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Cohen, Shapira, Aharonson-Daniel i Shamian. "Confidence in Health-Services Availability During Disasters and Emergency Situations—Does it Matter?—Lessons Learned from an Israeli Population Survey". International Journal of Environmental Research and Public Health 16, nr 19 (20.09.2019): 3519. http://dx.doi.org/10.3390/ijerph16193519.
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Abstract: The association between health and community resilience is well established in the literature. However, maintaining continuity of healthcare services during emergencies, and their contribution in the context of community resiliency have not been sufficiently studied. This study aims to explore the relationship between the public’s confidence in the availability of healthcare services during and following emergencies, and community resilience. A cross-sectional study was conducted among 3478 Israeli adults, using the Conjoint Community Resilience Assessment Measurement (CCRAM) tool. Associations between confidence in health services availability during emergencies, socio-demographic variables, and community resilience as measured by the CCRAM score were analyzed. The results revealed that confidence in the availability of health services positively correlated with community resilience score (r(3377) = 0.580, p < 0.001), and that it contributed significantly to increasing resilience (OR = 2.67, 95% CI (2.4–2.9), p < 0.001). Maintaining continuity of healthcare services during emergencies has effects beyond the provision of medical treatment. For instance, the confidence of the population in the availability of these services contributes to community resilience. In turn, this finding can be translated into practical resilience building actions and to facilitate community health.
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LEBEDEVA, Larysa, i Diana SHKUROPADSKA. "RESILIENCE OF EU HEALTHCARE SYSTEMS". Foreign trade: economics, finance, law 133, nr 2 (11.04.2024): 120–33. http://dx.doi.org/10.31617/3.2024(133)07.
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The article highlights the critical role of healthcare system resilience in responding effectively to public health crises, with a particular emphasis on financing, effectiveness, and preparedness. It delves into a comparative analysis of healthcare costs and system effectiveness in several EU countries, revealing that higher expenditure doesnʼt always equate to greater resilience. The article also highlights the lack of investment in preventing measures, even in economically developed countries, resulting in minimal improvements in healthcare system resilience. It has been noted that there is no correlation between strict government measures during the COVID-19 pandemic and healthcare system effectiveness. The importance of synergy between government epidemic control actions and healthcare system resilience is emphasized. The key factors that influenced healthcare system resilience during the pandemic, including proactive preparedness, resource allocation, data analytics capabilities, communication, public trust, and adaptive policies have been identified in the research. To enhance healthcare system resilience, it is recommended to focus on financial resilience, healthcare personnel resilience, and health infrastructure resilience. Strategies to achieve this include effective governance, flexible financing, resource availability, and adaptable service delivery. The multifaceted nature of healthcare system resilience and the need for a comprehensive approach to its provision in the conditions of emergency situations in the field of healthcare are emphasized. The authorsʼ analysis reveals a complex interplay of factors that contribute to healthcare system resilience, which can be used by government officials as a roadmap for strengthening the healthcare systems in the context of future challenges.
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Carthey, J. "Institutional resilience in healthcare systems". Quality in Health Care 10, nr 1 (1.03.2001): 29–32. http://dx.doi.org/10.1136/qhc.10.1.29.
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Nemeth, Christopher, i Richard Cook. "8.4.1 Infusing Healthcare with Resilience". INCOSE International Symposium 20, nr 1 (lipiec 2010): 1073–87. http://dx.doi.org/10.1002/j.2334-5837.2010.tb01126.x.
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Nemeth, Christopher, i Richard Cook. "Reliability versus Resilience: What Does Healthcare Need?" Proceedings of the Human Factors and Ergonomics Society Annual Meeting 51, nr 11 (październik 2007): 621–25. http://dx.doi.org/10.1177/154193120705101104.
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System performance in healthcare pivots on the ability to match demand for care with the resources that are needed to provide it. High reliability is desirable in organizations that perform inherently hazardous, highly technical tasks. However, healthcare's high variability, diversity, partition between workers and managers, and production pressure make it difficult to employ essential aspects of high reliability organizations (HROs) such as redundancy and extensive training. A different approach is needed to understand the nature of healthcare systems and their ability to perform and survive under duress; in other words, to be resilient. The recent evolution of resilience engineering affords the opportunity to configure healthcare systems so that they are adaptable and can foresee challenges that threaten their mission. Information technology (IT) in particular can enable healthcare, as a service sector, to adapt successfully, as long as it is based on cognitive systems engineering approaches to achieve resilient performance.
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Raza, Hassan, Nadia Shah, Nazia Nazir i Noman Ali. "Assessing Resilience in Healthcare Setups of Karachi using Connor Davidson Resilience Scale". National Journal of Health Sciences 7, nr 4 (30.12.2022): 160–68. http://dx.doi.org/10.21089/njhs.74.0160.
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Abstract: Background: Healthcare sector of Pakistan is complex and changing rapidly. This complex and transforming phase create more hurdles for employees especially for healthcare managers. During this transition phase, healthcare managers are burdened with more ncertainties and adversities. Managing under these circumstances is not an easy task as this requires frequent adaptations. One of the most important traits that can aid in these adaptations is resilience, which is ignored in healthcare management. Objectives: The first and main objective of the study is to assess the extent to which the healthcare managers are resilient. Secondly, to compare the resilience of public and private sector healthcare managers. At last, to assess the impact of gender, income and other demographic variables like age, socioeconomic status, marital status, education, designation, and work experience etc. Materials and Methods: It was a cross sectional study conducted at 13 different leading healthcare institutes of Karachi. These hospitals and healthcare services were divided broadly according to public and private sector categories. Employees were asked to complete structured questionnaire, a 25 item Connor Davidson Resilience Scale (CD-RISC) and demographic characteristics. Data were collected from 438 healthcare managers working at tertiary care hospitals in Karachi. Results: Health managers at both sectors were found resilient, with mean score of public sector and private sector were 52.55 (SD± 15.05), and 50.74 (SD± 14.15) respectively although the relationship was found insignificant relationship. Income, experience, designation, and worksite variables were significantly associated with resilience while age, gender, working hours, marital & socioeconomic status were insignificant. Conclusion: In conclusion, the healthcare managers working in both public and private sector were found resilient. There was no significant difference found in resilience of male and female healthcare managers. In addition demographic variables like age, marital status, socioeconomic status, and working hours showed no significant relationship with resilience while designation, income, working experience, and worksite variables showed significant relationship with resilience.
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Rawlings Chidi, Adekunle Oyeyemi Adeniyi, Chioma Anthonia Okolo, Oloruntoba Babawarun i Jeremiah Olawumi Arowoogun. "Psychological resilience in healthcare workers: A review of strategies and intervention". World Journal of Biology Pharmacy and Health Sciences 17, nr 2 (28.02.2024): 387–95. http://dx.doi.org/10.30574/wjbphs.2024.17.2.0088.
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Healthcare workers face numerous stressors in their demanding and often emotionally taxing roles. The importance of psychological resilience in mitigating the impact of these stressors and promoting well-being has garnered increasing attention. This review aims to explore the various strategies and interventions designed to enhance psychological resilience in healthcare professionals. This comprehensive review synthesizes existing literature to provide insights into the factors influencing psychological resilience, strategies for bolstering resilience, and specific interventions tailored for healthcare workers. Additionally, the review evaluates the effectiveness of these interventions and discusses challenges and barriers to their implementation. A thorough examination of peer-reviewed articles, books, and relevant literature was conducted. The search focused on studies addressing psychological resilience in healthcare workers, with a particular emphasis on interventions and strategies employed to enhance resilience. The literature review encompasses diverse healthcare settings and professional roles. The review identifies individual and workplace factors influencing psychological resilience in healthcare workers. Various strategies, including training programs and support systems, are discussed in detail. Interventions, ranging from cognitive-behavioral techniques to mind-body approaches, are analyzed for their effectiveness. Evaluation measures and outcomes are considered to assess the impact of these interventions on healthcare professionals. The review highlights challenges faced by both individuals and healthcare organizations in implementing resilience interventions. Individual resistance, as well as organizational constraints and limited resources, are explored as potential barriers to the successful implementation of resilience programs. The paper identifies research gaps and suggests emerging areas of study in the field of psychological resilience for healthcare workers. Recommendations for policymakers, advocating for the integration of resilience programs into healthcare policies, are discussed. The review also emphasizes the importance of addressing the long-term effects of resilience interventions. It contributes to the growing body of literature on psychological resilience in healthcare workers. By synthesizing evidence-based strategies and interventions, it provides valuable insights for both practitioners and policymakers. Enhancing psychological resilience among healthcare professionals is crucial for sustaining a resilient healthcare workforce, ultimately improving the overall well-being and performance of those dedicated to patient care.
