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The rise of resilient healthcare research during COVID-19: scoping review of empirical research

BACKGROUND: The COVID-19 pandemic has presented many multi-faceted challenges to the maintenance of service quality and safety, highlighting the need for resilient and responsive healthcare systems more than ever before. This review examined empirical investigations of Resilient Health Care (RHC) in...

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Autores principales: Ellis, Louise A, Saba, Maree, Long, Janet C, Lyng, Hilda Bø, Haraldseid-Driftland, Cecilie, Churruca, Kate, Wiig, Siri, Austin, Elizabeth, Clay-Williams, Robyn, Carrigan, Ann, Braithwaite, Jeffrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10405417/
https://www.ncbi.nlm.nih.gov/pubmed/37550640
http://dx.doi.org/10.1186/s12913-023-09839-0
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author Ellis, Louise A
Saba, Maree
Long, Janet C
Lyng, Hilda Bø
Haraldseid-Driftland, Cecilie
Churruca, Kate
Wiig, Siri
Austin, Elizabeth
Clay-Williams, Robyn
Carrigan, Ann
Braithwaite, Jeffrey
author_facet Ellis, Louise A
Saba, Maree
Long, Janet C
Lyng, Hilda Bø
Haraldseid-Driftland, Cecilie
Churruca, Kate
Wiig, Siri
Austin, Elizabeth
Clay-Williams, Robyn
Carrigan, Ann
Braithwaite, Jeffrey
author_sort Ellis, Louise A
collection PubMed
description BACKGROUND: The COVID-19 pandemic has presented many multi-faceted challenges to the maintenance of service quality and safety, highlighting the need for resilient and responsive healthcare systems more than ever before. This review examined empirical investigations of Resilient Health Care (RHC) in response to the COVID-19 pandemic with the aim to: identify key areas of research; synthesise findings on capacities that develop RHC across system levels (micro, meso, macro); and identify reported adverse consequences of the effort of maintaining system performance on system agents (healthcare workers, patients). METHODS: Three academic databases were searched (Medline, EMBASE, Scopus) from 1st January 2020 to 30th August 2022 using keywords pertaining to: systems resilience and related concepts; healthcare and healthcare settings; and COVID-19. Capacities that developed and enhanced systems resilience were synthesised using a hybrid inductive-deductive thematic analysis. RESULTS: Fifty publications were included in this review. Consistent with previous research, studies from high-income countries and the use of qualitative methods within the context of hospitals, dominated the included studies. However, promising developments have been made, with an emergence of studies conducted at the macro-system level, including the development of quantitative tools and indicator-based modelling approaches, and the increased involvement of low- and middle-income countries in research (LMIC). Concordant with previous research, eight key resilience capacities were identified that can support, develop or enhance resilient performance, namely: structure, alignment, coordination, learning, involvement, risk awareness, leadership, and communication. The need for healthcare workers to constantly learn and make adaptations, however, had potentially adverse physical and emotional consequences for healthcare workers, in addition to adverse effects on routine patient care. CONCLUSIONS: This review identified an upsurge in new empirical studies on health system resilience associated with COVID-19. The pandemic provided a unique opportunity to examine RHC in practice, and uncovered emerging new evidence on RHC theory and system factors that contribute to resilient performance at micro, meso and macro levels. These findings will enable leaders and other stakeholders to strengthen health system resilience when responding to future challenges and unexpected events. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09839-0.
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spelling pubmed-104054172023-08-08 The rise of resilient healthcare research during COVID-19: scoping review of empirical research Ellis, Louise A Saba, Maree Long, Janet C Lyng, Hilda Bø Haraldseid-Driftland, Cecilie Churruca, Kate Wiig, Siri Austin, Elizabeth Clay-Williams, Robyn Carrigan, Ann Braithwaite, Jeffrey BMC Health Serv Res Research BACKGROUND: The COVID-19 pandemic has presented many multi-faceted challenges to the maintenance of service quality and safety, highlighting the need for resilient and responsive healthcare systems more than ever before. This review examined empirical investigations of Resilient Health Care (RHC) in response to the COVID-19 pandemic with the aim to: identify key areas of research; synthesise findings on capacities that develop RHC across system levels (micro, meso, macro); and identify reported adverse consequences of the effort of maintaining system performance on system agents (healthcare workers, patients). METHODS: Three academic databases were searched (Medline, EMBASE, Scopus) from 1st January 2020 to 30th August 2022 using keywords pertaining to: systems resilience and related concepts; healthcare and healthcare settings; and COVID-19. Capacities that developed and enhanced systems resilience were synthesised using a hybrid inductive-deductive thematic analysis. RESULTS: Fifty publications were included in this review. Consistent with previous research, studies from high-income countries and the use of qualitative methods within the context of hospitals, dominated the included studies. However, promising developments have been made, with an emergence of studies conducted at the macro-system level, including the development of quantitative tools and indicator-based modelling approaches, and the increased involvement of low- and middle-income countries in research (LMIC). Concordant with previous research, eight key resilience capacities were identified that can support, develop or enhance resilient performance, namely: structure, alignment, coordination, learning, involvement, risk awareness, leadership, and communication. The need for healthcare workers to constantly learn and make adaptations, however, had potentially adverse physical and emotional consequences for healthcare workers, in addition to adverse effects on routine patient care. CONCLUSIONS: This review identified an upsurge in new empirical studies on health system resilience associated with COVID-19. The pandemic provided a unique opportunity to examine RHC in practice, and uncovered emerging new evidence on RHC theory and system factors that contribute to resilient performance at micro, meso and macro levels. These findings will enable leaders and other stakeholders to strengthen health system resilience when responding to future challenges and unexpected events. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09839-0. BioMed Central 2023-08-07 /pmc/articles/PMC10405417/ /pubmed/37550640 http://dx.doi.org/10.1186/s12913-023-09839-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ellis, Louise A
Saba, Maree
Long, Janet C
Lyng, Hilda Bø
Haraldseid-Driftland, Cecilie
Churruca, Kate
Wiig, Siri
Austin, Elizabeth
Clay-Williams, Robyn
Carrigan, Ann
Braithwaite, Jeffrey
The rise of resilient healthcare research during COVID-19: scoping review of empirical research
title The rise of resilient healthcare research during COVID-19: scoping review of empirical research
title_full The rise of resilient healthcare research during COVID-19: scoping review of empirical research
title_fullStr The rise of resilient healthcare research during COVID-19: scoping review of empirical research
title_full_unstemmed The rise of resilient healthcare research during COVID-19: scoping review of empirical research
title_short The rise of resilient healthcare research during COVID-19: scoping review of empirical research
title_sort rise of resilient healthcare research during covid-19: scoping review of empirical research
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10405417/
https://www.ncbi.nlm.nih.gov/pubmed/37550640
http://dx.doi.org/10.1186/s12913-023-09839-0
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