The application of resilience assessment grid in healthcare: A scoping review

Abstract

Background The Resilience Assessment Grid (RAG) has attracted increasing interest in recent healthcare discourse as an instrument to understand and measure the resilience performance of socio-technical systems. Despite its growing popularity in healthcare, its applicability and utility remain unclear. This scoping review aims to understand the practical application of RAG method and its outcomes in healthcare. Method We followed the Arksey and O’Malley, and the Levac and colleagues’ framework for scoping reviews and the PRISMA-ScR Checklist. We conducted searches of three electronic databases [Medline, Embase and Web of Science] in May 2021. Supplementary searches included Google Scholar, web and citation searches, and hand searches of the nine seminal edited books on Resilience Engineering and Resilient Health Care. All English language, empirical studies of RAG application in the healthcare setting were included. Open Science Framework [Registration-DOI. 10.17605/OSF.IO/GTCZ3]. Results Twelve studies met the inclusion criteria. Diversities were found across study designs and methodologies. Qualitative designs and literature reviews were most frequently used to develop the RAG and applied it in practice. Eight of the studies had qualitative designs, three studies had mixed-methods designs and one study had a quantitative design. All studies reported that the RAG was very helpful for understanding how frontline healthcare professionals manage the complexity of everyday work. While the studies gained insights from applying the RAG to analyze organizational resilience and identify areas for improvement, it was unclear how suggestions were implemented and how they contributed to quality improvement. Conclusion The RAG is a promising tool to manage some of the current and future challenges of the healthcare system. To realise the potential benefits of the RAG, it is important that we move beyond the development phase of the RAG tool and use it to guide implementation and management of quality initiatives.

Association between the executive dysfunction and balance function in patients with stroke

“…(2016) investigated the association between executive dysfunction and balance in patients with stroke and reported that a factor associated with executive dysfunction was balance function as measured by the BBS. Executive functions include goal planning, task implementation, flexible thinking, and working memory (Sakai et al., 2024; Skidmore et al., 2023). TUGT requires goal planning and task execution as well as other executive functions such as getting up from a chair, walking around a cone, and sitting in a chair again (Hafsteinsdottir et al., 2014).…”

“…In TMT part B, participants connected numbers and letters alternately in sequence as fast as possible (Reitan & Wolfson, 1985; Tamez et al., 2011). In this study, TMT part B was used as an indicator of executive dysfunction (Sakai et al., 2023, 2024).…”