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Aksenova, Elena I., George Wharton, Nadezhda A. Vosheva, Dan Gocke i Natalya N. Kamynina. "Partnership in Healthcare System Sustainability and Resilience: Russian Healthcare System Analysis". Annals of the Russian academy of medical sciences 76, nr 5S (4.12.2021): 560–71. http://dx.doi.org/10.15690/vramn1622.
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Background. In 2020 the global community faced a serious unexpected challenge COVID-19. Fighting the aggressive spread of the coronavirus required rapid reconfiguration of the Russian healthcare system, while exposing its weak spots and pressure points. Critical evaluation of the Russian healthcare systems resilience to crises offers new perspectives on the most effective management and organizational solutions for resolving this crisis. Research objective. The main goal of this study is to make a significant long-term contribution to the Russian healthcare system by developing a set of recommendations for increasing the systems sustainability and resilience to crises. Methods. For this study, specialists developed a framework that includes a set of questions in the 1) domains of governance, 2) financing, 3) workforce, 4) medicines and technology and 5) service delivery, which align closely with the well-recognised WHO health system building blocks. In each domain, a series of targeted questions concerned both sustainability and resilience. Findings. The main areas of work for increasing the Russian healthcare systems sustainability and resilience to crises include: adapting the existing legislative framework to the current crisis, and to prepare it for similar crises in the future; increasing healthcare funding; improving the image of the medical profession; promoting healthcare digitalization; reducing the pressure on the inpatient and emergency care services by strengthening preventive and rehabilitative care services. Conclusion. The synthesis and analysis of materials relevant to understanding the impact of the coronavirus pandemic on the Russian healthcare system, supplemented by expert assessments and examples drawn from practice, allowed the authors to compile a list of recommendations for ensuring the healthcare systems sustainability and resilience to future crises. This list offers potential for healthcare industry development.
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Li, Cheng. "Healthcare System of Myanmar: Resilience through Decentralization". Health & Nursing 34, nr 2 (30.11.2022): 51–59. http://dx.doi.org/10.29402/hn34.2.6.
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Tan, Mark Z. Y., Gabrielle Prager, Andrew McClelland i Paul Dark. "Healthcare resilience: a meta-narrative systematic review and synthesis of reviews". BMJ Open 13, nr 9 (wrzesień 2023): e072136. http://dx.doi.org/10.1136/bmjopen-2023-072136.
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ObjectivesThe COVID-19 pandemic has tested global healthcare resilience. Many countries previously considered ‘resilient’ have performed poorly. Available organisational and system frameworks tend to be context-dependent and focus heavily on physical capacities. This study aims to explore and synthesise evidence about healthcare resilience and present a unified framework for future resilience-building.DesignSystematic review and synthesis of reviews using a meta-narrative approach.SettingHealthcare organisations and systems.Primary and secondary outcome measuresDefinitions, concepts and measures of healthcare resilience. We used thematic analysis across included reviews to summarise evidence on healthcare resilience.ResultsThe main paradigms within healthcare resilience include global health, disaster risk reduction, emergency management, patient safety and public health. Definitions of healthcare resilience recognise various hierarchical levels: individual (micro), facility or organisation (meso), health system (macro) and planetary or international (meta). There has been a shift from a focus on mainly disasters and crises, to an ‘all-hazards’ approach to resilience. Attempts to measure resilience have met with limited success. We analysed key concepts to build a framework for healthcare resilience containing pre-event, intra-event, post-event and trans-event domains. Alongside, we synthesise a definition which dovetails with our framework.ConclusionResilience increasingly takes an all-hazards approach and a process-oriented perspective. There is increasing recognition of the relational aspects of resilience. Few frameworks incorporate these, and they are difficult to capture within measurement systems. We need to understand how resilience works across hierarchical levels, and how competing priorities may affect overall resilience. Understanding these will underpin interdisciplinary, cross-sectoral and multi-level approaches to healthcare resilience for the future.PROSPERO registration numberCRD42022314729.
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Jeffcott, S. A., J. E. Ibrahim i P. A. Cameron. "Resilience in healthcare and clinical handover". Quality and Safety in Health Care 18, nr 4 (1.08.2009): 256–60. http://dx.doi.org/10.1136/qshc.2008.030163.
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Simeone, Cynthia L. "Business resilience: Reframing healthcare risk management". Journal of Healthcare Risk Management 35, nr 2 (wrzesień 2015): 31–37. http://dx.doi.org/10.1002/jhrm.21199.
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Gevaux, Nicole S., i Stephanie Petty. "Maximising resilience resources for mental healthcare staff". Mental Health Review Journal 23, nr 1 (12.03.2018): 37–53. http://dx.doi.org/10.1108/mhrj-10-2016-0020.
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Purpose The purpose of this paper is to investigate optimal resources to promote resilience in staff working in inpatient mental health services. The study also provides an example of card sorting methodology used as an efficient way to identify the most helpful resources for resilience. Design/methodology/approach In total, 25 clinical staff participated in the study. A preliminary focus group and brief literature search identified resources used in two tasks. Two card sorting tasks identified resources participants found helpful vs unhelpful and abundant vs scarce, and resources they would find valuable to use more often. Findings The results indicate that most resources helpful to resilience and available to staff were personal resources (relating to positive outlooks or ways of working), whereas resources valuable to resilience but scarce in the working environment were organisational resources (relating to management or social workplace culture). Resources found to not be valuable to resilience were largely personal tangible resources (e.g. smoking, massages). Practical implications The findings and method may be generalisable to other mental health services, giving insight into promoting resilience within individuals and organisations. This information could serve as guidelines to streamline the allocation of organisational resources to best promote resilience across various mental health settings. Originality/value Staff resilience to working in mental health services contributes to high-quality, sustainable patient care. This study provides further insight into how personal and organisational resources are both vital to resilience in staff working in highly challenging environments.
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Barton, Michelle A., Marlys Christianson, Christopher G. Myers i Kathleen Sutcliffe. "Resilience in action: leading for resilience in response to COVID-19". BMJ Leader 4, nr 3 (27.05.2020): 117–19. http://dx.doi.org/10.1136/leader-2020-000260.
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Resilience matters now more than ever in healthcare, with the COVID-19 pandemic putting healthcare providers and systems under unprecedented strain. In popular culture and everyday conversation, resilience is often framed as an individual character trait where some people are better able to cope with and bounce back from adversity than others. Research in the management literature highlights that resilience is more complicated than that – it’s not just something you have, it’s something you do. Drawing on research on managing unexpected events, coordinating under challenging conditions, and learning in teams, we distill some counter-intuitive findings about resilience into actionable lessons for healthcare leaders.
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Araja, Diana. "RESILIENCE AND COMPLEX ADAPTIVE SYSTEMS:A PERSPECTIVE ON HEALTHCARE". Journal of Business Management 20 (2022): 23–35. http://dx.doi.org/10.32025/jbm22006.
