Designing a Human Resources Retraining Model in the Country’s Healthcare System
Keywords:
reskilling, skill enhancement, skills gap, healthcare systemAbstract
This study aimed to design a comprehensive model for human resources retraining in the national healthcare system to enhance employees’ skill capabilities, operational competitiveness, and organizational resilience amid technological transformations and environmental changes. The research employed an applied qualitative approach within an interpretive paradigm. Data were collected through semi-structured interviews with 12 academic and executive healthcare experts. Thematic analysis was used for data interpretation. Participants were selected using purposive sampling until theoretical saturation. Content validity was confirmed through CVR and CVI indices, and reliability through a test–retest coefficient of 93.19% and an inter-coder agreement of 83.41%. Analysis revealed 92 basic, 25 organizing, and 7 overarching themes: macro reskilling policymaking system, technology-based cognitive mapping of reskilling, schema of strategic HR actions, skill resilience, operational competitiveness, evolutionary reskilling system, and psychological empowerment. Effective retraining requires a multilevel governance structure, digital learning infrastructures, regional educational equity, and alignment between HR policies and lifelong learning pathways. Moreover, fostering skill resilience and operational competitiveness through inter-organizational collaboration and internal financial support mechanisms emerged as essential success factors. The study concludes that the healthcare system must elevate retraining from a fragmented educational activity to a strategic, data-driven governance model. This transformation would enable sustainable performance, enhance technological and psychological competencies among employees, and ensure resilient and high-quality healthcare service delivery.
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Asiedu, E., & Tenakwah, E. S. (2025). Future-proofing your workforce: upskilling and reskilling as HR's top priorities. Strategic Hr Review. https://doi.org/10.1108/SHR-01-2025-0008
Bodea, C. N., Paparic, M., Mogos, R. I., & Dascalu, M. I. (2024). Artificial intelligence adoption in the workplace and its impact on the upskilling and reskilling strategies. Amfiteatru Economic, 26(65), 126-144. https://doi.org/10.24818/EA/2024/65/126
Briassoulis, G., Argyrakopoulou, M., Korela, D., Labrinaki, S., Nikiforou, A., Papoutsakis, A., & Ilia, S. (2025). Lifelong training, retraining, reskilling, upskilling and knowledge gaps in emergency medicine: a cross-sectional survey study. World Journal of Emergency Medicine, 16(3), 212. https://doi.org/10.5847/wjem.j.1920-8642.2025.061
Chaker, B., & Damak, C. (2024). Navigating tomorrow: Strategies for effective workforce reskilling. In Reskilling the Workforce for Technological Advancement (pp. 62-81). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3693-0612-3.ch004
da Silva, R. J. R., Preza, M., Marques, C., & Sánchez-Escobedo, M. C. (2024). Skills Management and Employee Training Influence on Motivation and Job Performance. In International Scientific Conference on Business and Economics (pp. 35-54). Cham: Springer Nature. https://doi.org/10.1007/978-3-031-73506-6_3
Dash, S., Yadav, P. D., Manrai, R., & Gupta, A. K. (2024). Metaverse: Transformative Pathways for Skilling, Reskilling, and Upskilling in the Digital Age. In The Metaverse Dilemma: Challenges and Opportunities for Business and Society (pp. 163-180). Emerald Publishing Limited. https://doi.org/10.1108/978-1-83797-524-220241010
