Department of Surgery and Cancer

Organisational Resilience

Project summary

This research examines and evaluates the concept of organisational resilience within healthcare, focusing on infection prevention and control as a tracer issue. Our overall aim is to understand the factors relating to resilience, to assist healthcare organisations to make the cultural and system changes required to improve the safety of care delivered to patients, specifically infection prevention outcomes.

The concept of resilience has been explored in other research disciplines, such as psychology, ecology and information technology. Analogies have been drawn between resilience in these domains and organisational resilience, where resilience is understood as the ability of organizations to respond effectively to significant change over time. The research field, as it stands currently, is limited by the low number of empirical studies that exist. The majority of resilience research is theoretically focused, with an emphasis on describing frameworks or models that have yet to be tested. Given the intense national focus on infection prevention, this study will extend this research field using multimethods research at local and national level.

Aim

Our principle aim is to improve our understanding of the concept of organisational resilience in acute healthcare in the UK. The research will focus on the area of infection prevention and control. The research has the following objectives:

  • A systematic understanding of the concept of organisational resilience in relation to infection prevention and control
  • An examination of organisational resilience applied to a case study organisation
  • An exploration of the impact of external agencies on organisational resilience
  • Preparation, validation, pilot and UK rollout of an organisational resilience questionnaire relating to infection outbreak management in the UK acute hospital setting

Method

We are using a multi-method approach as outlined in the table below:

Method

Analysis

Description

Qualitative

Thematic analysis

Organisational resilience literature review

Quantitative

PRISMA(1) and Edwards et al.(2)  systematic review methodology

Systematic Review: ‘Reducing the extent of infection pandemics and epidemics in acute health care by organisational resilience interventions: a systematic review.’

Qualitative

Inductive thematic analysis

Case Study: ‘A sensemaking perspective on an unexpected infection event.’

Qualitative

Inductive thematic Foucauldian analysis

National Study: ‘Increasing hospital resilience to infections through the recruitment of ICT to design a web-based Foucauldian surveillance mechanism: disciplinary accountability or democratic transparency?’

Quantitative

Principal components analysis

UK Survey: Development, Testing and Analysis of an Organisational Resilience Infection Outbreak Survey (ORIOS) for acute healthcare organisations

Project team

Project outputs

Coming shortly

Project funder

NIHR small logo

Project start and end dates

September 2008 - July 2012

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