Project Description


Support4Resilience (Strengthening resilience and mental wellbeing through the Support4Resilience toolbox for leaders in elderly care)

European elderly care experiences labor shortages, lack of qualified workers and a mismatch between capacity and demands, causing stress, burnout, and reduced mental wellbeing among healthcare workers  and informal caregivers. Leaders are crucial in promoting supportive working conditions but lack research-based measures to act upon these challenges.

Support4Resilience (S4R) will develop, implement, and evaluate a research-based Toolbox to support healthcare leaders in improving healthcare workers’ and informal caregivers’ resilience and mental wellbeing in elderly care. S4R will identify resilience and mental wellbeing factors among healthcare workers and informal caregivers; explore their perspectives and needs; develop new theory on the relationship between individual and organizational resilience, and mental wellbeing; and develop recommendations and costeffective interventions. The Toolbox with tailormade resources for policy and practical use will be available through an open access S4R Resource Bank.

The S4R Toolbox includes three main tools: 1) Mapping and identification, 2) Reflection and education, and 3) Reorganization.

Measures are initiated at the organizational level and effects on mental wellbeing and resilience transpire at the frontline of elderly care. The Toolbox covers different situational contexts, types of healthcare providers and health system levels. Elderly care settings in six European countries will implement and evaluate the Toolbox through a process evaluation, effectiveness evaluation, and costeffectiveness evaluation.

S4R provides policymakers, decisions-makers and leaders with solutions for taking action to solve specific risks for healthcare workers’ and informal caregivers’ resilience and mental wellbeing. Thus, pertinent to the work programme, S4R will support the development of resilient health systems in European elderly care through improved leadership capabilities, governance structures, and adaptive capacities.

The objectives:

Through the evidence-based leadership toolbox, the primary objective of Support4Resilience are:

  • To support leaders in elderly care across Europe to improve resilience and mental wellbeing in healthcare staff and informal caregivers, by integrating their perspectives and suggestions to improve working conditions and best meet situational challenges and demands.

The secondary objectives are:

  1. To map and identify resilience and mental wellbeing factors among frontline staff and informal caregivers in elderly care in six European countries integrating a variety of healthcare system factors, geographical locations, gender dimensions, and capacity/demands challenges for professional work and informal caregiving in different settings.
  2. To explore perspectives, needs and rationales among frontline staff to enable successful adaptations to standards, changing work conditions, and adverse events, and identify possible solutions to reduce capacity-demand challenges in elderly care.
  3. To develop a Support4Resilience toolbox for leaders to promote resilient performance and mental wellbeing in diverse settings, based on frontline staffs’ and informal caregivers’ characteristics, needs, involvement, and suggestions for improvement.
  4. To implement and evaluate use, relevance, adoption, effect, cost-effectiveness of the Support4Resilience toolbox in six European countries.
  5. To establish new theory to scientifically describe the relationship between individual and organizational resilience, mental wellbeing, and leaders’ role and possible ways of promoting it.
  6. To develop and disseminate empirically founded and context sensitive recommendations and cost-effective intervention bundles for policy makers and leaders in European elderly care through a co-designed open access solution pool.

Duration of the project: 46 Months

EFPC role of participating organisation in the project:

The Forum includes a Mental Health working group that will actively contribute to the S4R project by enabling wide input from and outreach to policy makers, leaders, workers and informal caregivers.

  • Communication, dissemination and engagement
  • Contributions from the social sciences or/and the humanities

Expertise needed from EFPC

  • Elderly care
  • Nursing
  • User involvement
  • Policy making
  • Dissemination

Total Person-Months (PM) for EFPC: 15,5

  • WP1 Preparation for data collection – 2 PM
  • WP2 Cross country data collection – 0,5 PM
  • WP3 S4R Toolbox Development – 5 PM

To be performed in Month 18 until 36 of the project


    1. To develop content and IT infrastructure for the S4R Toolbox.
    2. To develop intervention design.
    3. To perform pilot testing of the S4R Toolbox.
  • WP4 S4R Toolbox implementation and evaluation – 1 PM
  • WP5 Dissemination and communication – 6 PM

To be performed in Month 6 until 46 of the project


    1. To disseminate and communicate tailormade information about research-based knowledge and the S4R Toolbox to relevant stakeholders, bringing EU and the international scientific community beyond the state of the art in resilience and mental wellbeing in elderly care.
    2. To establish policy recommendations and implementation guidance for EU policy makers and healthcare leaders to promote resilience and mental wellbeing based on results from the S4R Toolbox evaluation.
    3. To develop new theoretical models to support future studies and practice in integrating individual, organizational resilience, and mental wellbeing in healthcare.
    4. To prepare for future exploitation and sustainability of the toolbox.
  • WP6 Project Management – 1 PM