Datta, A., Coates, S., Rossiter, A., & Krishnamoorti, R. (2025). Reskilling and upskilling for decarbonization: analyzing micro-credential programs for energy workforce development. The Journal of Continuing Higher Education, 73(1), 64-83. https://doi.org/10.1080/07377363.2024.2377777
Ersanlı, C. Y., Çelik, F., Barjesteh, H., Duran, V., & Manoochehrzadeh, M. (2025). A review of global reskilling and upskilling initiatives in the age of AI. Ai and Ethics, 1-10. https://doi.org/10.1007/s43681-025-00767-9
Forde, C., O'Brien, A., Croitoru, O., Molloy, N., Amisano, C., Brennan, I., & McInerney, A. (2024). Comparing face-to-face, blended and online teaching approaches for practical skill acquisition: a randomised controlled trial. Medical Science Educator, 34(3), 627-637. https://doi.org/10.1007/s40670-024-02026-8
Froozanfar, H., Mousikhani, M., Vaez, R., Alvani, S. M., & Memarzadeh Tehran, G. (2024). Providing a Skill Development Model for Enhancing Organizational Innovation in the Automotive Industry (Case Study: Saipa Company). Quarterly Journal of Skill Development, 13(50), 91-116. https://ensani.ir/fa/article/604442/
Goel, A., Dede, C., Garn, M., & Ou, C. (2024). AI‐ALOE: AI for reskilling, upskilling, and workforce development. Ai Magazine, 45(1), 77-82. https://doi.org/10.1002/aaai.12157
Gruenewald, H., & Müller, M. (2025). Reskilling and Upskilling in a Globalized Economy: Essential Strategies for Workforce Transformation. Springer. https://doi.org/10.1007/978-3-658-48384-5
Jabbari, J., Zheng, H., Roll, S., Auguste, D., & Heller, O. (2024). How did reskilling during the COVID-19 pandemic relate to entrepreneurship and optimism? Barriers, opportunities, and implications for equity. Journal of Family and Economic Issues, 45(2), 410-429. https://doi.org/10.1007/s10834-023-09906-y
Jamal, A. F., El Nemar, S., & Sakka, G. (2025). The relationship between job redesigning, reskilling and upskilling on organizational agility. Euromed Journal of Business, 20(2), 474-492. https://doi.org/10.1108/EMJB-10-2023-0279
Jeyalakshmi, S., Dharani, R., Rajendran, S., & Vijayakumar, V. (2025). Requisites of Upskilling and Reskilling Among Gig Workers. In Sustainable Digital Technology and Ethics in an Ever-Changing Environment (pp. 282-299). Springer, Cham. https://doi.org/10.1007/978-3-031-86712-5_56
Kanchana, K. P., Sharma, S., & Narula, S. (2025). Strategic Workforce Reskilling in Service Marketing. In Strategic Workforce Reskilling in Service Marketing (pp. 157-176). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3373-0164-8.ch008
Kavand, N., & Mohammadi Moghadam, Y. (2025). Analyzing the De-Skilling of Managers in Skill Enhancement in the Era of Digital Transformation. Studies in Smart Business Management, 13(52), 47-86. https://journals.atu.ac.ir/article_18526.html
Khazaei, A., Mohammadi, A., & Mohammadi, M. A. (2025). Examining the Roadmap for Training Skills of Duty Personnel in the Armed Forces. Quarterly Journal of Marine Science Education, 12(1), 64-83. https://www.magiran.com/paper/2860305/
Li, L. (2024). Reskilling and upskilling the future-ready workforce for industry 4.0 and beyond. Information Systems Frontiers, 26(5), 1697-1712. https://doi.org/10.1007/s10796-022-10308-y
Lo, L. S. (2024). Transforming academic librarianship through AI reskilling: Insights from the GPT-4 exploration program. The Journal of Academic Librarianship, 50(3), 102883. https://doi.org/10.1016/j.acalib.2024.102883
Marinelli, L., Cioli, A., & Gregori, G. L. (2025). Training, Reskilling, Recruiting: The Future of Work in the Age of Generative AI. In The Generative AI Impact: Reframing Innovation in Society 5.0 (pp. 237-256). Emerald Publishing Limited. https://doi.org/10.1108/978-1-83549-105-820251013
