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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

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Authors

Hilda Bø Lyng

CARL MACRAE CARL.MACRAE@NOTTINGHAM.AC.UK
Professor of Organisational Behaviour and Psychology

Veslemøy Guise

Cecilie Haraldseid-Driftland

Birte Fagerdal

L.ene Schibevaag

Janne Gro Alsvik

Siri Wiig



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.

Citation

Lyng, H. B., Macrae, C., Guise, V., Haraldseid-Driftland, C., Fagerdal, B., Schibevaag, L., …Wiig, S. (2022). Exploring the nature of adaptive capacity for resilience in healthcare across different healthcare contexts; a metasynthesis of narratives. Applied Ergonomics, 104, Article 103810. https://doi.org/10.1016/j.apergo.2022.103810

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

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