Towards Resilient Healthcare Systems: A Framework for Crisis Management

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(3), P. 286 - 286

Published: Feb. 29, 2024

This study addresses the crucial need for resilient healthcare systems, highlighted by recent global health emergencies such as Ebola and COVID-19 crises. It identifies a significant gap in current literature: lack of practical, actionable frameworks resilience. To bridge this gap, research introduces an innovative framework that blends theoretical resilience concepts with heuristic approaches. framework, rooted principles monitoring, anticipation, recognition, learning, is designed to enhance crisis management capabilities systems. The methodology involves comprehensive literature review, combined methods, culminating both academically sound practically applicable. guides systems through various stages management, including data collection, situation analysis, risk response evaluation. provides holistic approach enhancing settings. Overall, paper makes contribution field system resilience, offering strategic blueprint improved recovery. marks important advancement aligning practical implementation strategies, essential tackling future challenges.

Language: Английский

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Can we be too gritty?

Medical Education, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 15, 2025

Grit is generally celebrated as a trait synonymous with passion and perseverance that sustained over time toward long-term goals, even amidst setbacks.1 This quality largely admired in health care education, but there point where grit stops being beneficial? Grit, personality related to maintaining effort interest despite challenges, especially valuable professional training, which can be highly demanding. Clinical placements compound the challenges students face by requiring them apply theory complex, high-pressure environments2 addition personal stressors such transitioning adulthood, balancing work study, managing relationships financial pressures.3 Unsurprisingly, higher are more likely persist, overcome obstacles achieve greater academic success.4, 5 also correlates positive well-being resilience6 studies linking reduced burnout students7-9 lower rates of suicidal ideation10 depression11 university students. As individuals age, tends grow due cultural influences natural development passion.12 For professionals, need for intensifies after graduation they systemic including staff shortages, long hours, increasingly complex patient compassion fatigue overstretched systems.13 essential sustaining well-being, reducing achieving fulfilment,14, 15 thing 'too much' grit? Philosophers psychologists often refer an 'inverted U-curve' describe how many traits, grit, may follow curve both too little or much lead negative outcomes.16 While having low might hinder achievement, excess push curve's edge—particularly high-stakes settings like care, relentless could potentially distress, illness presenteeism (working whilst sick) eventually burnout. Striking balance between key prevent exceeding this tipping point. In clinical environment intense demands persist at expense their own health, inadvertently result outcomes. it admirable 'push through' tough times, persistence come cost. Research Madrazo et al.17 issue highlights high among medical practitioners students, who choose while sick support teams, patients and/or studies. professionals pressure show up 'no matter what' feel relentless, if admitting rest somehow compromises commitment. pushing through setbacks unwell seem altruistic short-term, detrimental clinician student, organisation time. Instead badge honour, end fuelling cycle presenteeism, continue compromised health. The psychological impact should not overlooked. Excessive increase presentism, leading anxiety, stress reported al.,17 very productivity meant boost. What we redefined include setting healthy boundaries recognising when take step back? We propose 'sustainable' defined optimal level values resilience respects limits, encouraging balanced approach perseverance. With sustainable better equipped stay within range inverted U-curve, preserving energy effectiveness rather than burning out compromising contrasts 'superhuman' culture described pressured constantly perform peak levels regardless sense mean courage recognise respect one's improved healthier workforce term. Sustainable effects, allowing engage wholeheartedly without risking mental means knowing forward conserve energy—a benefits institutions alike. concept has been explored literature. However, good thing' effect debated literature regarding other traits closely self-control conscientiousness.18-20 It proposed 'dark' side either these decrease ones happiness well-being.21, 22 academia, institution plays powerful role norms expectations. Cultures reward sheer endurance unwavering encourage harmful behaviours stepping back self-care perceived weakness. create encourages employees themselves, turn high-quality organisational resilience. When Understanding best practice interventions develop still its early stages.23 fostering change shared responsibility institutions, educators organisations ensure future sustain excellence health.24 Organisations play pivotal prioritising performance endurance, helping mitigate consequences excessive presenteeism. A factor driving stigma against taking breaks 'weak', coupled fixed mindset equates success perseverance, toll on well-being. Tackling stigma, particularly training programs development, crucial promoting healthier, By framing skill encompasses prioritise self-care, empower excel roles safeguarding Perhaps, reconsider high-stress professions. Like double-edged sword, obstacles, taken extremes, unintended harm. professions demand from individuals, answer lie cultivating grit—one commitment, recharge. After all, true strength student just about showing relentlessly back, so keep moving best. Data sharing applicable article no new data were created analysed study.

Language: Английский

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How has the concept of health system software been used in health policy and systems research? A scoping review

Health Policy and Planning, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 17, 2025

Abstract Understanding health systems as comprising interacting elements of hardware and software acknowledges complex adaptive (CAS). Hardware represents the concrete components systems, whereas which influence actions underpin relationships, such processes, values norms As a specific call for research on system was made in 2011, we conducted qualitative scoping review considering how what purpose concept has been used since then. Our overall to synthesise current knowledge generate lessons about deepen on, understanding of, software. The consisted two phases: first, period 2011–2023, all papers explicitly were identified mapped; second, drawing sub-set from phase 1, explored purposively within research. databases Pubmed, Scopus, EBSCOhost, Web Science Google Scholar systematically searched using strategy developed by skilled librarian. In Phase data extracted 98 papers. analysis revealed that third rather superficially; it conceptualise importance selected elements; examining experience, preparedness or resilience. 2, our confirmed researchers have found value pro-actively studies, demonstrating patterns use. However, limited investigate interactions amongst hard- also revealed. Future policy should hardware-software interactions, order gain greater complex, nature understand their operations, institutionalise thinking considers CASs.

