Analysing the Resilience of Hospitals’ Surge Procedures Using the Functional Resonance Analysis Method

Mahmoudi, Farhad; Mohamed, Sherif Ali Mohtady; Tonmoy, Fahim

doi:10.1007/978-981-15-1910-9_10

Cited by 2 publications

(29 citation statements)

References 14 publications

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“…In studying the discharge process for older patients, Laugaland et al 7 provided a description of moderate participant observation, “which entails that the researcher be present and identifiable but not an active participant … the researcher observes and interacts occasionally.” (p.4) Kaya et al 23 also used observation as a method to validate interview data on the work involved for the administration of drugs in a neonatal intensive care unit. The types of documents reviewed varied, with several relating to direct patient care, including patient care guidelines/procedures (n = 6; 19.4%), 19,20,29,33,41,45 patient care documentation/records (n = 6; 19.4%), 7,19,22,25,36,45 government policies (n = 2; 6.5%), 18,24 and dental claim forms (n = 1; 3.2%) 30 . Focus groups were used as a method of data collection in nine (29.0%) papers 19,22,25-28,36,40,45 .…”

Section: Resultsmentioning

confidence: 99%

“…In using the FRAM, it is important to consider the target audience, including during the collection of data used to inform model development and when developing a model to share with stakeholders. Most papers included in this review sought input on the activities or functions necessary for a process to occur 2,7,19-21,23-25,28,31-34,36,37,39,41,43,45 …”

Section: Discussionmentioning

confidence: 99%

“…31,40 There was one (3.2%) each from Canada, 36 Italy, 28 Norway, 7 Scotland, 25 and Sweden. 45 The majority of the literature were research studies (n ¼ 27; 87.1%), with 16 of these (51.6%) being qualitative descriptive studies, 7,20,21,[24][25][26][27][28][31][32][33][34][35]37,40,41 four (12.9%) case studies, 19,29,34,39 four (12.9%) mixed methods studies, 22,23,30,36 and one (3.2%) each of secondary analysis of qualitative data 2 and grounded theory. 18 Most of the research studies took place in a hospital, including three (9.7%) each in intensive care 21,27,41 and in the emergency department, 33,38,42 two (6.5%) in neonatal intensive care, 22,23 and one (3.2%) each in an operating room, 45 geriatric evaluation and management, 19 cardiosurgical department, 20 neurosurgery, 28 and a spine center.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…34 An additional nine (29.0%) studies were hospital-wide, examining more than one location in a hospital. 7,24,29,31,32,35,37,39,43 The remaining settings include the transition between the hospital and the community (n ¼ 3, 9.7%), 2,36,40 primary care (n ¼ 3; 9.7%), 10,18,25 radiopharmaceutical dispatch (n ¼ 1, 3.2%), 44 and a dental practice (n ¼ 1; 3.2%). 30 Detailed characteristics of the included papers are presented in Appendix III.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…10,18,21,23,28,30,43,45 The majority of papers in this review provide a definition or description of the FRAM by explaining activities or functions in a process and the steps necessary to operationalize the FRAM (n ¼ 25; 80.6%). 2,7,10,[20][21][22][23][24][25][26][27][28][29][30][31][32][33][35][36][37]40,41,[43][44][45] Descriptions of the FRAM in the papers included in this review are provided in Appendix III.…”

Section: Concepts Definitions and Descriptions Of The Frammentioning

confidence: 99%

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The Functional Resonance Analysis Method as a health care research methodology: a scoping review

