Effectiveness of Nurse-Led Community Resilience Building Interventions: A Systematic Review

Background: Communities worldwide face unprecedented challenges from climate-related disasters, infectious disease outbreaks, and persistent health inequities. However, no systematic review has synthesized evidence on nurse-led interventions specifically designed to build community resilience. Objective: This study aimed to assess the effectiveness of nurse-led community resilience-building interventions across different community types, intervention modalities, and outcome measures. Methods: A systematic review following Preferred Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines was conducted across three electronic databases (PubMed, Scopus, and Web of Science) from database inception through September 2025. Studies evaluating nurse-led interventions to build community resilience were included. Two independent reviewers conducted study selection and data extraction. Study quality was assessed using the Cochrane RoB-2 and ROBINS-I tools. Narrative synthesis was performed due to substantial methodological and clinical heterogeneity across included studies, with structured categorization by population, intervention, and outcome measures. Results: Six studies from different countries were included, with sample sizes ranging from 42 to 328 participants. Interventions included resilience workshops, social engagement programs, disaster preparedness training, and school-based leadership initiatives. Nurse-led interventions showed significant improvements in psychological resilience, preparedness knowledge and capacity, quality of life, and stress reduction related to acculturation. Conclusion: Community resilience interventions led by nurses demonstrated positive, significant impacts on resilience, preparedness, and related psychosocial outcomes. Nurses are well-positioned to lead capacity development due to their accessibility, community trust, and expertise in health promotion.