Marlapudi, K., & Lenka, U. (2024). Unlocking the potential: redefining talent and competency mapping for Industry 4.0. Management Research Review, 47(11), 1805-1832. https://doi.org/10.1108/MRR-07-2023-0496
Meçik, O. (2024). Reskilling the Workforce for Technological Advancement. IGI Global. https://doi.org/10.4018/979-8-3693-0612-3
Moniri, S. M., Abdolvand, M. A., & Heydarzadeh, K. (2025). Providing a Human Resource Skill Model in the Development of the Plastic Industry Cluster (Case Study: Plastic Industry). Public Management Research, 18(68), 267-292. https://journals.usb.ac.ir/article_9135.html
Noori, R., Jafari Nia, S., Abdollahi, B., & Razaghi, A. M. (2025). Identifying and Prioritizing Essential Skills for E-Leadership. Quarterly Journal of Organizational Behavior Studies. https://obs.sinaweb.net/?_action=article&au=1692504&_au=%D9%86%D9%88%D8%B1%DB%8C%D8%8C%20%D8%B1%D9%88%D8%AD%20%D8%A7%D9%84%D9%87
Patrício, L., Costa, C., Varela, L., Silveira, Z., & Cruz-Cunha, M. M. (2025). Literature review on the implementation of Robotic Process Automation in healthcare and its social influence. Procedia Computer Science, 256, 972-979. https://doi.org/10.1016/j.procs.2025.02.202
Pillans, G. (2024). Reskilling and rethinking work: how to build a future-fit workforce. Strategic Hr Review, 23(4), 158-163. https://doi.org/10.1108/SHR-03-2024-0023
Pîrciog, C. S., Grigorescu, A., & Lincaru, C. (2024). The 2030 Scenarios for Basic Digital Upskilling and Reskilling in Romania. In International Conference on Business Excellence (pp. 221-251). Cham: Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-78179-7_15
Riaz, A. (2025). AI in Workforce Upskilling and Reskilling: Strategic Integration of Human-Centered Learning in a Digital Labor Economy (GAWA Series). https://doi.org/10.31124/advance.174773391.12483021/v1
Santandreu Calonge, D., Kamalov, F., Medina Aguerrebere, P., Hassock, L., Smail, L., Yousef, D., & Abdulla, N. (2025). Upskilling and reskilling in the United Arab Emirates: Future-proofing careers with AI skills. Journal of Adult and Continuing Education. https://doi.org/10.1177/14779714251315288
Sethi, S., Chaturvedi, D. V., & Kataria, D. P. (2023). A Review of Upskilling in the Healthcare Sector with special emphasis on Nurses. International Journal of Life Science and Pharma Research, 13(4), 1-11. https://doi.org/10.22376/ijlpr.2023.13.4.SP6.L1-L11
Su, G., Zhong, H., & Zhang, J. (2025). Integrated training course planning and hierarchical multi-skilled employee scheduling in the workforce skill transformation context. International Journal of Production Economics. https://doi.org/10.1016/j.ijpe.2025.109642
Subramanian, Y. R., Riya, R., & Rajendran, R. (2024). Revolutionizing workforce education: A conceptual framework for AI-driven skilling, upskilling, and reskilling. In Integrating Generative AI in Education to Achieve Sustainable Development Goals (pp. 282-299). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3693-2440-0.ch015
Swami, N. K., Sharma, A., & Mittal, R. (2024). Role of AI in skilling, upskilling, and reskilling the workforce. In Integrating Generative AI in Education to Achieve Sustainable Development Goals (pp. 300-312). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3693-2440-0.ch016
Tariq, M. U. (2024). The role of AI in skilling, upskilling, and reskilling the workforce. In Integrating generative AI in education to achieve sustainable development goals (pp. 408-420). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3693-2440-0.ch023
Vetrivel, S. C., & Mohanasundaram, T. (2024). Building a Tech-Savvy Workforce: Re-Skilling Strategies for Success. In Reskilling the Workforce for Technological Advancement (pp. 18-40). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3693-0612-3.ch002
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