Abstract:
Organizational resilience in healthcare depends not only on infrastructure and systems but also on the capacity, adaptability, and retention of healthcare workers. This study examined the influence of career development initiatives on organizational resilience among Level 4 and Level 5 public hospitals in Kenya. The study was anchored in Conservation of Resources Theory and Strategic Human Resource Management Theory. A positivist philosophy and descriptive correlational cross-sectional design were adopted. Stratified random sampling was used, and 307 valid responses from healthcare workers were analyzed using Pearson correlation and multiple regression in SPSS Version 28. The findings showed a statistically significant moderate positive relationship between career development initiatives and organizational resilience (r = .444, p < .01). Regression results further revealed that career development initiatives had a positive and statistically significant effect on organizational resilience (β = .463, p < .001), while the full model
explained 53.1% of the variance in organizational resilience. The findings indicate that structured mentorship, continuous professional training, and transparent promotion pathways strengthen staff adaptability, service continuity, innovation, and workforce retention during disruptions. The study concludes that career development should be treated as a strategic resilience-building mechanism rather than a routine human resource function. It recommends that public hospitals institutionalize equitable training, mentorship, and career advancement frameworks to enhance organizational resilience in Kenya’s referral hospital system.
