Hospital resilience scholarship often combines resource stocks, preparedness assessments, enacted responses, and performance in a single construct. This bounded integrative review develops a testable distinction between those domains and positions resilience as a proposed higher-order organizational capability constituted by three non-interchangeable routine families: sensing and preparedness, orchestration and coordination, and renewal and learning. A Scopus search conducted on 11 October 2026 (2021–2026) yielded 54 retrievable, eligible hospital reports; 14 additional theoretical and contextual sources informed interpretation. The synthesis compares evidence types without pooling effects or claiming causal validation. Relative to prior reviews, the proposed contribution is an explicit constitutive-versus-causal architecture, safeguards against criterion contamination, and six propositions with specified measurement, organizational level, and temporal requirements. Crucially, 114 of 170 sought reports (67.1%) were not retrieved, all included reports were open access, and screening and extraction were conducted by one reviewer. These limitations preclude comprehensive coverage and certainty claims. The framework offers a provisional diagnostic logic linking resource investments to enacted routines and separately observed continuity, recovery, and safety, to be validated in longitudinal hospital studies.
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