University of Stavanger uis.no Methodological Approaches in Resilient Health Care Studies – A Literature Review Siv Hilde Berg & Karina Aase «Quality and Safety in Health Care Systems» 13.08.2015 Resilient Health Care Network Novotel Sydney Manly Pacific 11-13 August, 2015
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Methodological Approaches in Resilient Health Care Studies ...€¦ · 17 studies from resilience books 7 studies in Cognition, Technology & Work ... including e.g. organizational
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University of Stavangeruis.no
Methodological Approaches in Resilient Health Care Studies – A Literature Review
Siv Hilde Berg & Karina Aase«Quality and Safety in Health Care Systems»
13.08.2015
Resilient Health Care NetworkNovotel Sydney Manly Pacific11-13 August, 2015
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The RE literature(Righi, Saurin & Wachs 2015; Bergstrøm, Winsen & Henriqson 2015)
Rationale behind resilience studies is complexity Object of resilience: Capacity to adapt to emerging risks Subject of resilience: Sharp end staff and managers Health care accounts for 19% of the resilience litterature Mainly case study approaches Challenge:
Where to put the limits around the system, what methods to use, what data to include?
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How is the challenge met in RHC studies?
Review questions
1.What methodological approaches are applied in resilient health care studies?
2.What are the main topics and data sources in resilient health care studies?
3.How are case boundaries or system boundaries (macro-meso-micro) reflected in resilient health care studies?
Review design
Inclusion/exclusion criteria Search strategy
Empirical studies Published in journal/book Health care settings Psychological resilience
Demographics 26 empirical studies of resilience in healthcare settings
published between 2006 and 2015: 17 studies from resilience books 7 studies in Cognition, Technology & Work 2 studies in Reliability Engineering & System Safety
Empirical setting: 14 studies in EC/ED, ICU, acute care 2 studies in surgery 2 studies in pharmacies 8 studies in others (mental health, robotic surgery, palliative home care,
elderly care, cancer care, obstetrics, diabetes care) 6
Methodological approaches
The majority of studies apply a case study design with multiple qualitative methods: Observation ( N = 17) qualitative interviews (N= 11)
Other data collection methods: Focus groups (N=4), workshops (N=4), conversation analysis (N=4), process