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Purpose. The term “healthcare system resilience” is becoming topical in policy planning documents around the world, increasingly in the context of the COVID-19 pandemic. This research aimed to explore the role of the contextual framework in the research on resilience and prevailing aspects of the healthcare system’s resilience. Design / methodology / approach. The research hypothesised on the increasing relevance of the concept of resilience in the healthcare system as demonstrated by scientific literature; on determining elements that characterise the interrelationship between the domains of the healthcare system and the concept of resilience; and on the role of the contextual framework in creating an awareness of the concept of resilience in the healthcare system. The hypotheses were verified by the literature review on the PubMed, Web of Science, and Scopus databases. Findings. The concept of resilience was introduced to the healthcare system literature from the ecological sciences through an increased understanding of the healthcare system as a complex adaptive system (CAS). The perception of the nature of the healthcare system in the context of a CAS, viewing it as a complex, dynamic part of the socio-economic system, operating in circumstances of high uncertainty, provides additional opportunities for understanding the healthcare system’s functioning, governance and decision-making. Originality / value. This study identified a research gap in the practical implementation of the CAS approach in the healthcare system on the highest level of governance. A CAS contains a multitude of characteristics and elements that could assist in attaining a more nuanced understanding of healthcare system resilience. Significantly, the inherent characteristics of a CAS, such as flexibility and an adaptive nature, which seem to undermine the stability of the system, actually create the core of this system’s resilience, and these aspects merit increased attention. Further research could be devoted to the investigation of healthcare system resilience in the context of healthcare system reforms. Keywords: healthcare system, contextual framework, organization, governance, ecological approach, networks
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Loeffler, Leonie A. K., Sophie Isabelle Lambert, Lea Bouché, Martin Klasen, Saša Sopka i Lina Vogt. "Close to the border—Resilience in healthcare in a European border region: Findings of a needs analysis". PLOS ONE 20, nr 1 (21.01.2025): e0316105. https://doi.org/10.1371/journal.pone.0316105.
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Objectives Promoting resilience, the ability to withstand and overcome challenging situations, is crucial for maintaining the performance of healthcare systems. Unique challenges faced by healthcare facilities in border regions render them particularly vulnerable during crises, emphasizing the need to promote resilience in these areas. The current study evaluated the state and needs of resilience in healthcare professionals in a representative European border region. Methods All hospitals and emergency medical care services in the Euregio Meuse-Rhine (Germany, Belgium, the Netherlands) were approached to participate via an online-survey. Behavioral data on psychological distress (Patient Health Questionnaire-4), work-related stressors, individual resilience (Brief Resilience Scale, Resilience at Work scale), and organizational resilience (Benchmark Resilience Tool-short) were collected. Results 2233 participants initiated the survey with 500 responses included in the analysis. 46% of the participants indicated clinically significant psychological distress. Most challenging stressors were staff availability, available time, and workload. On average, individual resilience was in the normal range, yet 15.6% showed below average resilience. At the organizational level, healthcare institutions can particularly enhance resilience in the domains of Internal resources, Situation Awareness, and Unity of purpose. Compared to their neighbor countries, German healthcare professionals indicated higher levels of depressive symptoms, were more burdened by work-related stressors, and reported lower levels of organizational resilience. Conclusion Findings highlight that healthcare institutions not only need to promote the resilience of the individual employee particularly in border regions, healthcare institutions, must also act to be better prepared for potential threats and crises while considering each country’s unique needs.
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R Wapano, Mary Rachelle. "Resilience and Hope in Healthcare: A Cluster Analysis of Age, Gender, and Occupation in Medical Workers". International Journal of Research and Scientific Innovation XI, nr VI (2024): 71–77. http://dx.doi.org/10.51244/ijrsi.2024.1106007.
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This study examines the relationships among age, gender, job occupation, resilience, and hope in healthcare professionals This study employs a cross-sectional design to analyze the relationships between resilience, hope, age, gender, and job occupation. Resilience Scale-14 and Hope Scale were employed to measure resilience and hope among diverse healthcare workers. Statistical analyses showed no significant interaction between age and gender on hope. The study found that hope levels did not significantly differ across age and gender, indicating that hope is a universal psychological construct in healthcare settings. The absence of a moderating effect of job occupation on the resilience-hope relationship indicates that resilience may be a universally beneficial trait for all healthcare roles. Cluster analysis revealed unique patterns within the workforce, highlighting the potential for interventions tailored to specific demographic and occupational profiles. This finding suggests that hope interventions can be applied broadly across demographic groups within healthcare settings. These findings have implications for developing supportive frameworks in healthcare organizations and guiding future policies that aim to enhance resilience and hope among healthcare practitioners.
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Ambrose, John W., Diana M. Layne, Ken Catchpole, Heather Evans i Lynne S. Nemeth. "A Qualitative Protocol to Examine Resilience Culture in Healthcare Teams during COVID-19". Healthcare 9, nr 9 (6.09.2021): 1168. http://dx.doi.org/10.3390/healthcare9091168.
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Resilience allows teams to function at their optimal capacity and skill level in times of uncertainty. The SARS-CoV-2 (COVID-19) pandemic created a perfect opportunity to study resilience culture during a time of limited healthcare team experience, protocols, and specific personal protective equipment (PPE) needed. Little is known about healthcare team resilience as a phenomenon; existing definitions and empiric referents do not capture the nature of healthcare team resilience, as the traditional focus has been placed on individual resilience. This qualitative research protocol provides the rationale and methodology to examine this phenomenon and builds a bridge between resilience engineering and individual resilience. The sample is composed of healthcare team members from the US. This research may add to the body of knowledge on resilience culture in healthcare teams during the COVID-19 pandemic. This qualitative research protocol paper outlines the rationale, objective, methods, and ethical considerations entailed in this research.
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Chertok, PhD, Ilana, Dawn Graham, PhD i Kavya Yellamraju, BS. "Resilience Among Healthcare Providers in Rural Appalachia During COVID-19". West Virginia Medical Journal 119, nr 1 (marzec 2023): 18–22. http://dx.doi.org/10.21885/wvmj.2023.03.
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Background Health disparities and lack of resources in rural Appalachia have compounded the stress of the COVID-19 pandemic, yet resilience may facilitate healthcare providers' ability to overcome difficulties. The purpose of the study was to explore the perception of resilience among healthcare providers in rural Appalachia. Methods Qualitative interviews explored the perceived experience of resilience among 18 healthcare providers working in rural Appalachia during the COVID-19 pandemic. Results Four themes were identified, including the personal meaning of resilience, developing resilience in self and in others, running in crisis mode, and rural culture as a source of strength. Discussion Findings of the qualitative study demonstrate that adaptive resilience strengthened healthcare providers' dedication to caring for their patients and communities. Internal sources such as self-care and optimism and external sources, including support from family, friends, and community, were critical in healthcare providers' resilience during the pandemic. Characteristics and experiences particular to the people in rural Appalachia may contribute to their inner strength. The study findings highlight the importance of promoting resilience among healthcare providers in the region who experience high levels of personal, professional, and community stress.
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Riess, Helen. "Institutional Resilience: The Foundation for Individual Resilience, Especially During COVID-19". Global Advances in Health and Medicine 10 (styczeń 2021): 216495612110067. http://dx.doi.org/10.1177/21649561211006728.
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In the protracted healthcare crisis that the COVID-19 pandemic has become, healthcare professional wellness and resilience are a national concern. Physicians, nurses and medical staff have been profoundly negatively affected due to the inability of institutions to prepare for this pandemic. Institutional fixed point standards such as Eudaemonics, Inherent Value, and Amplifying Assumptions are essential to make it possible to steer an organizational course during a crisis. Fixed point standards must be embedded in hospitals and systems so they are positioned to do the most good. Employees must feel safe, valued and cared for always, so they can be resilient when crises strike. The best way to do that is by viewing the healthcare professionals through the lens of empathy. Institutional values of safety, access to accurate and caring information, human connection, and emphasis on mental health, are hallmarks of resilient organizations and will result in resilient individuals.
