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ORIGINAL RESEARCH article

Front. Public Health

Sec. Public Health Education and Promotion

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1632053

This article is part of the Research TopicEnsuring Public Health: The Active Role of Healthcare ProfessionalsView all 21 articles

Resilience and Professional Identity Among Young Healthcare Workers in a Shanghai Megahospital During COVID-19: A Cross-Sectional Study

Provisionally accepted
Di  XuDi Xu*Yaxu  ZhouYaxu ZhouWang  YanWang YanLe  YeLe YeMa  YuchunMa YuchunChunming  WangChunming WangYing  ZhouYing Zhou*
  • Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China

The final, formatted version of the article will be published soon.

Background Public health crises such as the COVID-19 pandemic place immense psychological and professional pressure on healthcare workers, particularly those early in their careers. While much research has focused on burnout and stress, fewer studies have examined the role of professional identity and its organizational determinants among actively employed young healthcare professionals. Methods This cross-sectional study surveyed 326 young healthcare workers (≤40 years old) across clinical, research, and administrative roles in a megahospital in Shanghai, China. A validated multidimensional scale was used to assess professional identity. Independent variables included job satisfaction, workload, exposure to high-risk duties, and perceived organizational support (including satisfaction with humanistic care and working conditions). Descriptive statistics, Mann-Whitney U and Kruskal-Wallis H tests, and multivariate linear regression were employed. Results The majority of respondents (92.9%) reported a high level of professional identity (median score: 81, IQR: 13). Satisfaction with humanistic care (B = 3.431, P = 0.009) and working conditions (B = 3.679, P = 0.003) were strong predictors of higher professional identity scores. Significant differences in professional identity were observed based on gender, income satisfaction, and exposure to COVID-19 patients. Conclusion This study highlights the essential role of organizational resources—particularly perceived humanistic care and adequate working conditions—in sustaining professional identity among young healthcare professionals during public health emergencies. The findings underscore the need for system-level interventions that support resilience and workforce stability. These insights may inform global strategies for healthcare human resource management in high-pressure contexts.

Keywords: professional identity, Young Healthcare Workers, Humanistic care, Working conditions, organizational resources, Public health emergency, COVID-19

Received: 20 May 2025; Accepted: 04 Jul 2025.

Copyright: © 2025 Xu, Zhou, Yan, Ye, Yuchun, Wang and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Di Xu, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Ying Zhou, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China

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