Background: An important key to a hospital's long-term competitiveness is the ability of 
head nurses to handle their role as leaders in daily work. To do so, head nurses must have 
resilience in their ways of working and encouraging innovation behaviors among nurses is 
already critical development direction for healthcare to prevent work alienation. Aim: To 
assess the influence of head nurses' resilience on emergency nurses' innovative behavior and 
work alienation. Methods: The design was descriptive correlational. Three tools are used for 
data collection; Nurses' Perception for Head Nurses' Resilience Questionnaire, Nurses' 
Innovative Behavior Questionnaire and Work Alienation Questionnaire. Results: Nurses 
perceived high level of head nurses' resilience and innovative behavior, while majority of 
them were perceived low level of work alienation. Additionally, there was a highly positive 
statistically significant correlation between head nurses' resilience and nurses' innovative 
behavior. While, there is a negative statistically significant correlation between nurses' 
innovative behavior and work alienation. As well no statistically significant correlation 
between head nurses' resilience and work alienation. Conclusion: Head nurses' resilience 
improves nurses' innovative behavior. Recommendations: Critical follow up to strengthen 
head nurses' resilience abilities and monitor nurses' work innovative behaviors development, 
as well as to assess the work alienation level on a regular basis and build up suitable 
intervention to cope with these situations.