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Russell, Phil. "Personal Resilience for Healthcare Staff Edmonstone John Personal Resilience for Healthcare Staff 152pp £29.99 Radcliffe 9781846199837 1846199832". Nursing Older People 25, nr 10 (27.11.2013): 10. http://dx.doi.org/10.7748/nop2013.12.25.10.10.s13.
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Rubbio, Iacopo, Manfredi Bruccoleri, Astrid Pietrosi i Barbara Ragonese. "Digital health technology enhances resilient behaviour: evidence from the ward". International Journal of Operations & Production Management 40, nr 1 (14.05.2019): 34–67. http://dx.doi.org/10.1108/ijopm-02-2018-0057.
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PurposeIn the healthcare management domain, there is a lack of knowledge concerning the role of resilience practices in improving patient safety. The purpose of this paper is to understand the capabilities that enable healthcare resilience and how digital technologies can support these capabilities.Design/methodology/approachWithin- and cross-case research methodology was used to study resilience mechanisms and capabilities in healthcare and to understand how digital health technologies impact healthcare resilience. The authors analyze data from two Italian hospitals through the lens of the operational failure literature and anchor the findings to the theory of dynamic capabilities.FindingsFive different dynamic capabilities emerged as crucial for managing operational failure. Furthermore, in relation to these capabilities, medical, organizational and patient-related knowledge surfaced as major enablers. Finally, the findings allowed the authors to better explain the role of knowledge in healthcare resilience and how digital technologies boost this role.Practical implicationsWhen trying to promote a culture of patient safety, the research suggests healthcare managers should focus on promoting and enhancing resilience capabilities. Furthermore, when evaluating the role of digital technologies, healthcare managers should consider their importance in enabling these dynamic capabilities.Originality/valueAlthough operations management (OM) research points to resilience as a crucial behavior in the supply chain, this is the first research that investigates the concept of resilience in healthcare systems from an OM perspective, with only a few authors having studied similar concepts, such as “workaround” practices.
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Cakiroglu, Demet, Selen Yılmaz Isıkhan i Hamit Coskun. "The Moderating Role of Gender and Mediating Role of Hope in the Performance of Healthcare Workers During the COVID-19 Pandemic". Behavioral Sciences 14, nr 12 (5.12.2024): 1167. https://doi.org/10.3390/bs14121167.
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This study aimed to examine the relationship between resilience and the hope levels of healthcare workers who have experienced the COVID-19 pandemic, the effects of resilience and gender on individual performance, the effects of hope levels on individual performance, and aimed to determine whether hope mediated the effect of resilience on individual performance. This was a descriptive cross-sectional study. The psychological resilience, hope, and individual performance of healthcare workers affiliated with the Istanbul Provincial Health Directorate were obtained from online questionnaires completed by participants between April 2021 and August 2021. This purpose was served by the Brief Resilience Scale, the continuous hope scale, and the Individual Performance Scales. A hierarchical regression analysis, mediation analysis, and moderation analysis were performed on 412 healthcare workers to test the hypotheses. There was a significant relationship between resilience and hope levels among healthcare professionals. Healthcare professionals’ levels of resilience and hope also had significant effects on their individual performance. The indirect effect of healthcare professionals’ psychological resilience levels on their individual performance through hope was not significant. Gender also had a significant effect on resilience, hope, and agency thinking. Men’s mean scores for resilience, hope, and agency thinking are higher than women’s. The findings show that employees with high hope and resilience are more likely to recover from stressful situations and display better individual performance. This study has significant implications for the advancement of the field of psychosocial assessment of healthcare workers in times of health crisis. It offers both a practical and a theoretical perspective on the effects of hope and resilience on employee performance as psychological capital that can help all healthcare managers and employees, especially in times of crisis such as the COVID-19 pandemic. It can be said that hope is more important than resilience in terms of its propensity to enhance individuals’ performance. Our findings suggest that employees with high levels of hope and resilience are more likely to recover from stressful situations and achieve better personal performance. Organizations should focus more on hope and resilience by promoting positive attitudes among employees and managers to improve their ability to cope with crises.
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Liang, Bin, Qian Tao, Wuping Gao, Quanchang Ren i Xinqiang Yao. "Integrated the Medical Procedure Analyze Seismic Resilience of Healthcare System: A Critical Review from the Resilience of Healthcare System vs. Medical Demand Perspective". Advances in Civil Engineering 2023 (22.03.2023): 1–21. http://dx.doi.org/10.1155/2023/4468383.
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The healthcare system is the bearer of treating the wounded and the victims of earthquakes. The functional integrity of the healthcare system is critical to the process of postearthquake medical rescue. Thus, the requirements for seismic resilience of the medical functions of the healthcare systems are increasing. Many studies have applied resilience research to address critical issues in the medical rescue of postearthquake casualties, such as medical diagnosis, emergency surgery, and intensive care. However, systematic construction is still lacking. System resilience is one of the most promising systemic management theories with great potential to address the abovementioned challenges. This article puts forward a scientific concept that system resilience can improve the efficiency of earthquake relief in medical rescue. Firstly, a scientific review of medical demand and medical resilience was conducted, summarizing resilience and resilience of healthcare system concepts. In addition, the postearthquake medical demand was reviewed, and the classification and distribution probability of postearthquake injuries were summarized. Furthermore, by reviewing the postearthquake medical rescue process, the weak points of each medical link were summarized. Combined with the key points in the medical rescue process, the application of resilience studies in the medical system is reviewed, and the progress of medical resilience is illustrated. In summary, combined with medical demand, the article provides some guidance for the deep integration between medical rescue processes and medical resilience and identifies the challenges of system resilience to reduce the waiting time of the injured future medical rescue in the earthquake.
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Zahoor, Rubina. "Enhancing Emotional Resilience Through Age – Appropriate Sleep Hours". Journal of Science & Technology 02, nr 03 (2021): 49–58. http://dx.doi.org/10.55662/jst.2021.2303.
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The COVID-19 pandemic as a public health issue has spread to the rest of the world. Although the well-being and emotional resilience of healthcare professionals are key components of continuing healthcare services during the COVID-19 pandemic, healthcare professionals have been observed in this period to experience serious psychological problems and to be at risk in terms of mental health. Therefore, this study aims to probe the psychological resilience of healthcare workers. Psychological resilience remains a key factor in sustaining healthy emotional functioning during the crisis and facilitating rapid recovery as we move forward to build a better post-pandemic world. Our research, and that of others, suggests that healthy sleep is one of the most powerful aspects of psychological resilience. Psychological resilience levels of healthcare workers in their later years were found to be higher. Doctors constitute the group with the lowest levels of psychological resilience among healthcare workers. The current study is considered to have contributed to the literature in this regard. Primary needs such as sleep which are determinants of quality of life, life satisfaction and psychological resilience should be met.
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Bhosale, Kiran, Omkar Baradkar i Sandip Lakade. "Pharmaceutical Resilience". Journal of Drug Delivery and Therapeutics 14, nr 12 (15.12.2024): 191–201. https://doi.org/10.22270/jddt.v14i12.6907.
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Supply chain resilience involves creating diverse and redundant sources for raw materials, optimizing logistics, and employing advanced forecasting techniques to anticipate and mitigate potential shortages. Manufacturing resilience focuses on adopting scalable and adaptable production technologies, enhancing quality control measures, and establishing contingency plans for production disruptions. Regulatory resilience entails the capacity to navigate and comply with evolving regulatory landscapes swiftly, fostering collaborations with regulatory agencies to expedite approval processes during emergencies. Innovation and research resilience are crucial for sustaining drug development and responding to emerging health threats. This involves investing in cutting-edge technologies, fostering partnerships for collaborative research, and maintaining a pipeline of new therapies and treatments. Pharmaceutical resilience also requires effective communication and coordination among stakeholders, including pharmaceutical companies, healthcare providers, governments, and international organizations. By enhancing these components, the pharmaceutical sector can better withstand and recover from disruptions, ensuring continuous access to essential medications and safeguarding public health. This abstract emphasizes the multifaceted approach needed to build and sustain resilience within the pharmaceutical industry, ensuring its capacity to meet both current and future challenges effectively. Keywords: Supply Chain Management, Regulatory Framework, Research and Development (R&D), Manufacturing Capabilities, Healthcare System Integration, Innovation
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Duică, Lavinia, Elisabeta Antonescu, Maria Totan, Oana Raluca Antonescu, Gabriela Boța, Ionela Maniu, Mihail Cristian Pirlog i Sînziana Călina Silișteanu. "Perceived Stress, Resilience and Emotional Intelligence in Romanian Healthcare Professionals". Healthcare 12, nr 23 (22.11.2024): 2336. http://dx.doi.org/10.3390/healthcare12232336.
