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The role of collaborative learning in resilience in healthcare—a thematic qualitative meta-synthesis of resilience narratives

BACKGROUND: To provide high quality services in increasingly complex, constantly changing circumstances, healthcare organizations worldwide need a high level of resilience, to adapt and respond to challenges and changes at all system levels. For healthcare organizations to strengthen their resilienc...

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Autores principales: Haraldseid-Driftland, Cecilie, Billett, Stephen, Guise, Veslemøy, Schibevaag, Lene, Alsvik, Janne Gro, Fagerdal, Birte, Lyng, Hilda Bø, Wiig, Siri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412809/
https://www.ncbi.nlm.nih.gov/pubmed/36028835
http://dx.doi.org/10.1186/s12913-022-08451-y
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author Haraldseid-Driftland, Cecilie
Billett, Stephen
Guise, Veslemøy
Schibevaag, Lene
Alsvik, Janne Gro
Fagerdal, Birte
Lyng, Hilda Bø
Wiig, Siri
author_facet Haraldseid-Driftland, Cecilie
Billett, Stephen
Guise, Veslemøy
Schibevaag, Lene
Alsvik, Janne Gro
Fagerdal, Birte
Lyng, Hilda Bø
Wiig, Siri
author_sort Haraldseid-Driftland, Cecilie
collection PubMed
description BACKGROUND: To provide high quality services in increasingly complex, constantly changing circumstances, healthcare organizations worldwide need a high level of resilience, to adapt and respond to challenges and changes at all system levels. For healthcare organizations to strengthen their resilience, a significant level of continuous learning is required. Given the interdependence required amongst healthcare professionals and stakeholders when providing healthcare, this learning needs to be collaborative, as a prerequisite to operationalizing resilience in healthcare. As particular elements of collaborative working, and learning are likely to promote resilience, there is a need to explore the underlying collaborative learning mechanisms and how and why collaborations occur during adaptations and responses. The aim of this study is to describe collaborative learning processes in relation to resilient healthcare based on an investigation of narratives developed from studies representing diverse healthcare contexts and levels. METHODS: The method used to develop understanding of collaborative learning across diverse healthcare contexts and levels was to first conduct a narrative inquiry of a comprehensive dataset of published health services research studies. This resulted in 14 narratives (70 pages), synthesised from a total of 40 published articles and 6 PhD synopses. The narratives where then analysed using a thematic meta-synthesis approach. RESULTS: The results show that, across levels and contexts, healthcare professionals collaborate to respond and adapt to change, maintain processes and functions, and improve quality and safety. This collaboration comprises activities and interactions such as exchanging information, coordinating, negotiating, and aligning needs and developing buffers. The learning activities embedded in these collaborations are both activities of daily work, such as discussions, prioritizing and delegation of tasks, and intentional educational activities such as seminars or simulation activities. CONCLUSIONS: Based on these findings, we propose that the enactment of resilience in healthcare is dependent on these collaborations and learning processes, across different levels and contexts. A systems perspective of resilience demands collaboration and learning within and across all system levels. Creating space for reflection and awareness through activities of everyday work, could support individual, team and organizational learning. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08451-y.
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spelling pubmed-94128092022-08-26 The role of collaborative learning in resilience in healthcare—a thematic qualitative meta-synthesis of resilience narratives Haraldseid-Driftland, Cecilie Billett, Stephen Guise, Veslemøy Schibevaag, Lene Alsvik, Janne Gro Fagerdal, Birte Lyng, Hilda Bø Wiig, Siri BMC Health Serv Res Research Article BACKGROUND: To provide high quality services in increasingly complex, constantly changing circumstances, healthcare organizations worldwide need a high level of resilience, to adapt and respond to challenges and changes at all system levels. For healthcare organizations to strengthen their resilience, a significant level of continuous learning is required. Given the interdependence required amongst healthcare professionals and stakeholders when providing healthcare, this learning needs to be collaborative, as a prerequisite to operationalizing resilience in healthcare. As particular elements of collaborative working, and learning are likely to promote resilience, there is a need to explore the underlying collaborative learning mechanisms and how and why collaborations occur during adaptations and responses. The aim of this study is to describe collaborative learning processes in relation to resilient healthcare based on an investigation of narratives developed from studies representing diverse healthcare contexts and levels. METHODS: The method used to develop understanding of collaborative learning across diverse healthcare contexts and levels was to first conduct a narrative inquiry of a comprehensive dataset of published health services research studies. This resulted in 14 narratives (70 pages), synthesised from a total of 40 published articles and 6 PhD synopses. The narratives where then analysed using a thematic meta-synthesis approach. RESULTS: The results show that, across levels and contexts, healthcare professionals collaborate to respond and adapt to change, maintain processes and functions, and improve quality and safety. This collaboration comprises activities and interactions such as exchanging information, coordinating, negotiating, and aligning needs and developing buffers. The learning activities embedded in these collaborations are both activities of daily work, such as discussions, prioritizing and delegation of tasks, and intentional educational activities such as seminars or simulation activities. CONCLUSIONS: Based on these findings, we propose that the enactment of resilience in healthcare is dependent on these collaborations and learning processes, across different levels and contexts. A systems perspective of resilience demands collaboration and learning within and across all system levels. Creating space for reflection and awareness through activities of everyday work, could support individual, team and organizational learning. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08451-y. BioMed Central 2022-08-26 /pmc/articles/PMC9412809/ /pubmed/36028835 http://dx.doi.org/10.1186/s12913-022-08451-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis 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 Article
Haraldseid-Driftland, Cecilie
Billett, Stephen
Guise, Veslemøy
Schibevaag, Lene
Alsvik, Janne Gro
Fagerdal, Birte
Lyng, Hilda Bø
Wiig, Siri
The role of collaborative learning in resilience in healthcare—a thematic qualitative meta-synthesis of resilience narratives
title The role of collaborative learning in resilience in healthcare—a thematic qualitative meta-synthesis of resilience narratives
title_full The role of collaborative learning in resilience in healthcare—a thematic qualitative meta-synthesis of resilience narratives
title_fullStr The role of collaborative learning in resilience in healthcare—a thematic qualitative meta-synthesis of resilience narratives
title_full_unstemmed The role of collaborative learning in resilience in healthcare—a thematic qualitative meta-synthesis of resilience narratives
title_short The role of collaborative learning in resilience in healthcare—a thematic qualitative meta-synthesis of resilience narratives
title_sort role of collaborative learning in resilience in healthcare—a thematic qualitative meta-synthesis of resilience narratives
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412809/
https://www.ncbi.nlm.nih.gov/pubmed/36028835
http://dx.doi.org/10.1186/s12913-022-08451-y
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