Understanding the resilience of healthcare is critically important. A resilient system might be expected to consistently deliver high quality care, withstand disruptive events and continually adapt, learn improve. However, there are many different theories, models definitions most contested debated in literature. Clear unambiguous conceptual important for both theoretical practical considerations any phenomenon, no exception. large international research programme on Resilience Healthcare...

Abstract Background The Covid-19 pandemic introduced a global crisis for the healthcare systems. Research has paid particular attention to hospitals and intensive care units. However, nursing homes home services in charge of highly vulnerable group patients have also been forced adapt transform ensure safety staff; yet they not received enough research attention. This paper aims explore how leaders used innovative solutions handle resilient performance during times disruption major...

Abstract Background Resilience in healthcare is the capacity to adapt challenges and changes maintain high-quality care across system levels. While stakeholders such as patients, informal carers, professionals service managers have all come be acknowledged important co-creators of resilient healthcare, our knowledge understanding who, how, which contexts different facilitate support resilience still lacking. This study addresses gaps research by conducting a stakeholder analysis identify...

Most health care services are provided in the primary sector, and an increasing number of elderly is need these services. Nonetheless, research on patient safety culture home nursing homes remains scarce. This study describes staff perceptions Norwegian homes, assesses how various dimensions contribute to explaining overall safety. Cross-sectional surveys were conducted among healthcare professionals (N = 139) 165) 2018, response rates being 67.5% 65%, respectively. A version international...

To assess the relationship between transformational leadership, job demands, resources, patient safety culture and work engagement in home care services.Cross-sectional survey.Healthcare professionals Norwegian services participated study (N = 139). Multiple regression analyses with as outcomes resources predictors were conducted.The leadership model explained 35.7% of variance culture. Adding demands to increased 53.5%. The resource "skill utilization" was strongest predictor engagement....

Abstract Background Management, culture and systems for better quality patient safety in hospitals have been widely studied Norway. Nursing homes home care, however received much less attention. An increasing number of people need health services nursing at home, the are struggling with fragmentation discontinuity restricted resource availability. The aim study was to explore current challenges work as perceived by managers employees care services. Method is a multiple explorative case two...

Abstract Background Transformational leadership style is considered to be of importance increase patient safety, facilitate a balance between job resources and demands, create sound safety culture within health care services. However, there limited research assessing these associations the context nursing homes. The aim this study was assess association transformational leadership, demands resources; employees’ overall perception in Method A cross-sectional survey employees four Norwegian...

Abstract Background The delivery of high-quality service in nursing homes and homecare requires collaboration shared understanding among managers, employees, users policy makers from across the healthcare system. However, conceptualizing professionals’ perception quality beyond hospital settings (e.g., its perspectives, defining attributes, dimensions, contextual factors, dilemmas) has rarely been done. This study therefore explores meaning “quality” managers staff homecare. Methods applies...

Theories of learning are clear importance to resilience in healthcare since the ability successfully adapt and improve patient care is closely linked understand what happens why. Learning from both positive negative events crucial. While several tools approaches for adverse have been developed, successful scarce. Theoretical anchoring, understanding mechanisms, establishing foundational principles pivotal strategies when designing interventions develop or strengthen resilient performance....

Nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation impact quality safety interventions most research evidence so far generated in hospitals. Additionally, there effective leadership tools for improvement work this context.

Objective Although many contextual factors can facilitate or impede primary care managers’ work with quality and safety, research on how these influences the continuous improvement efforts is scarce. This study explored managers experience impact of a variety their daily safety work. Design The has qualitative design. Nine semistructured interviews were conducted at participants’ workplaces. Systematic text condensation was used for analysis. Setting Five nursing homes three home services in...

To describe the design of a leadership intervention for nursing home and care, including guide managers to use in their quality safety improvement work. The paper reports results from pilot test describes final programme. Qualitative design, using participation stakeholders. were designed collaboration with researchers, coresearchers homes care organisations, through workshops focus group interviews. consisted three working on guide, facilitated observed by evaluated means observation...

Abstract Aim To examine how transformational leadership, job demands, resources and patient safety culture contribute in explaining person‐centred care nursing homes home services. Design Cross‐sectional study. Methods Healthcare professionals four Norwegian ( N = 165) services 139) participated 2018. Multiple regression analyses were used to what degree dimensions predicted care. Results Transformational demands explained 41% of the variance care, with work pace as strongest predictor β...

Purpose To discuss how managers contribute in promoting resilience healthcare, and to suggest a model of managers' role supporting elaborate on future research implementation studies can use this further operationalize the concept promote healthcare resilience. Design/methodology/approach The authors first provide an overview main approaches management Second, examples work during one-year Norwegian longitudinal intervention study following nursing homes homecare services their daily quality...

Abstract Background Quality in healthcare is a subject need of continuous attention. improvement (QI) programmes with the purpose increasing service quality are therefore priority for leaders and governments. This study explores implementation process two different QI programmes, one externally driven internally driven, Norwegian nursing homes home care services. The aim was to identify enablers barriers processes homecare services, furthermore explore if identified or similar across...

There is currently a lack of tools that focus on strengthening resilient performance healthcare systems through learning from positive events. Such are needed to operationalize and translate resilience in and, thus, advance the field patient safety by both negative events outcomes. The purpose this study describe developmental process one such tool enable operationalization aid future development. development featured complex, multi-step, design involvement range different stakeholders. A...

Aims: The aim of this study was to investigate whether a workplace educational low back pain intervention had an effect on sick leave at the individual level and identify possible predictors intervention. Methods: Work units in two municipalities were cluster randomized (a) meetings peer support (45 units), (b) meetings, access outpatient clinic if needed (48 units) or (c) control group (42 units). Both groups attended with information about based non-injury model. A adviser selected from...

Purpose This study aims to explore nursing home and care managers’ strategies in handling the COVID-19 pandemic. Design/methodology/approach has a qualitative design with semistructured individual interviews conducted digitally by videophone (Zoom). Eight managers from homes five services located large urban municipality eastern Norway participated. Systematic text condensation methodology was used for analysis. Findings The several handle challenges related pandemic, including being...

The associations between socioeconomic status (SES), physical and psychosocial workload health are well documented. According to Cognitive Activation Theory of Stress (CATS), learned response outcome expectancies (coping, helplessness, hopelessness) also important contributors health. This is in part as independent factors for health, but coping may function a buffer against the impact different demands have on health.The purpose this study was investigate relative effect SES (as measured by...

The concept of safety culture in healthcare-a that enables staff and patients to be free from harm-is characterized by complexity, multifacetedness, indefinability. Over the years, disparate unclear definitions have resulted a proliferation measurement tools, with lack consensus on how can best measured improved. A growing challenge is also achieving sufficient response rates, due "survey fatigue," need for survey optimisation never being more acute. In this paper, we discuss key challenges...

The objective of this study was to explore occupational rehabilitation clinicians' experiences on how approach their participants long-term sick leave in order facilitate return work (RTW).An exploratory qualitative design used. Four focus groups were conducted with 29 clinicians working interdisciplinary inpatient and outpatient teams Norway. shared narratives from clinical practice. Transcripts analysed, results reported by use systematic text condensation.The used several approaches RTW...

The objective of this paper is to develop a context-mapping tool (SAFE-LEAD Context) adapted the nursing home and homecare setting. These two contexts represent substantial variability, but studies focusing on types roles contextual factors in quality safety these care settings are lacking. We conducted step-wise collaborative design process consisting mapping key as perceived by managers Norwegian homes homecare, then created draft discussed consortium workshop with co-researchers, ran an...