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Background: Occupational stress and burnout in the medical field are common factors that can have a negative impact on the quality of clinical care. In the Romanian healthcare environment, there exists important financial difficulties contributing additionally to stress in this study, we aimed to investigate if resilience and emotional intelligence would prove to be protective factors against stress. Methods: In our cross-sectional study, we investigated 189 medical professionals, using convenience sampling, from July 2022 to September 2022 in two university centers. We applied a self-reported questionnaire that included socio-demographic characteristics and three scales that measured perceived stress (the Perceived Stress Scale), resilience to stress (the Connor–Davidson Resilience Scale), and emotional intelligence (the short-form Trait Emotional Intelligence Questionnaire). Results: Age was positively associated with resilience levels, meaning that resilience increases with age. While specialist physicians had the highest emotional intelligence score, nurses and other healthcare workers had the highest resilience scores. Perceived stress level was negatively correlated with resilience to stress and with emotional intelligence levels. Resilience to stress was positively correlated with emotional intelligence. Conclusions: The major strength of this study is the finding that resilience to stress mediated the association between perceived stress and emotional intelligence. Because resilience is negatively associated with burnout, resilience to stress and emotional intelligence are potential targets for training aimed at improving the working environment and reducing current levels of burnout in the Romanian Health System and beyond.
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Khaustova, O., O. Chaban i D. Assonov. "COVID-19 pandemic’s burden on healthcare professionals’ mental health". European Psychiatry 64, S1 (kwiecień 2021): S268. http://dx.doi.org/10.1192/j.eurpsy.2021.720.
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Introduction Healthcare professionals report about anxiety, depression, and fear during pandemic COVID-19 worldwide. Resilience becomes the high-powered important mechanism that reduces stress impact on the emotional state of healthcare professionals.ObjectivesWe suggested that effective resilience is associated with less COVID-19’s fear, as well as less anxiety, and depression; healthcare professionals’ mental health depends on age, gender, as well as involvement in the care of patients with COVID-19.Methods211 healthcare professionals participated in the study and were evaluated with the Connor-Davidson Resilience 10-item scale (CD-RISC-10), Fear of COVID-19 Scale, PHQ-9, GAD-7.Results A negative correlation between resilience and fear of COVID-19 (p≤0,01), anxiety (p≤0,01), and depression (p≤0,001) was found. Positive correlations were found between depression, anxiety, and fear of COVID-19 (p≤0,001), between age and fear of COVID-19 (p≤0,05). No statistically significant association between age and depression, anxiety, or resilience was found. The significant difference of COVID-19 fear depending on gender – female vs male (p≤0,05) was found. No statistically significant difference in resilience and emotional state in healthcare professionals depending on the involvement in the care of patients with COVID-19 were found.Conclusions Resilience is associated with better mental health in healthcare professionals during the COVID-19 pandemic. Anxiety and depression are connected with the fear of COVID-19 and highly comorbid in healthcare professionals. The elder age and female gender are among the risk factors for a more deteriorated mental state. Fear of COVID-19, mental state, and resilience are not associated with healthcare professionals’ involvement in the care of patients with COVID-19.
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Morse, Janice M., Jacqueline Kent-Marvick, Lisa A. Barry, Jennifer Harvey, Esther Narkie Okang, Elizabeth A. Rudd, Ching-Yu Wang i Marcia R. Williams. "Developing the Resilience Framework for Nursing and Healthcare". Global Qualitative Nursing Research 8 (styczeń 2021): 233339362110054. http://dx.doi.org/10.1177/23333936211005475.
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Despite four decades of resilience research, resilience remains a poor fit for practice as a scientific construct. Using the literature, we explored the concepts attributed to the development of resilience, identifying those that mitigate symptoms of distress caused by adversity and facilitate coping in seven classes of illness: transplants, cancer, mental illness, episodic illness, chronic and painful illness, unexpected events, and illness within a dyadic relationship. We identified protective, compensatory, and challenge-related coping-concept strategies that healthcare workers and patients use during the adversity experience. Healthcare-worker assessment and selection of appropriate coping concepts enable the individual to control their distress, resulting in attainment of equanimity and the state of resilience, permitting the resilient individual to work toward recovery, recalibration, and readjustment. We inductively developed and linked these conceptual components into a dynamic framework, The Resilience Framework for Nursing and Healthcare, making it widely applicable for healthcare across a variety of patients.
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Glasper, Alan. "Improving the resilience of the healthcare workforce". British Journal of Nursing 25, nr 21 (24.11.2016): 1216–17. http://dx.doi.org/10.12968/bjon.2016.25.21.1216.
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Rogers, David. "Which educational interventions improve healthcare professionals’ resilience?" Medical Teacher 38, nr 12 (30.08.2016): 1236–41. http://dx.doi.org/10.1080/0142159x.2016.1210111.
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Araja, D., i U. Berkis. "HPR214 Challenges of Measuring Healthcare System Resilience". Value in Health 25, nr 12 (grudzień 2022): S272. http://dx.doi.org/10.1016/j.jval.2022.09.1342.
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Azriddin, Aina Liyana, Dr Nursaadatun Nisak Ahmad, Profesor Madya Dr Hazliza Haron, Dr Azlul Kalilah Zaghlol i Tuan Mohd Norhafiz Bin Tuan Kub. "Exploring the Impact of Managerial Coaching, Emotional Intelligence and Social Support on Employee Retention: The Mediating Role of Employee Resilience in Malaysian Public Healthcare". Information Management and Business Review 16, nr 3S(I)a (27.10.2024): 317–27. http://dx.doi.org/10.22610/imbr.v16i3s(i)a.4213.
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This paper explores the correlation between managerial coaching, emotional intelligence, social support, employee resilience, and retention among healthcare workers in Malaysia's public healthcare sector. Retaining healthcare staff has become a severe difficulty in the BANI (Brittle, Anxious, Non-linear, Incomprehensible) environment, worsened by the COVID-19 epidemic. The study suggests that managerial coaching, emotional intelligence, and social support are essential for developing resilience among healthcare workers. This resilience, in turn, impacts their ability to stay in their jobs. The study will employ a quantitative cross-sectional survey approach to examine the links inside specific public hospitals in Malaysia. The results are anticipated to offer a vital understanding of how public healthcare in Malaysia can strategically improve staff resilience and retention, guaranteeing the long-term viability of the healthcare workforce in a world after the pandemic. This study enhances our comprehension of the intricate processes that impact staff retention in the public healthcare industry, providing practical implications for policymakers and healthcare managers.
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Maramis, Margarita M., Soetjipto, Yunias Setiawati, Agustina Konginan, Nalini Muhdi, Winson Chuanardi, Yusuf Ibrahim i in. "Psychiatric aspects of healthcare workers during COVID-19 pandemic in Surabaya, Indonesia: prevalence of anxiety, resilience, burnout, and their correlations to stress markers". Bali Medical Journal 12, nr 2 (5.07.2023): 2117–24. http://dx.doi.org/10.15562/bmj.v12i2.4480.
