry in Clinical Practice, 27(2), 208–217. https://doi.org/10.1080/13651501.2022.2101927
20. Gross, J. V., Mohren, J., & Erren, T. C. (2021). COVID-19 and healthcare workers: A rapid systematic review into risks and preventive measures. BMJ Open, 11(1), e042270. https://doi.org/10.1136/bmjopen-2020-042270
21. Horney, J. A., Harjivan, A., Stone, K. W., Jagger, M. A., & Kintziger, K. W. (2023). Threats to public health workers. Public Health in Practice, 6, 100435. https://doi.org/10.1016/j.puhip.2023.100435
22. Iserson, K. V. (2020). Augmenting the disaster healthcare workforce. Western Journal of Emergency Medicine, 21(3), 490–496. https://doi.org/10.5811/westjem.2020.4.47553
23. Kaczmarski, K., Pasha, A., Inusah, A. H. S., Li, X., & Qiao, S. (2024). Organizational resilience and its implications for healthcare workers in the COVID-19 pandemic: A literature review [Ön baskı]. medRxiv. https://doi.org/10.1101/2024.10.10.24315244
24. Kara, B., & Şahin, A. U. (2026). Post-earthquake emergency nurse allocation: A human resource management approach based on simulation modeling. BMC Emergency Medicine, 26, 11. https://doi.org/10.1186/s12873-025-01421-7
25. Kniffin, K. M., Narayanan, J., Anseel, F., Antonakis, J., Ashford, S. P., Bakker, A. B., Bamberger, P., Bapuji, H., Bhave, D. P., Choi, V. K., Creary, S. J., Demerouti, E., Flynn, F. J., Gelfand, M. J., Greer, L. L., Johns, G., Kesebir, S., Klein, P. G.,
26. Lee, S. Y., … van Vugt, M. (2021). COVID-19 and the workplace: Implications, issues, and insights for future research and action. American Psychologist, 76(1), 63–77. https://doi.org/10.1037/amp0000716
27. Kruk, M. E., Myers, M., Varpilah, S. T., & Dahn, B. T. (2015). What is a resilient health system? Lessons from Ebola. The Lancet, 385(9980), 1910–1912. https://doi.org/10.1016/S0140-6736(15)60755-3
28. Legido-Quigley, H., Asgari, N., Teo, Y. Y., Leung, G. M., Oshitani, H., Fukuda, K., Cook, A. R., Hsu, L. Y., Shibuya, K., & Heymann, D. (2020). Are high-performing health systems resilient against the COVID-19 epidemic? The Lancet, 395(10227), 848–850. https://doi.org/10.1016/S0140-6736(20)30551-1
29. Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Xia, L., Liu, Z., Yang, J., & Yang, B. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. The Lancet Global Health, 8(6), e790–e798. https://doi.org/10.1016/S2214-109X(20)30204-7
30. Mahdavi, A., Atlasi, R., Ebrahimi, M., Azimian, E., & Naemi, R. (2023). Human resource management (HRM) strategies of medical staff during the COVID-19 pandemic. Heliyon, 9(10), e20355. https://doi.org/10.1016/j.heliyon.2023.e20355
31. McArthur, A., Klugárová, J., Yan, H., & Florescu, S. (2015). Innovations in the systematic review of text and opinion. International Journal of Evidence-Based Healthcare, 13(3), 188–195. https://doi.org/10.1097/XEB.0000000000000060
32. McPake, B., Dayal, P., Zimmermann, J., & Williams, G. A. (2024). How can countries respond to the health and care workforce crisis? Insights from international evidence. International Journal of Health Planning and Management, 39(3), 879–887. https://doi.org/10.1002/hpm.3766
33. Montazeri, A., Mohammadi, S., Hesari, P. M., Ghaemi, M., Riazi, H., & Sheikhi-Mobarakeh, Z. (2023). Preliminary guideline for reporting bibliometric reviews of the biomedical literature (BIBLIO): A minimum requirements. Systematic Reviews, 12, 239. https://doi.org/10.1186/s13643-023-02410-2
34. Moola, S., Munn, Z., Tufanaru, C., Aromataris, E., Sears, K., Sfetcu, R., Currie, M., Lisy, K., Qureshi, R., Mattis, P., & Mu, P. (2020). Chapter 7: Systematic reviews of etiology and risk. In E. Aromataris & Z. Munn (Eds.), JBI manual for evidence synthesis (pp. 217–269). JBI. https://doi.org/10.46658/JBIMES-20-08
