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dc.contributor.authorBerg, Siv Hilde
dc.contributor.authorAkerjordet, Kristin
dc.contributor.authorEkstedt, Mirjam
dc.contributor.authorAase, Karina
dc.date.accessioned2021-04-28T13:14:36Z
dc.date.available2021-04-28T13:14:36Z
dc.date.created2018-09-20T16:04:28Z
dc.date.issued2018-12
dc.identifier.citationBerg, S.H., Akerjordet, K., Ekstedt, M., Aase, K. (2018) Methodological strategies in resilient health care studies: An integrative review, Safety Science, 110(A), pp. 300-312.
dc.identifier.issn0925-7535
dc.identifier.urihttps://hdl.handle.net/11250/2740207
dc.description.abstractResilient healthcare research focuses on everyday clinical work and a system’s abilities to adopt or absorb disturbing conditions as opposed to risk management approaches, which are based on retrospective analyses of errors. After more than a decade of theoretical development and a large quantity of empirical work, the field of resilience is beginning to recognize the methodological challenges related to operationalizing and designing studies of complexity. This paper reviews a sample of empirical articles on studies of resilient healthcare to describe and synthesize their methodological strategies. The review found that data collection by resilient healthcare studies has predominantly been conducted at the micro level (e.g. frontline clinical staff). Data sources at the meso level (i.e. hospital/institution) have been limited, and no studies were found that collected macro-level data. We argue that the methodological focus in the field should increase its embrace of complexity and the adaptive capacities of the system as a whole by integrating data sources at the micro, meso, and macro levels. To improve the methodological designs, we argue that the resilience construct, in which the complexity of multiple levels is integrated, must be developed. Improving the transparency and quality of future resilient healthcare research might be accomplished by reporting thorough descriptions of analytical strategies, in-depth descriptions of research design and sampling strategies, and discussing internal and external validity and reflexivity.
dc.language.isoeng
dc.titleMethodological strategies in resilient health care studies: An integrative review
dc.typePeer reviewed
dc.typeJournal article
dc.description.versionpublishedVersion
dc.source.pagenumber300-312
dc.source.volume110
dc.source.journalSafety Science
dc.identifier.doi10.1016/j.ssci.2018.08.025
dc.identifier.cristin1611679
dc.relation.projectNorges forskningsråd: 275367
dc.relation.projectHelse Vest RHF: 911846
dc.relation.projectSHARE - Centre for Resilience in Healthcare: 5091
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


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