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Link of Video Abstract: https://youtu.be/nI_6kXZ0cSw Introduction: The coronavirus disease (COVID-19) pandemic severely affected healthcare services, including causing negative impacts on healthcare workers’ mental health. An observational study was conducted at Dr. Soetomo General Hospital aimed to measure the prevalence of anxiety, resilience, burnout and their correlations to stress biomarkers amongst healthcare workers in Surabaya, Indonesia, during the COVID-19 pandemic. Methods: Participants were residents who managed COVID-19 patients, chosen using random sampling. All participants had a 1-week shift working with COVID-19 patients in an isolation ward. The study used online questionnaires and laboratory data at the shift’s beginning and end. Along with collecting sociodemographic characteristics, State-Trait Anxiety Inventory (STAI), Brief Resiliency Scale (BRS), and Maslach Burnout Inventory (MBI) scales were administered online. At the same time, laboratory markers such as Neutrophil to lymphocyte ratio (NLR), Interleukin-6 (IL-6), cortisol, and CD4 values were studied. Results: 61 participants were included in the study. At the beginning of the shift, 59% of participants had moderate to severe anxiety, and 83.62% had normal to high resilience. The early proportion of the participants having burnout from combined MBI measures was 88.52%. MBI-EE median scores were lower in the married group (6.50 vs. 9.50, p-value=0.030). NLR value was significantly related to STAI-S and BRS (p-value=0.007 and 0.049, respectively). Conclusions: Most healthcare workers had anxiety and burnout, with normal levels of resilience. Our study found that NLR might be useful as a marker for anxiety and resilience.
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Emami, Seyedeh Gelareh, Valentina Lorenzoni i Giuseppe Turchetti. "Towards Resilient Healthcare Systems: A Framework for Crisis Management". International Journal of Environmental Research and Public Health 21, nr 3 (29.02.2024): 286. http://dx.doi.org/10.3390/ijerph21030286.
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This study addresses the crucial need for resilient healthcare systems, highlighted by recent global health emergencies such as the Ebola and COVID-19 crises. It identifies a significant gap in the current literature: a lack of practical, actionable frameworks for healthcare resilience. To bridge this gap, the research introduces an innovative framework that blends theoretical resilience concepts with heuristic approaches. This framework, rooted in the principles of monitoring, anticipation, recognition, and learning, is designed to enhance the crisis management capabilities of healthcare systems. The methodology involves a comprehensive literature review, combined with heuristic methods, culminating in a framework that is both academically sound and practically applicable. This framework guides healthcare systems through various stages of crisis management, including data collection, situation analysis, risk anticipation, and response evaluation. It provides a holistic approach to enhancing resilience in healthcare settings. Overall, this paper makes a significant contribution to the field of healthcare system resilience, offering a strategic blueprint for improved crisis response and recovery. It marks an important advancement in aligning theoretical resilience concepts with practical implementation strategies, essential for tackling current and future healthcare challenges.
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Siddique, Haleema, Robert Munashe Maweni, Micol Lupi, Shannan Woods, Shahram Shirazi, Robert William Foley i Debra Machando. "Resilience and burnout of healthcare workers during the early COVID-19 pandemic". British Journal of Nursing 33, nr 3 (8.02.2024): 144–50. http://dx.doi.org/10.12968/bjon.2024.33.3.144.
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Introduction: The COVID-19 pandemic has led to significantly more healthcare workers (HCWs) experiencing burnout than previously. This burnout is strongly associated with low resilience. Addressing organisational stresses and the introduction of resilience training will help to reduce the proportion of HCWs experiencing this phenomenon. Aims: The aim of this study was to assess the impact of the biopsychosocial changes and challenges associated with the COVID-19 pandemic on the healthcare workforce, exploring, specifically, the impact on and relationship between HCWs' resilience and burnout. Methods: An electronic opt-in survey was distributed to HCWs through hospital and professional association communications emails and websites, as well as social media. The survey consisted of demographic questions, the Oldenburg Burnout Inventory to assess burnout, Brief Resilience Scale to assess general resilience, and 10-item Connor-Davidson Resilience Scale to assess resilience during the pandemic. Univariate and multivariate analysis was undertaken to examine the relationship between these factors. Results: A total of 1370 HCWs completed the questionnaire, with 802 (58.5%) having burnout, 348 (25.4%) having low general resilience and 390 (28.5%) having low COVID resilience. Burnout was significantly associated with being public sector workers, low general resilience and low COVID resilience. Resilience training was found to be protective for burnout. Conclusion: The introduction of resilience training in the workplace is a fundamental tool that will significantly benefit HCWs when working under challenging conditions.
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Muchtar i Ray Wagiu Basrowi. "Optimizing The Resilience of Healthcare Workers Against The COVID-19 Pandemic". Indonesian Journal of Community and Occupational Medicine 1, nr 2 (27.11.2021): 120–4. http://dx.doi.org/10.53773/ijcom.v1i2.23.120-4.
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Introduction: During the COVID-19 pandemic, healthcare workers have physical and psychosocial pressure in carrying out their work. The requirement for healthcare workers in dealing with the pandemic is so high, the identification process for the resilience of healthcare workers is not going well. The purpose of this article is to review about how to optimize the resilience of healthcare workers exposed to COVID-19 outbreak working conditions. Methods: This literature review is conducted in October 2021. Research related to the resilience of healthcare workers during COVID-19 Pandemic by using valid keywords, including resilience, healthcare workers, COVID-19 through ProQuest, ScienceDirect and SpingerLink. Results: A total of 10 articles were selected for the literature review. The process of self-reflection is one of the important things for healthcare workers. Optimizing relisience of healthcare workers by carrying out an efficient division of tasks to reduce workloads, give more attention to their needs, provide training and knowledge about digital applications to increase capacity in carrying out their work, provide mental health support for healthcare workers and creating a safe and comfortable work environment for them. Conclusions: Maintaining health during the COVID-19 pandemic is an important thing that needs to be done by healthcare workers. Stress management is an important factor in dealing with a pandemic. Create an assessment of the resilience of healthcare workers by detecting gaps, determining priorities, developing plans to prevent psychosocial hazards at all levels both individual and organizational levels.
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Brown, Lydia, Simon Haines, Hermioni L. Amonoo, Cathy Jones, Jeffrey Woods, Jeff C. Huffman i Meg E. Morris. "Sources of Resilience in Frontline Health Professionals during COVID-19". Healthcare 9, nr 12 (8.12.2021): 1699. http://dx.doi.org/10.3390/healthcare9121699.
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Background: While the challenges for psychological well-being for Australian healthcare workers have been documented, there has been a dearth of qualitative research on the sources of resilience that sustained workers during the COVID-19 pandemic. This study identified sources of resilience that clinicians used to cope with frontline challenges during the COVID-19 pandemic. Methods: Semi-structured interviews were conducted with 20 frontline health professionals, across five Australian hospitals, between October 2020 and April 2021. The interviews were recorded and transcribed, and the results were analysed using thematic analysis based on a phenomenological approach. Results: Three sources of resilience were identified by respondents: personal, relational, and organisational. A positive mindset, sense of purpose, and self-care behaviours emerged as key sources of personal resilience. Teamwork, altruism, and social support from family and friends contributed to relational resilience. Leadership, effective communication, and effective implementation of COVID-19 policies were associated with resilience at the organisational level. Frontline healthcare workers also voiced the need for the implementation of further strategies to support personal resilience whilst nurturing resilience within clinical teams and across entire healthcare organisations. Conclusions: Trust in healthcare systems, organisation leaders, colleagues, and personal support teams was an overarching theme supporting resilience.
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Čupić, Marija, i Dragan Babić. "PERSONALIZED HEALTHCARE AS AN INDICATOR OF PATIENT RESILIENCE". Zdravstveni glasnik 10, nr 1 (30.05.2024): 136–52. http://dx.doi.org/10.47960/2303-8616.2024.1.9.136.