Language: Английский

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How do staff work in NHS hospital operations management meetings to support resilience in everyday service delivery? A qualitative study

BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 21, 2025

Abstract Background Operations Management meetings in NHS hospitals provide an opportunity for operational and clinical staff to monitor demand capacity manage patient flow. These play important role the achievement of resilient performance over time. However, little is known about work that takes place within these United Kingdom’s National Health Service. Methods We conducted a qualitative study observing 29 across three English between June October 2023. The observations focused on: who was present; how were organised conducted; what data used; decision-making took place; types undertaken. also 17 semi-structured interviews with divisional leads meeting chairs. A grounded theory analytic approach involved exploring two sites identify key themes, then testing themes through third comparator site. Results identified type extent maintain flow enable service delivery. provided come together engage collective sense-making, develop shared mental model state hospital build understanding where action needed. Review centralised data, formally encoded recorded numerical form, played role, but drew on local intelligence make sense adapt often pressurised situations. work: Sense-making Interpretation, Risk (which contributed maintaining organisational function) Maintaining morale supported individual resilience). Conclusions went functioned support resilience, repeatedly sharing assessing information demand, taking address continually changing pressures, having their efforts recognised.

Language: Английский

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Integrating lean and resilience: a healthcare supply chain perspective

International Journal of Industrial Engineering and Operations Management, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 24, 2025

Purpose This research aims to analyze the deployment of lean practices and resilience capabilities within healthcare supply chain across different disruptive scenarios. The study addresses gap in how tier levels integrate resilience. Design/methodology/approach Employing a case approach, evaluated four Italian organizations (two providers, one pharmaceutical distributor producer) representing three main chain. methodology involved questionnaire assessing adoption specific capabilities, followed by scenario analysis experts used identify critical Findings systematically identified that are underutilized at various chain, highlighting significant opportunities for theoretical advancement operational efficiency system robustness during disruptions. Additionally, introduced novel methodological approach evaluate effectiveness scenarios, thereby enriching framework crisis management operations. Finally, we emphasized crucial roles just-in-time anticipation capability bolstering performance all Originality/value contributes fields identifying classifying importance managing potential cross-tier collaboration knowledge sharing enhance overall is highlighted.

Language: Английский

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A Systematic Review of Circular Economy Literature in Healthcare: Transitioning from a ‘Post-Waste’ Approach to Sustainability.

Journal of Cleaner Production, Journal Year: 2025, Volume and Issue: unknown, P. 145427 - 145427

Published: April 1, 2025

Language: Английский

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Navigating IVF Shortages in the Neurocritical Care Unit

Neurocritical Care, Journal Year: 2025, Volume and Issue: unknown

Published: April 25, 2025

Language: Английский

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A systematic literature review of the relationship between management and resilience in healthcare

Applied Ergonomics, Journal Year: 2025, Volume and Issue: 128, P. 104554 - 104554

Published: May 17, 2025

Language: Английский

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Resilience of the primary healthcare system: perspectives of German stakeholders at primary care interfaces during the second wave of the COVID-19 pandemic

Frontiers in Medicine, Journal Year: 2024, Volume and Issue: 11

Published: April 24, 2024

Worldwide, the primary care sector played a key role in coping with challenges of SARS-CoV-2 pandemic. The aim this study was to explore resilience German healthcare system during second wave pandemic from perspective identified interface stakeholders, i.e., representatives hospitals, district offices, and medical associations. Qualitative data interviews focus groups were analyzed according framework. main findings include gap knowledge transfer, unstructured allocation responsibilities, resulting unregulated flow patients. Social brokers supported coordination transfer. response capacity cope uncertainties slow chaotic at level heterogeneous individual level. Building on previous relationships fostered functioning communication, while competition as barrier resilience. Implications for further research strengthening can be derived based study.

Language: Английский

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Identification of implementation enhancement strategies for national comprehensive care standards using the CFIR-ERIC approach: a qualitative study

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 23, 2024

Comprehensive care is important for ensuring patients receive coordinated delivery of healthcare that aligns with their needs and preferences. While comprehensive programs are recognised as beneficial, optimal implementation strategies in the real world remain unclear. This study utilises existing theory to investigate barriers enablers implementing Australian National Safety Quality Health Service Standard 5 - Care acute hospitals. The aim develop enhancement work standards care. Free text data from 256 survey participants, who were professionals working hospitals across Australia, coded using Consolidated Framework Implementation Research (CFIR) deductive content analysis. Codes then converted barrier enabler statements themes inductive theme analysis approach. Subsequently, CFIR mapped Expert Recommendations Implementing Change (ERIC) CFIR-ERIC Matching Tool, facilitating development strategies. Twelve (n = 12) 10 identified, 14 condensed into 12 11 streamlined themes. Common include impact COVID-19 pandemic; heavy workload; staff shortage, lack skilled high turnover; poorly integrated documentation system; lacking availability, capability, motivation; resources; education training; culture nursing dependency; competing priorities; absence tailored straties; insufficient planning adjustment; multidisciplinary collaboration. leadership CCS committees groups; systems; established communication channels; access education, training information; available patient-centeredness; consumer representation on engaging consumers delivery; changes incrementally a well-defined plan; regularly collecting discussing feedback. Following mapping ERIC tool, 15 identified. identified barriers, enablers, recommended associated national standard Understanding addressing these challenges not only crucial landscape but also holds significance broader international community striving advance

Language: Английский

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