Defining adaptive capacity in healthcare: a new framework for researching resilient performance

Anderson, J.E., Ross, A.J. , Macrae, C. and Wiig, S. (2020) Defining adaptive capacity in healthcare: a new framework for researching resilient performance. Applied Ergonomics, 87, 103111. (doi: 10.1016/j.apergo.2020.103111) (PMID:32310111)

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Abstract

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.

Item Type:Articles
Additional 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.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Ross, Dr Alastair
Authors: Anderson, J.E., Ross, A.J., Macrae, C., and Wiig, S.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
Research Group:Community Oral Health
Journal Name:Applied Ergonomics
Publisher:Elsevier
ISSN:0003-6870
ISSN (Online):1872-9126
Published Online:20 April 2020
Copyright Holders:Copyright © 2020 Elsevier Ltd
First Published:First published in Applied Ergonomics 87:103111
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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