TY - JOUR
T1 - Defining adaptive capacity in healthcare
T2 - A new framework for researching resilient performance
AU - Anderson, J. E.
AU - Ross, A. J.
AU - Macrae, C.
AU - Wiig, S.
N1 - Funding Information:
This research received funding from the Guy's and St Thomas' Charity ( MAJ120811 ) which supported Anderson and Ross. The Research Council of Norway's FRIHUMSAM TOPPFORSK program and the University of Stavanger funded the research project Resilience in Healthcare (grant agreement number 275367 ) and supported Wiig, Macrae and Anderson. The views and opinions expressed herein are those of the authors and the funders have had no role in the design, data collection, analysis and interpretation of data, or in the writing of the manuscript and the decision to submit the manuscript for publication.
Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/9
Y1 - 2020/9
N2 - Resilience principles show promise for improving the quality of healthcare, but there is a need for further theoretical development to include all levels and scales of activity across the whole healthcare system. Many existing models based on engineering concepts do not adequately address the prominence of social, cultural and organisational factors in healthcare work. Promising theoretical developments include the four resilience potentials, the CARE model and the Moments of Resilience Model, but they are all under specified and in need of further elaboration. This paper presents the Integrated Resilience Attributes Framework in which these three theoretical perspectives are integrated to provide examples of anticipating, responding, monitoring and learning at different scales of time and space. The framework is intended to guide researchers in researching resilience, especially the linkages between resilience at different scales of time and space across the whole healthcare system.
AB - Resilience principles show promise for improving the quality of healthcare, but there is a need for further theoretical development to include all levels and scales of activity across the whole healthcare system. Many existing models based on engineering concepts do not adequately address the prominence of social, cultural and organisational factors in healthcare work. Promising theoretical developments include the four resilience potentials, the CARE model and the Moments of Resilience Model, but they are all under specified and in need of further elaboration. This paper presents the Integrated Resilience Attributes Framework in which these three theoretical perspectives are integrated to provide examples of anticipating, responding, monitoring and learning at different scales of time and space. The framework is intended to guide researchers in researching resilience, especially the linkages between resilience at different scales of time and space across the whole healthcare system.
KW - Multi-level resilience
KW - Resilience framework
KW - Resilience potentials
KW - Resilient healthcare
UR - http://www.scopus.com/inward/record.url?scp=85083395690&partnerID=8YFLogxK
U2 - 10.1016/j.apergo.2020.103111
DO - 10.1016/j.apergo.2020.103111
M3 - Article
C2 - 32310111
AN - SCOPUS:85083395690
SN - 0003-6870
VL - 87
JO - Applied Ergonomics
JF - Applied Ergonomics
M1 - 103111
ER -
