In 2023, the project finalized the Resilience in Healthcare theoretical framework and a digital learning tool, which proved effective in enhancing resilience awareness in nursing homes, homecare, and hospitals.
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 2023, the project is in its final phase and has been working on testing and finalizing the evaluation of the Resilience in Healthcare theoretical framework, the Patient and Stakeholder involvement framework, and the digital Resilience in Healthcare learning tool in practice.
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 2023, the project is in its final phase and has been working on testing and finalizing the 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.
During 2022 and 2023 an intervention program was completed in nursing homes, homecare, and hospitals settings. 27 units from six different sites participated in the intervention. All sites participated in workshops and tasks where they used the tool during everyday practice. Focus group interviews and workshop observations were completed to inform the evaluation of the tool content, usability and how it is perceived to improve adaptive capacity and learning from success and everyday work. 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.
Furthermore, the data collection in the international study of resilience in healthcare across the six countries has been completed. 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, Switzerland, Japan, the Netherlands, Australia, and Norway.
The project has been heavily involved in mobility both incoming and outgoing during 2023 and 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.
Selected publications from 2023:
- Haraldseid-Driftland C, Dombestein H, Hai Le A, Billet S, & Wiig S. (2023). Learning tools used to translate resilience in healthcare into practice: a rapid scoping review. BMC Health Services Research volume 23, Article number: 890 (2023). https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-023-09922-6
- Haraldseid-Driftland C, Lyng HB, Guise V, Waehle HV, Schibevaag L, Ree E, Fagerdal B, Baxter R, Ellis L, Braithwaite J,and Wiig S. (2023). Learning does not just happen: establishing learning principles for tools to translate resilience into practice, based on a participatory approach. BMC Health Serv Res 23, 646 (2023). https://doi.org/10.1186/s12913-023-09653-8
- Mannion R, Exworhty M, Wiig S, Braithwaite J. The power of autonomy and resilience in healthcare delivery. BMJ 2023;382:e073331; DOI: 10.1136/BMJ-2022-073331. https://www.bmj.com/content/382/bmj-2022-073331.abstract
- Wiig S, Lyng H, Greenfield D, & Braithwaite J. (2023). The future needs reconciling health system and individual resilience. International Journal for Quality in Health Care. https://doi.org/10.1093/intqhc/mzad082
- Fagerdal B, Bø Lyng H, Guise V, Anderson J, & Wiig S. (2023). No size fits all – a qualitative study of factors that enable adaptive capacity in diverse hospital teams. Frontiers in Psychology., 06 July 2023, Sec. Organizational Psychology, Volume 14 - 2023 | https://doi.org/10.3389/fpsyg.2023.1142286
- Lyng H, Haraldseid-Driftland C, Guise V, Ree E, Dombestein H, Fagerdal B, Wæhle HV, & Wiig S. Making tacit knowledge explicit through objects: A qualitative study of the transaltion of resilience into practice. Frontiers in Public Health Sec. Public Health Education and Promotion Volume 11 - 2023 | doi: 10.3389/fpubh.2023.1173483
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