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.
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
AN - SCOPUS:85083395690
SN - 0003-6870
VL - 87
JO - APPLIED ERGONOMICS
JF - APPLIED ERGONOMICS
M1 - 103111
ER -