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Personalized healthcare, tailored to individual characteristics, has gained prominence in the modern healthcare systems. This comprehensive review explores the various aspects of personalized healthcare and its impact on patient resilience.The review incorporates a synthesis of literature from multiple disciplines, including genetics, psychology, nutrition, and environmental factors. It analyzes the role of personalized health care in enhancing patient resilience, considering genetic predisposition, psychological aspects, nutrition, environmental influences, individualized treatment plans, treatment outcomes, challenges, and future directions.Genetic analysis is crucial for identifying patients' predispositions and making personalized treatment decisions. Psychological factors significantly influence patient resilience, with adaptable therapeutic approaches to enhance psychological resilience. Personalized dietary recommendations, based on individual needs and genetic factors, improve overall health. Environmental factors, such as air quality and stress, impact patient well-being, and personalized care involves monitoring and reducing these risks. Integrating these aspects into individualized treatment plans leads to improved outcomes and quality of life. Real-world examples confirm the effectiveness of personalized healthcare in strengthening patient resilience.Personalized health care plays a vital role in enhancing patient resilience. It offers tailored treatment plans that address individual characteristics, resulting in improved treatment outcomes and quality of life. Keywords:personalized health care, indicator, resilience, patient
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Scala, Barbara, i Claire Frances Lindsay. "Supply chain resilience during pandemic disruption: evidence from healthcare". Supply Chain Management: An International Journal 26, nr 6 (21.05.2021): 672–88. http://dx.doi.org/10.1108/scm-09-2020-0434.
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Purpose This paper aims to explore how resilience is evident in healthcare supply chains in the public sector when faced with pandemic disruption and to identify any learnings to inform recovery and future-readiness phases. Design/methodology/approach An exploratory case study was conducted, consisting of seven semi-structured interviews with public sector supply chain actors in the healthcare personal protective equipment supply chain. The data included document analysis. Findings Key findings show how specific resilience strategies such as agility, collaboration, flexibility and redundancy, contributed to supply chain resilience during the COVID-19 pandemic response. Collaboration is identified as a key mechanism for resilience with public sector networks viewed as facilitating this. Established collaborative relationships with suppliers pre-pandemic did not support increased visibility of tiers within the supply chain. Originality/value This is one of the first papers to provide in-depth resilience insights through an example of healthcare supply chains during the COVID-19 pandemic.
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Zhang, Jingsi, i Liangqun Qi. "Crisis Preparedness of Healthcare Manufacturing Firms during the COVID-19 Outbreak: Digitalization and Servitization". International Journal of Environmental Research and Public Health 18, nr 10 (20.05.2021): 5456. http://dx.doi.org/10.3390/ijerph18105456.
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For healthcare manufacturing firms, creating a crisis-prepared product and service portfolio and operational processes is essential for their long-term prosperity. In this paper, we examine how healthcare manufacturing firms cope with the operational disruptions and opportunities associated with the COVID-19 pandemic. We highlight the central role of organizational resilience and examine whether servitization and digitalization can improve the organizational resilience of healthcare manufacturing firms. On the basis of the organizational information processing theory, we suggest that servitization and digitalization can improve the stability and flexibility of operations, which make healthcare manufacturing firms more resilient to the COVID-19 pandemic. The hypotheses were tested using survey data from 163 manufacturing firms located in China. The results indicate that both servitization and digitalization improve the organizational resilience of healthcare manufacturing firms, leading to higher firm growth during the COVID-19 pandemic. Moreover, organizational resilience mediates the impacts of servitization and digitalization on firm growth. Environmental dynamism strengthens the relationship between digitalization and organizational resilience. This study offers new insights for healthcare manufacturing firms to prepare for crisis events and achieve sustainable development in a highly competitive environment.
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Delgado, Janet, Serena Siow, Janet de Groot, Brienne McLane i Margot Hedlin. "Towards collective moral resilience: the potential of communities of practice during the COVID-19 pandemic and beyond". Journal of Medical Ethics 47, nr 6 (24.03.2021): 374–82. http://dx.doi.org/10.1136/medethics-2020-106764.
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This paper proposes communities of practice (CoP) as a process to build moral resilience in healthcare settings. We introduce the starting point of moral distress that arises from ethical challenges when actions of the healthcare professional are constrained. We examine how situations such as the current COVID-19 pandemic can exponentially increase moral distress in healthcare professionals. Then, we explore how moral resilience can help cope with moral distress. We propose the term collective moral resilience to capture the shared capacity arising from mutual engagement and dialogue in group settings, towards responding to individual moral distress and towards building an ethical practice environment. Finally, we look at CoPs in healthcare and explore how these group experiences can be used to build collective moral resilience.
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Maget, Alexander, Melanie Lenger, Susanne A. Bengesser, Armin Birner, Frederike T. Fellendorf, Eva Fleischmann, Jorgos N. Lang i in. "Influences of COVID-19 Work-Related Fears and Anhedonia on Resilience of Workers in the Health Sector during the COVID-19 Pandemic". Social Sciences 11, nr 12 (12.12.2022): 578. http://dx.doi.org/10.3390/socsci11120578.
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Background: During the peak of the COVID-19 pandemic, healthcare workers worked under stressful conditions, challenging their individual resilience. Therefore, we explored the bidirectional influence of resilience and the factors of COVID-19 work-related fears and anhedonia in Austrian healthcare workers. Methods: Healthcare workers in Austria completed an online survey at two points in time. The first measurement started in winter 2020/2021 (t1), and a second measurement began approximately 1.5 years later (t2). One hundred and eight six individuals completed both surveys and were investigated in a longitudinal design. We applied the Resilience Scale, the Snaith-Hamilton Pleasure Scale, and a self-created questionnaire assessing COVID-19 work-related fears. We used a repeated measures analysis of variance and applied Pearson-Correlations as well as univariate and multivariate analyses of covariance. Results: Resilience was significantly correlated with COVID-19 work-related fears and anhedonia at both points in time in all participants. We found no significant differences for frontline vs. non-frontline workers at t1 and t2. Resilience decreased significantly over time. Limitations: Most subjects were examined cross-sectionally. Frontline workers were underrepresented in our sample. Conclusion: Our findings highlight the importance of resilience in healthcare providers. Steps must be taken to maintain and promote resilience in healthcare workers. We suggest that the improvement of resilience, dealing with fears and uncertainty, and the ability to experience joy might have a beneficial influence on the respective other categories as well.
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Verity, Rebecca. "Personal Resilience for Healthcare Staff: When the Going Gets ToughPersonal Resilience for Healthcare Staff: When the Going Gets Tough". Cancer Nursing Practice 12, nr 6 (lipiec 2013): 8. http://dx.doi.org/10.7748/cnp2013.07.12.6.8.s12.
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Meekes, Wytske, Caroline Schlinkert, H. D. Van Tuyl, Anke J. E. de Veer i Cordula Wagner. "PERCEIVED RESILIENCE AND PATIENT SAFETY OF DUTCH NURSING STAFF DURING THE COVID-19 PANDEMIC". International Journal of Person Centered Medicine 11, nr 2 (23.01.2023): 7–18. http://dx.doi.org/10.5750/ijpcm.v11i2.1080.
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Background: The COVID-19 pandemic imposed enormous challenges for healthcare professionals. Nursing staff had to work under psychological pressure to maintain patient safety. Resilience has proven to be a protective psychological health factor that can safeguard healthcare professionals’ mental health and well-being during healthcare crises. The state of resilience among Dutch healthcare professionals is not yet known.
Objective: This study investigated perceived resilience and perception of patient safety during the COVID-19 pandemic among Dutch nursing staff. Additionally, individual differences in resilience were examined in relation to patient safety.
Method: An online survey about resilience and patient safety was sent to 2,611 members of the Dutch Nursing Staff Panel in June 2021, after the third wave of the COVID-19 pandemic in the Netherlands.
