In 2024, the project is finalized and has completed testing and evaluation of the Resilience in Healthcare theoretical framework, the Patient and Stakeholder involvement framework, and the digital Resilience in Healthcare learning tool in practice.
Siri Wiig
Research Council Norway – FRIPRO TOPPFORSK, University of Stavanger, NTNU Gjøvik, and The Norwegian Air Ambulance Foundation
1 September 2018 – 28 February 2023
66 mill NOK
In 2024, the project was finalized. I’m proud to see what this project has led to, and it was a particular delight to be able to sum up all its contributions during the RHCS conference.
Resilience in healthcare is the diverse capacities of a healthcare system that allow it to maintain the delivery of high-quality care during and after events that challenge, change or disrupt its activities, by engaging people in collaborative and coordinated processes that adapt, enhance or reorganize system functioning in response to those events.
In short, the Resilience in Healthcare project has defined resilience as the capacity to adapt to challenges and changes in everyday practices at different system levels, to maintain high quality care.
In 2024, the project is finalized and has completed testing and evaluation of the Resilience in Healthcare theoretical framework, the Patient and Stakeholder involvement framework, and the digital Resilience in Healthcare learning tool in practice. To ensure user-friendliness and relevance of the comprehensive resilience frameworks to the target audiences, focus group interviews and workshops with SHARE’ Patient and stakeholder involvement panel, representatives from nursing homes, homecare, and hospitals have been completed prior to testing in practice. The results are currently being published and policy recommendations are issued. The results have been positive, and users experience of the tool shows that it contributes to increased awareness of resilience and adaptive capacity in practice in the different involved settings.
The resilience learning tool focuses on learning from everyday practice and understanding adaptive capacity. The tool is made up of three different elements to allow for flexible use within different multidisciplinary groups of healthcare personnel. First, a mapping of current status on ten resilience capacities; second, diverse learning scenarios for group discussions and reflection upon own resilience capacities; third, a resilience reflection list for short reflections during everyday work. The tool has been translated into English and acts as an inspiration for the EU funded project Support4Resilience. The Resilience learning tool is free to use from this link: https://rih.uis.no/
Furthermore, the data analysis in the international study of resilience in healthcare across countries has been completed and publications are underway. Two PhD thesis have been completed from the international arm of project in 2024. We congratulate both Birte Fagerdal, Norway and Natalie Sanford, England for their effort and fantastic results. The cross-country comparative study adds knowledge of how resilience is enabled in diverse healthcare systems by examining adaptive capacity in hospital teams in England, Japan, the Netherlands, Australia, and Norway.
The project has been heavily involved in mobility both incoming and outgoing during the entire project period. Also in 2024, several of the international collaborating partners visited Stavanger and played key roles in different SHARE seminars and activities. Moreover, UiS researchers went abroad to continue the strong international collaboration in the project.
A highlight in 2024 has been the hosting of the International Resilient Health Care Society (RHCS) meeting at Sola Beach Hotel in June. The RiH project together with the SHARE centre hosted the annual meeting with an all-time high attendance from all over the world. The project presented the final results and organized a workshop on the cross-country comparative study after the meeting as many of the project partners attended the RHCS meeting. The project dissemination has also taken place in multiple conferences in Norway, such as the National Patient Safety Congress and abroad in large conferences like the Isqua conference in Istanbul and BMJ International Forum in London in invited talks and workshops. The project members are currently working on a book project where we will present the findings from the project together with multiple international contributions to shed light on resilience in healthcare from different perspectives and levels. We are looking forward to launching thee book.
Selected publications from 2024:
- Guise V, Chambers M, Lyng HB, Haraldseid-Driftland C, Schibevaag L, Fagerdal B, Dombestein H, Ree E, & Wiig S. (2024). Identifying, categorising, and mapping actors involved in resilience in healthcare: a qualitative stakeholder analysis. BMC Health Services Research (2024) 24:230 https://doi.org/10.1186/s12913-024-10654-4
- Haraldseid-Driftland C, Bø Lyng H, Guise V, Valen Wæhle H, Schibevaag L, Dombestein H, Ree E, Fagerdal B, Billett S, & Wiig S. (2024). Designing a learning tool for translating resilience in healthcare into practice: A qualitative mixed methods study, Applied Ergonomics, Volume 119, 2024, 104314. https://doi.org/10.1016/j.apergo.2024.104314
- Fagerdal B, Lyng HB, Guise V, Anderson J, Braithwaite J & Wiig S. (2024) Exploring the influence of health system factors on adaptive capacity in diverse hospital teams in Norway – a multiple case study approach. BMJ OPEN, 2024 May 15;14(5):e076945. doi: 10.1136/bmjopen-2023-076945.
- Carrigan, A, Holmes-Walker A, Farrell K, Maguire AM, Lyng HB, Wiig S, Guise V, Long J, Ellis L, Wijekulasuriya S, Novi Arfirsta Dharmayani P, Singh N, Simone Z, Davis E, Jones T, Braithwaite J, & Zurynski Y. (2024). Contributions of digital technologies for resilience capacity in a type 1 diabetes transition clinic: A qualitative study, Applied Ergonomics, Volume 122, 2025,104392
- Wiig, S., Lyng, H.B., Guise, V., Ree, E., Fagerdal, B., Dombestein, H., Schibevaag, L., Braithwaite, J., Haraldseid-Driftland, C. (2024). From Theory to Policy in Resilient Health Care: Policy Recommendations and Lessons Learnt from the Resilience in Health Care Research Program. Journal of Patient Safety. Volume 00, Number 00, Month 2024. DOI:10.1097/PTS.0000000000001258
SHARE RESEARCHERS
- Professor Siri Wiig (Project manager 2020->)
- Professor Karina Aase (Project manager 2018-2020)
- Professor Ove Njå
- Adjunct Professor Carl Macrae
- Associate Professor Eline Ree
- Postdoctoral candidate Veslemøy Guise
- Postdoctoral candidate Cecilie Haraldseid-Driftland
- Postdoctoral candidate Hilda Bø Lyng
- Postdoctoral candidate Heide Dombestein
- PhD candidate Birte Fagerdal
- Researcher Lene Schibevaag
- Co-Researcher Hilde Valen Wæhle
PARTNERS
- Professor Janet Anderson, Monash University, Australia
- Professor Mathilde Bourrier, University of Geneva, Switzerland
- Professor Stephen Billett, Griffith University, Australia
- Professor Roland Bal, Erasmus University, The Netherlands
- Professor Mary Chambers, Kingston and St George’s University of London, UK
- Professor Olav Røise, Oslo University Hospital, Norway
ADVISORY BOARD
- Professor Jeffrey Braithwaite, Macquarie University, Australia
- Adjunct Professor Carolyn Canfield, University of British Columbia, Canada
- Postdoctoral Researcher Minna Silvennoinen, University of Jyväskylä, Finland
- Professor Jane O’Hara, University of Leeds, UK
- Associate Professor Jessica Mesman, Maastricht University, The Netherlands