Exploring the nature of adaptive capacity for resilience in healthcare across different healthcare contexts; a metasynthesis of narratives

Lyng, Hilda Bø; Macrae, Carl; Guise, Veslemøy; Haraldseid-Driftland, Cecilie; Fagerdal, Birte; Schibevaag, L.ene; Alsvik, Janne Gro; Wiig, Siri

Abstract

Adaptive capacity has been described as instrumental for the development of resilience in healthcare. Yet, our theoretical understanding of adaptive capacity remains relatively underdeveloped. This research therefore aims at developing a new understanding of the nature of adaptive capacity by exploring the following research questions: 1. What constitutes adaptive capacity across different healthcare contexts? and 2. What type of enabling factors support adaptive capacity across different healthcare contexts? The study used a novel combination of qualitative methods featuring a metasynthesis of narratives based on empirical research to contribute understanding of adaptive capacity across different healthcare contexts. The findings show that adaptive capacity was found to include four forms: reframing, aligning, coping, and innovating. A framework illustrating the relatedness between the identified forms, in terms of resources, change and enablers, is provided. Based on these findings, a new definition of adaptive capacity for resilience in healthcare is proposed.

• Journal Article Type: Article
• Acceptance Date: May 22, 2022
• Online Publication Date: May 27, 2022
• Publication Date: Oct 1, 2022
• Deposit Date: Oct 20, 2022
• Publicly Available Date: Oct 20, 2022
• Journal: Applied Ergonomics
• Print ISSN: 0003-6870
• Electronic ISSN: 1872-9126
• Publisher: Elsevier BV
• Peer Reviewed: Peer Reviewed
• Volume: 104
• Article Number: 103810
• DOI: https://doi.org/10.1016/j.apergo.2022.103810
• Keywords: Physical Therapy, Sports Therapy and Rehabilitation; Engineering (miscellaneous); Safety, Risk, Reliability and Quality; Human Factors and Ergonomics
• Public URL: https://nottingham-repository.worktribe.com/output/12620450
• Publisher URL: https://www.sciencedirect.com/science/article/pii/S0003687022001338