Results: 884 certified nursing staff professionals completed the survey (33% response rate). Nursing staff considered themselves resilient with a positive perception of patient safety within their organization. Factors that influenced resilience were education, age, part-time employment, experiences with treating patients with a COVID-19 infection, and having suffered from a COVID-19 infection. Nursing staff who perceived higher resilience reported to act more flexible during their work, to encounter more unexpected situations and they found that working according protocols and guidelines had improved during the pandemic.
Discussion: The results show a more positive pattern compared to other European countries. In the Netherlands, nursing staff considered themselves as highly resilient.
Conclusions: Resilient healthcare professionals report to be better able to handle crises such as the COVID-19 pandemic. Optimally, strengthening individual resilience for the healthcare organization may secure the patient safety of health care in the future.
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Everly, George S. "Psychological first aid to support healthcare professionals". Journal of Patient Safety and Risk Management 25, nr 4 (28.07.2020): 159–62. http://dx.doi.org/10.1177/2516043520944637.
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Psychological first aid (PFA) may be considered a form of acute psychological crisis intervention designed to foster human resilience. PFA has been universally endorsed as an important addition to the corpus of mental health-related support services in the wake of disasters. As support grows for its utilization beyond disasters alone, consideration should be given to the application of PFA to high-risk occupational setting. While PFA has begun to be used in the emergency services, it would also seem to be well suited for fostering resilience in healthcare settings where burnout and vicarious traumatization may approach the prevalence of silent epidemics. This paper describes PFA and argues for its utilization as a non-stigmatizing approach to foster the resilience of healthcare professionals and in doing so avoiding the “second victim” phenomenon.
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Dhillon, Prabhkeerat Kaur, i Shankar Das. "Psychological Resilience of Frontline Healthcare Workers in India: A Mixed-Methods Exploratory Study during COVID-19 Pandemic in India". Preventive Medicine: Research & Reviews 1, nr 3 (26.03.2024): 121–24. http://dx.doi.org/10.4103/pmrr.pmrr_56_23.
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Objectives: To measure the resilience of the healthcare staff and frontline workers who played an active part during the COVID-19 pandemic in India and to explore the correlation of factors that bolster resilience. Materials and Methods: Mixed-methods study using convenience sampling, with a sample size of 103 respondents and a qualitative sample size of 18 respondents (11 doctors and 7 nurses) from all over India. The resilience was measured using the Brief Resilience Questionnaire. Results: The mean Brief Resilience Scale (BRS), indicative of the workforce’s psychological resilience, was 3.257 with a standard error of 0.07 (Max: 4.66 and Min: 1). The median score was 3.33. The study has shown a high positive correlation (r = 0.633) between the presence of a peer support mechanism (both formal and informal) in organisations and resilience of the healthcare workforce. There exists a moderate positive correlation between healthcare workers relationship status and their resilience (r = 0.226). A positive correlation with r = 0.122 was observed between the years of experience and the BRS scores. A weak but positive correlation was observed between the respondents’ self-reported positive adaptation to the pandemic and their BRS Scores. Conclusions: Enhancing the psychological resilience of healthcare workers, a key factor in delivering quality patient care, can be achieved through straightforward interventions leveraging fundamental human attributes such as peer support and interpersonal relationships.
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Musich, Shirley, Shaohung Wang, James Schaeffer, Sandra Kraemer, Ellen Wicker i Charlotte Yeh. "THE ASSOCIATION OF INCREASING RESILIENCE WITH POSITIVE HEALTH OUTCOMES AND QUALITY OF LIFE AMONG OLDER ADULTS". Innovation in Aging 6, Supplement_1 (1.11.2022): 494. http://dx.doi.org/10.1093/geroni/igac059.1899.
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Abstract Background Resilience has been recognized as a concept central to successful aging. Higher resilience has been associated with positive mental health while a direct impact on physical health outcomes has been less consistent. Objective: To investigate three levels of resilience (low, medium, and high), identify characteristics associated with medium and high resilience and measure the impact of increasing resilience on selected health outcomes: quality-of-life (QOL), and healthcare utilization and expenditures. Methods The study sample was identified from adults age ≥65, covered by an AARP® Medicare Supplement Insurance Plan from UnitedHealthcare, who had completed a health survey during May-June 2019 (N=3,573). Resilience was categorized to three levels: low, medium, and high. Other positive resources, including purpose-in-life, locus of control, social connections, and optimism, were dichotomized as high/low and counted with equal weighting as a continuous variable. Quality of life was measured from the health survey; healthcare utilization and expenditures from administrative databases. Results Among weighted survey respondents, the prevalence of low, medium, and high resilience levels were 27%, 29%, and 43%, respectively. The strongest predictors of medium and high resilience included increasing number of other positive resources, lower stress, and no depression. Individuals with medium and high resilience had significantly higher QOL, lower healthcare utilization and reduced healthcare expenditures. Conclusions Interventions promoting the maintenance and/or increase of resilience should include a focus on other positive resources and stress/depression management. Resilience strategies integrated into healthy aging programming could be associated with improved health outcomes.
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Brown-Jackson, Kim L. "Intersections of Telemedicine / Telehealth and Cybersecurity: The Age of Resilience and COVID-19". Scientific Bulletin 27, nr 1 (1.06.2022): 1–11. http://dx.doi.org/10.2478/bsaft-2022-0001.
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Abstract The telemedicine and telehealth industry regenerates to fast-track the COVID-19 pandemic. Preliminary 2020 data suggests a 2,532 % surge in healthcare aid provided equated to the 2019 March through June timeframe. While telemedicine technology offers a variety of benefits, it is vulnerable to cyber threats. Countrywide stay-put mandates swiftly intensified telemedicine/telehealth from an auspicious novelty to becoming fundamental precedence. The industry is consistently besieged by a deluge of convalescents, restrained supplies, allotting, and additional encounters because of COVID-19. Cybersecurity leaders and healthcare establishments had to promptly change their IT resources, timetables, and work ranges to leverage prevailing technologies and propel healthcare providers and convalescents, adapted to the novel healthcare delivery services and enhanced changes. Telehealth, an integral part of delivering convalescent care, has multiplied healthcare offerorsʼ digital traces and cybersecurity hacks, as evidenced through endpoint security and the amplification of conclusions per telemedicine/telehealth sphere. COVID-19 reveals the junctions of cybersecurity and telehealth as a worst-case scenario for modernistic interpretations regarding healthcares’ cybersecurity guidance. The findings of this research provides awareness to understand if leaders at all levels aid in preventing cyber-attacks, thwarting ransom attacks, and indicating that healthcare organizations must adopt a cyber resilience plan.
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Ahlryd, Sara, i Fredrik Hanell. "Mitigating the infodemic of the pandemic: hospital librarians’ enactment and development of information resilience in healthcare organisations". Journal of Documentation 80, nr 7 (28.06.2024): 267–86. http://dx.doi.org/10.1108/jd-12-2023-0258.
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PurposeThe challenges to healthcare caused by the COVID-19 pandemic forced hospital librarians to develop their abilities to cope with change and crises, both on a social level and an organisational level. The aim of this study is to contribute to knowledge about how hospital librarians developed library services during the pandemic and how these changes contributed to building information resilience in the healthcare organisation. This paper also seeks to explore how resilience theory, and specifically the concept information resilience, can be used within library and information science (in LIS) to investigate resilience in the library sector.Design/methodology/approachNine semi-structured interviews with librarians were conducted at four different hospital libraries in four different regions in Sweden between March and May 2022. The empirical material was analysed through an interaction between the tzheoretical perspective and the empirical material through a thematic analysis. In each theme, specific resilience resources are identified and analysed as components of the information resilience developed by hospital librarians.FindingsThe results show that hospital librarians contribute to several different information resilience resources, which support information resilience in the healthcare organisation. Three aspects characterize the qualities of resilience resources: access, flexibility, and collaboration. The findings suggest that the framework for analysing information resilience used in this study is well suited for studying the resilience of libraries from both organisational and informational aspects.Originality/valueThe analysis of information resilience on an organisational level presents a novel way to study resilience in the library sector.