35. Morris, K., Pasha, A., Li, X., & Qiao, S. (2026). Disaster preparedness of health systems in LMICs in the face of climate change: A systematic mapping review of vulnerabilities and response strategies. BMC Public Health, 26, 217. https://doi.org/10.1186/s12889-025-25873-5
36. Moynihan, R., Sanders, S., Michaleff, Z. A., Scott, A. M., Clark, J., To, E. J., Jones, M., Kitchener, E., Fox, M., Johansson, M., Lang, E., Duggan, A., Scott, I., & Albarqouni, L. (2021). Impact of COVID-19 pandemic on utilisation of healthcare services: A systematic review. BMJ Open, 11(3), e045343. https://doi.org/10.1136/bmjopen-2020-045343
37. Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
38. Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901–907. https://doi.org/10.1016/j.bbi.2020.05.026
39. Pearson, C. M., & Clair, J. A. (1998). Reframing crisis management. Academy of Management Review, 23(1), 59–76. https://doi.org/10.5465/amr.1998.192960
40. Pluye, P., & Hong, Q. N. (2014). Combining the power of stories and the power of numbers: Mixed methods research and mixed studies reviews. Annual Review of Public Health, 35, 29–45. https://doi.org/10.1146/annurev-publhealth-032013-182440
41. Qin, X., Huang, Y.-N., Hu, Z., Chen, K., Li, L., Wang, R. S., & Wang, B.-L. (2023). Human resource management research in healthcare: A big data bibliometric study. Human Resources for Health, 21, 94. https://doi.org/10.1186/s12960-023-00865-x
42. Salas-Vallina, A., Ferrer-Franco, A., & Herrera, J. (2020). Fostering the healthcare workforce during the COVID-19 pandemic: Shared leadership, social capital, and contagion among health professionals. International Journal of Health Planning and Management, 35(6), 1606–1610. https://doi.org/10.1002/hpm.3035
43. Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA, 323(21), 2133–2134. https://doi.org/10.1001/jama.2020.5893
44. Shaukat, N., Ali, D. M., & Razzak, J. (2020). Physical and mental health impacts of COVID-19 on healthcare workers: A scoping review. International Journal of Emergency Medicine, 13, 40. https://doi.org/10.1186/s12245-020-00299-5
45. Sözcü, U., & Türker, A. (2026). Evaluation of earthquake literacy levels of the active and future health workforce in Türkiye: A post-disaster analysis. BMC Public Health, 26, 891. https://doi.org/10.1186/s12889-026-26595-y
46. Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology, 8, 45. https://doi.org/10.1186/1471-2288-8-45
47. Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Tunçalp, Ö. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
48. Ülgüt, R., Tomsic, I., Chaberny, I. F., & von Lengerke, T. (2024). Human resource management to assist infection prevention and control professionals: A scoping review. Journal of Hospital Infection, 148, 145–154. https://doi.org/10.1016/j.jhin.2024.04.004
49. Williams, G. A., Ziemann, M., Chen, C., Forman, R., Sagan, A., & Pittman, P. (2024). Global health workforce strategies to address the COVID-19 pandemic: Learning lessons for the future. International Journal of Health Planning and Management, 39(3), 888–897. https://doi.org/10.1002/hpm.3762
50. World Health Organization. (2016). Global strategy on human resources for health: Workforce 2030. https://www.who.int/publications/i/item/9789241511131
51. World Health Organization. (2018). Managing epidemics: Key facts about major deadly diseases. https://www.who.int/publications/i/item/9789241565530
52. World Health Organization. (2020). Health workforce policy and management in the context of the COVID-19 pandemic response: Interim guidance. https://www.who.int/publications/i/item/WHO-2019-nCoV-health_workforce-2020.1