Resilience of Hospitals in an Age of Disruptions: a Systematic Literature Review on Resources and Capabilities

Overview

Journal Health Syst (Basingstoke)

Date 2024 Aug 23

PMID 39175496

Authors

Nunzia Carbonara

Roberta Pellegrino

Cristina De Luca

Affiliations

Soon will be listed here.

Abstract

Hospitals play a critical role in ensuring continuous and effective healthcare delivery, especially during crises. However, the COVID-19 pandemic exposed vulnerabilities in hospital systems, prompting a need to enhance resilience-the ability to withstand, absorb, respond to, recover from, and learn from disasters. A systematic literature review, grounded in the resource-based view, identified organizational characteristics, in terms of resources and capabilities, and their synergistic effects that bolster hospital resilience. The results demonstrate that digital technologies impact on anticipation and adaptation abilities, organizational capabilities to reorganize roles, tasks, and spaces enhance adaptability, and Inter-organizational collaborations increase the responsiveness of the hospitals. The study provides substantial theoretical and practical contributions. It expands knowledge of hospital resilience in light of recent disruptive events and promotes integration capabilities as determinants for the majority of resilience dimensions. All organisational and inter-organisational collaboration, cooperation, and coordination are deemed crucial for hospital resilience.

References

Sanford N, Lavelle M, Markiewicz O, Reedy G, Rafferty A, Darzi A . Capturing challenges and trade-offs in healthcare work using the pressures diagram: An ethnographic study. Appl Ergon. 2022; 101:103688. DOI: 10.1016/j.apergo.2022.103688. View

Ortiz-Barrios M, Gul M, Lopez-Meza P, Yucesan M, Navarro-Jimenez E . Evaluation of hospital disaster preparedness by a multi-criteria decision making approach: The case of Turkish hospitals. Int J Disaster Risk Reduct. 2020; 49:101748. PMC: 7335495. DOI: 10.1016/j.ijdrr.2020.101748. View

Kozuki N, Ericson K, Marron B, Lainez Y, Miller N . The resilience of integrated community case management in acute emergency: a case study from Unity State, South Sudan. J Glob Health. 2018; 8(2):020602. PMC: 6119813. DOI: 10.7189/jogh.08.020602. View

Veerapen J, McKeown E . Exploration of the views and experiences of research healthcare professionals during their redeployment to clinical roles during the COVID-19 pandemic. J Adv Nurs. 2021; 77(12):4862-4875. PMC: 8447063. DOI: 10.1111/jan.14998. View

Snowdon A, Wright A . Digitally enabled supply chain as a strategic asset for the COVID-19 response in Alberta. Healthc Manage Forum. 2022; 35(2):90-98. PMC: 8841392. DOI: 10.1177/08404704211057525. View

MacKinnon R, Slater D, Pukk-Harenstam K, von Thiele Schwarz U, Stenfors T . Adaptations to practice and resilience in a paediatric major trauma centre during a mass casualty incident. Br J Anaesth. 2021; 128(2):e120-e126. DOI: 10.1016/j.bja.2021.07.024. View

Olcer S, Idris M, Yilmaz-Aslan Y, Brzoska P . "We are taking every precaution to do our part…": a comparative analysis of nursing, palliative and hospice care facilities' websites during the COVID-19 pandemic. BMC Health Serv Res. 2021; 21(1):579. PMC: 8205647. DOI: 10.1186/s12913-021-06586-y. View

Lukasik M, Porebska A . Responsiveness and Adaptability of Healthcare Facilities in Emergency Scenarios: COVID-19 Experience. Int J Environ Res Public Health. 2022; 19(2). PMC: 8775513. DOI: 10.3390/ijerph19020675. View

Zhang J, Qi L . Crisis Preparedness of Healthcare Manufacturing Firms during the COVID-19 Outbreak: Digitalization and Servitization. Int J Environ Res Public Health. 2021; 18(10). PMC: 8160672. DOI: 10.3390/ijerph18105456. View

10.

Zhong S, Clark M, Hou X, Zang Y, FitzGerald G . Development of key indicators of hospital resilience: a modified Delphi study. J Health Serv Res Policy. 2014; 20(2):74-82. DOI: 10.1177/1355819614561537. View

11.

Wiig S, Aase K, Bal R . Reflexive Spaces: Leveraging Resilience Into Healthcare Regulation and Management. J Patient Saf. 2020; 17(8):e1681-e1684. PMC: 8612922. DOI: 10.1097/PTS.0000000000000658. View

12.

Fiske E, Reed Ashcraft K, Hege A, Harmon K . An Interprofessional Course on Trauma-Informed Care. Nurse Educ. 2020; 46(4):E50-E54. DOI: 10.1097/NNE.0000000000000935. View

13.

Chiu C, Sarwal A, Jawed M, Chemarthi V, Shabarek N . Telemedicine experience of NYC Internal Medicine residents during COVID-19 pandemic. PLoS One. 2021; 16(2):e0246762. PMC: 7869991. DOI: 10.1371/journal.pone.0246762. View

14.

Kaleta M, Lasser J, Dervic E, Yang L, Sorger J, Lo Sardo D . Stress-testing the resilience of the Austrian healthcare system using agent-based simulation. Nat Commun. 2022; 13(1):4259. PMC: 9308034. DOI: 10.1038/s41467-022-31766-7. View

15.

Johnson C, Smith J, Harrison H, Hassett R . Exploring learning needs for general practice based pharmacist: Are behavioural and influencing skills needed?. Pharm Pract (Granada). 2020; 18(2):1814. PMC: 7243743. DOI: 10.18549/PharmPract.2020.2.1814. View

16.

Wei H, Roberts P, Strickler J, Webb Corbett R . Nurse leaders' strategies to foster nurse resilience. J Nurs Manag. 2018; 27(4):681-687. DOI: 10.1111/jonm.12736. View

17.

Krasuska M, Williams R, Sheikh A, Franklin B, Heeney C, Lane W . Technological Capabilities to Assess Digital Excellence in Hospitals in High Performing Health Care Systems: International eDelphi Exercise. J Med Internet Res. 2020; 22(8):e17022. PMC: 7463397. DOI: 10.2196/17022. View

18.

Kihlstrom L, Huhtakangas M, Karreinen S, Viita-Aho M, Keskimaki I, Tynkkynen L . "Local cooperation has been the cornerstone": facilitators and barriers to resilience in a decentralized health system during COVID-19 in Finland. J Health Organ Manag. 2022; ahead-of-print(ahead-of-print). DOI: 10.1108/JHOM-02-2022-0069. View

19.

Bhaskar S, Bradley S, Chattu V, Adisesh A, Nurtazina A, Kyrykbayeva S . Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2). Front Public Health. 2020; 8:410. PMC: 7505101. DOI: 10.3389/fpubh.2020.00410. View

20.

Alameddine M, Fouad F, Diaconu K, Jamal Z, Lough G, Witter S . Resilience capacities of health systems: Accommodating the needs of Palestinian refugees from Syria. Soc Sci Med. 2018; 220:22-30. DOI: 10.1016/j.socscimed.2018.10.018. View