Exploring Resilience – An Introduction

Wiig, Siri; Fahlbruch, Babette

doi:10.1007/978-3-030-03189-3_1

Cited by 36 publications

(51 citation statements)

References 26 publications

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“… 23 The role of various contextual factors (eg, regulatory systems, cultural and organisational factors, leadership) remains relatively unexplored and in need of investigation and theorising. 30 36 …”

Section: Introductionmentioning

confidence: 99%

Resilience in Healthcare (RiH): a longitudinal research programme protocol

et al. 2020

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IntroductionOver the past three decades, extensive research has been undertaken to understand the elements of what constitutes high quality in healthcare. Yet, much of this research has been conducted on individual elements and their specific challenges. Hence, goals other than understanding the complex of factors and elements that comprises quality in healthcare have been privileged. This lack of progress has led to the conclusion that existing approaches to research are not able to address the inherent complexity of healthcare systems as characterised by a significant degree of performance variability within and across system levels, and what makes them resilient. A shift is, therefore, necessary in such approaches. Resilience in Healthcare (RiH) adopts an approach comprising a comprehensive research programme that models the capacity of healthcare systems and stakeholders to adapt to changes, variations and/or disruptions: that is, resilience. As such, RiH offers a fresh approach capable of capturing and illuminating the complexity of healthcare and how high-quality care can be understood and advanced.Methods and analysisMethodologically, to illuminate what constitutes quality in healthcare, it is necessary to go beyond single-site, case-based studies. Instead, there is a need to engage in multi-site, cross-national studies and engage in long-term multidisciplinary collaboration between national and international researchers interacting with multiple healthcare stakeholders. By adopting such processes, multiple partners and a multidisciplinary orientation, the 5-year RiH research programme aims to confront these challenges and accelerate current understandings about and approaches to researching healthcare quality.The RiH research programme adopts a longitudinal collaborative interactive design to capture and illuminate resilience as part of healthcare quality in different healthcare settings in Norway and in five other countries. It combines a meta-analysis of detailed empirical research in Norway with cross-country comparison from Australia, Japan, Netherlands, Switzerland and the UK. Through establishing an RiH framework, the programme will identify processes with outcomes that aim to capture how high-quality healthcare provisions are achieved. A collaborative learning framework centred on engagement aims to systematically translate research findings into practice through co-construction processes with partners and stakeholders.Ethics and disseminationThe RiH research programme is approved by the Norwegian Centre for Research Data (No. 864334). The empirical projects selected for inclusion in this longitudinal research programme have been approved by the Norwegian Centre for Research Data or the Regional Committees for Medical and Health Research Ethics. The RiH research programme has an embedded publication and dissemination strategy focusing on the progressive sharing of scientific knowledge, information and results, and on engaging with the public, including relevant patient and stakeholder representatives. The findings will be disseminated through scientific articles, PhD dissertations, presentations at national and international conferences, and through social media, newsletters and the popular media.

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Section: Introductionmentioning

confidence: 99%

Resilience in Healthcare (RiH): a longitudinal research programme protocol

et al. 2020

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“…However, while most current research on Safety-II addresses activities of front-line workers and clinical leadership, the role of external regulatory systems is hardly addressed. 3 The relationship between regulation and Safety-II and the role regulators could play in improving or undermining Safety-II performance, needs investigation and theorising. 4 5 In this article, we combine theory with practice examples to show how Safety-II principles could influence the interactions between healthcare providers and their regulators.…”

Section: Introductionmentioning

confidence: 99%

Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality

Leistikow

Bal

2020

BMJ Qual Saf

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“…Despite these, there has been a slow adoption of RE across the general industry. Most of these studies are too abstract and general [13], and there is no uniformly accepted definition of RE [9,10,[14][15][16], with recent reviews suggesting five to ten different but inter-related explanations [9,10]. Boring [15,16] argued this was because it existed more as a conceptual framework, while Sheridan [14] suggested that it reflected a family of ideas.…”

Section: Introductionmentioning

confidence: 99%

“…While these provide a rich source of information about selected aspects of RE, most of these studies failed to build on each other's work, so there is very little shared analytical framework [10,21]. This suggests that RE is ill-defined, and it is unclear which phenomena are to be operationalized for organisational safety [9,13]. These are significant gaps which can hinder efforts in benchmarking RE.…”

Section: Introductionmentioning

confidence: 99%

“…These are significant gaps which can hinder efforts in benchmarking RE. There is a clear need to develop a coherent, integrative framework and inform the development of instruments for conducting large-scale comparative studies across multiple high risk settings and sectors [13]. A review of published quantitative studies on RE and safety is an important first step in this process.…”

Section: Introductionmentioning

confidence: 99%

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Measuring Resilience Engineering: An Integrative Review and Framework for Bench-Marking Organisational Safety

Pillay

Morel

2020

Safety

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Interest in resilience engineering for improving organisational safety continues to grow among safety scholars and practitioners, but little attention has focused on a unifying definition, characteristics, and instruments for quantitative measurements. This is a significant gap which can impede efforts at benchmarking and evaluating resilience engineering for organisational safety. This integrative review was undertaken to address this research-practice gap in order to inform a theoretical framework. A five steep integrative literature review process was used to retrieve and critically evaluate peer-reviewed quantitative research articles published or in press from 2003 to November 2019. From the 3884 studies identified, screened, and selected, 17 met the final inclusion criteria. In total, 15 specific instruments were identified, but only four were grounded on a theoretical framework or model—the most common instrument used for included structured surveys. A minimum of three and a maximum of 13 characteristics were measured; however, it is not clear what type of variables they represented. The six most common characteristics included top management commitment, just culture, learning culture, awareness, preparedness, and flexibility. An integrative model of how these can inform a Resilience Climate Questionnaire (RCQ) survey is presented.

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Exploring Resilience – An Introduction

Abstract: Resilience has become an important topic on the safety research agenda and in organizational practice. In this chapter we give an introduction to the research area and some of the current challenges, before we present the aim of the book.

Cited by 36 publications

References 26 publications

Resilience in Healthcare (RiH): a longitudinal research programme protocol

Resilience in Healthcare (RiH): a longitudinal research programme protocol

Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality

Measuring Resilience Engineering: An Integrative Review and Framework for Bench-Marking Organisational Safety

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