No size fits all – a qualitative study of factors that enable adaptive capacity in diverse hospital teams

IntroductionResilient healthcare research studies how healthcare systems and stakeholders adapt and cope with challenges and changes to enable high quality care. By examining how performance emerges in everyday work in different healthcare settings, the research seeks to receive knowledge of the ena...

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Main Authors: Birte Fagerdal, Hilda Bø Lyng, Veslemøy Guise, Janet E. Anderson, Siri Wiig
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1142286/full
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author Birte Fagerdal
Hilda Bø Lyng
Veslemøy Guise
Janet E. Anderson
Siri Wiig
author_facet Birte Fagerdal
Hilda Bø Lyng
Veslemøy Guise
Janet E. Anderson
Siri Wiig
author_sort Birte Fagerdal
collection DOAJ
description IntroductionResilient healthcare research studies how healthcare systems and stakeholders adapt and cope with challenges and changes to enable high quality care. By examining how performance emerges in everyday work in different healthcare settings, the research seeks to receive knowledge of the enablers for adaptive capacity. Hospitals are defined as complex organizations with a large number of actors collaborating on increasingly complexity tasks. Consequently, most of today’s work in hospitals is team based. The study aims to explore and describe what kind of team factors enable adaptive capacity in hospital teams.MethodsThe article reports from a multiple embedded case study in two Norwegian hospitals. A case was defined as one hospital containing four different types of teams in a hospital setting. Data collection used triangulation of observation (115 h) and interviews (30), followed by a combined deductive and inductive analysis of the material.ResultsThe study identified four main themes of team related factors for enabling adaptive capacity; (1) technology and tools, (2) roles, procedures, and organization of work, (3) competence, experience, knowledge, and learning, (4) team culture and relations.DiscussionInvestigating adaptive capacity in four different types of teams allowed for consideration of a range of team types within healthcare and how the team factors vary within and across these teams. All of the four identified team factors are of importance in enabling adaptive capacity, the various attributes of the respective team types prompt differences in the significance of the different factors and indicates that different types of teams could need diverse types of training, structural and relational emphasis in team composition, leadership, and non-technical skills in order to optimize everyday functionality and adaptive capacity.
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spelling doaj.art-df9d6992bfda4f4d8abb6cdda28948b62023-07-06T18:31:13ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-07-011410.3389/fpsyg.2023.11422861142286No size fits all – a qualitative study of factors that enable adaptive capacity in diverse hospital teamsBirte Fagerdal0Hilda Bø Lyng1Veslemøy Guise2Janet E. Anderson3Siri Wiig4Faculty of Health Sciences, SHARE – Centre for Resilience in Healthcare, University of Stavanger, Stavanger, NorwayFaculty of Health Sciences, SHARE – Centre for Resilience in Healthcare, University of Stavanger, Stavanger, NorwayFaculty of Health Sciences, SHARE – Centre for Resilience in Healthcare, University of Stavanger, Stavanger, NorwayDepartment of Anesthesiology and Perioperative Medicine, Monash University, Melbourne, VIC, AustraliaFaculty of Health Sciences, SHARE – Centre for Resilience in Healthcare, University of Stavanger, Stavanger, NorwayIntroductionResilient healthcare research studies how healthcare systems and stakeholders adapt and cope with challenges and changes to enable high quality care. By examining how performance emerges in everyday work in different healthcare settings, the research seeks to receive knowledge of the enablers for adaptive capacity. Hospitals are defined as complex organizations with a large number of actors collaborating on increasingly complexity tasks. Consequently, most of today’s work in hospitals is team based. The study aims to explore and describe what kind of team factors enable adaptive capacity in hospital teams.MethodsThe article reports from a multiple embedded case study in two Norwegian hospitals. A case was defined as one hospital containing four different types of teams in a hospital setting. Data collection used triangulation of observation (115 h) and interviews (30), followed by a combined deductive and inductive analysis of the material.ResultsThe study identified four main themes of team related factors for enabling adaptive capacity; (1) technology and tools, (2) roles, procedures, and organization of work, (3) competence, experience, knowledge, and learning, (4) team culture and relations.DiscussionInvestigating adaptive capacity in four different types of teams allowed for consideration of a range of team types within healthcare and how the team factors vary within and across these teams. All of the four identified team factors are of importance in enabling adaptive capacity, the various attributes of the respective team types prompt differences in the significance of the different factors and indicates that different types of teams could need diverse types of training, structural and relational emphasis in team composition, leadership, and non-technical skills in order to optimize everyday functionality and adaptive capacity.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1142286/fullresilienceresilient healthcareadaptive capacityteamsteamworkquality
spellingShingle Birte Fagerdal
Hilda Bø Lyng
Veslemøy Guise
Janet E. Anderson
Siri Wiig
No size fits all – a qualitative study of factors that enable adaptive capacity in diverse hospital teams
Frontiers in Psychology
resilience
resilient healthcare
adaptive capacity
teams
teamwork
quality
title No size fits all – a qualitative study of factors that enable adaptive capacity in diverse hospital teams
title_full No size fits all – a qualitative study of factors that enable adaptive capacity in diverse hospital teams
title_fullStr No size fits all – a qualitative study of factors that enable adaptive capacity in diverse hospital teams
title_full_unstemmed No size fits all – a qualitative study of factors that enable adaptive capacity in diverse hospital teams
title_short No size fits all – a qualitative study of factors that enable adaptive capacity in diverse hospital teams
title_sort no size fits all a qualitative study of factors that enable adaptive capacity in diverse hospital teams
topic resilience
resilient healthcare
adaptive capacity
teams
teamwork
quality
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1142286/full
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AT veslemøyguise nosizefitsallaqualitativestudyoffactorsthatenableadaptivecapacityindiversehospitalteams
AT janeteanderson nosizefitsallaqualitativestudyoffactorsthatenableadaptivecapacityindiversehospitalteams
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