McGill

Smith

Morris

et al. 2021

JBI Evidence Synthesis

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Objective:The objective of this review was to examine and map the literature on the use of the Functional Resonance Analysis Method (FRAM) in health care research.Introduction:The FRAM is a resilient health care tool tat offers an approach to deconstruct complex systems by mapping health care processes to identify essential activities, how they are interrelated, and the variability that emerges, which can strengthen or compromise outcomes. Insight into how the FRAM has been operationalized in health care can help researchers and policy-makers understand how this method can be used to strengthen health care systems.Inclusion criteria:This scoping review included research and narrative reports on the application of the FRAM in any health care setting. The focus was to identify the key concepts and definitions used to describe the FRAM; the research questions, aims, and objectives used to study the FRAM; the methods used to operationalize the FRAM; the health care processes examined; and the key findings.Methods:A three-step search strategy was used to find published and unpublished research and narrative reports conducted in any country. Only papers published in English were considered. No limits were placed on the year of publication. CINAHL, MEDLINE, Embase, PsycINFO, Inspec Engineering Village, ProQuest Nursing & Allied Health were searched originally in June 2020 and again in March 2021. A search of the gray literature was also completed in March 2021. Data were extracted from papers by two independent reviewers using a data extraction tool developed by the reviewers. Search results are summarized in a flow diagram, and the extracted data are presented in tabular format.Results:Thirty-one papers were included in the final review, and most (n = 25; 80.6%) provided a description or definition of the FRAM. Only two (n = 2; 6.5%) identified a specific research question. The remaining papers each identified an overall aim or objective in applying the FRAM, the most common being to understand a health care process (n = 20; 64.5%). Eleven different methods of data collection were identified, with interviews being the most common (n = 21; 67.7%). Ten different health care processes were explored, with safety and risk identification (n = 8; 25.8%) being the most examined process. Key findings identified the FRAM as a mapping tool that can identify essential activities or functions of a process (n = 20; 64.5%), how functions are interdependent or coupled (n = 18; 58.1%), the variability that can emerge within a process (n = 20; 64.5%), discrepancies between work as done and work as imagined (n = 20; 64.5%), the resiliency that exists within a process (n = 12; 38.7%), and the points of risk within a process (n = 10, 32.3%). Most papers (n = 27; 87.1%) developed models representing the complexity of a process.Conclusions:The FRAM aims to use a systems approach to examine complex processes and, as evidenced by this review, is suited for use within the health care domain. Interest in the FRAM is growing, with most of ...

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Concepts Definitions and Descriptions Of The Frammentioning

confidence: 99%

See 3 more Smart Citations

The Functional Resonance Analysis Method as a health care research methodology: a scoping review

McGill

Smith

Morris

et al. 2021

JBI Evidence Synthesis

View full text Add to dashboard Cite

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An innovative tool to assess the functional resilience of a school system: learning from the COVID-19 pandemic

Kaim,

Siman-Tov,

Adini

et al. 2023

Front. Psychol.

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IntroductionPreparing the school system for a future crisis requires the ability to examine the effectiveness of schools’ functioning during distant learning and their level of preparedness for future crises. Functional resilience (FR) is defined as the ability to maintain vital operational continuity in the face of disturbance. The study objectives included to develop a FR index of schools and to evaluate and validate it.MethodsTo enable examination of the study objectives, the study design included tool development, followed by a validation process among 20 content experts. Concurrently, an eDelphi process for building an inclusive index, based on various components of resilience was conducted. The final study tool consists of four tailored questionnaires to examine perceptions of key stakeholders, i.e.- teachers, principals, parents, and highschool students regarding communication, psychosocial aspects, perceived stress, infrastructure, resources, pedagogic support, digital literacy, and perceived FR. Using an internet panel, the tool was disseminated cross-sectionally among the four groups of stakeholders.ResultsThe results showed high reliability of most of the scales developed. Furthermore, a high consensus level was reached on the relative importance of each component/ stakeholder to the schools FR. The findings further suggest that there were no significant differences in the composite FR score based on characteristics such as school type/ size/geographic location. However, the findings revealed interesting variations among stakeholders, with findings suggesting greater vulnerability among some.DiscussionTo increase resilience and preparedness for future adversities that school systems may face, it is recommended to periodically incorporate an assessment based on a structured tool.

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Analysing the Resilience of Hospitals’ Surge Procedures Using the Functional Resonance Analysis Method

Cited by 2 publications

References 14 publications

The Functional Resonance Analysis Method as a health care research methodology: a scoping review

The Functional Resonance Analysis Method as a health care research methodology: a scoping review

An innovative tool to assess the functional resilience of a school system: learning from the COVID-19 pandemic

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