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Resilient performan...
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Bjurling-Sjöberg, Petronella,1968-Uppsala universitet,Vårdvetenskap,Centrum för klinisk forskning i Sörmland (CKFD)
(author)
Resilient performance in healthcare during the COVID-19 pandemic (ResCOV) : study protocol for a multilevel grounded theory study on adaptations, working conditions, ethics and patient safety.
- Article/chapterEnglish2021
Publisher, publication year, extent ...
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2021-12-08
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BMJ,2021
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:du-39051
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https://urn.kb.se/resolve?urn=urn:nbn:se:du-39051URI
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https://doi.org/10.1136/bmjopen-2021-051928DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-108698URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-40871URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-463849URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:148285088URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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INTRODUCTION: Since early 2020, the COVID-19 pandemic has challenged societies and revealed the built-in fragility and dependencies in complex adaptive systems, such as healthcare. The pandemic has placed healthcare providers and systems under unprecedented amounts of strain with potential consequences that have not yet been fully elucidated. This multilevel project aims to explore resilient performance with the purpose of improving the understanding of how healthcare has adapted during the pandemic's rampage, the processes involved and the consequences on working conditions, ethics and patient safety.METHODS: An emerging explorative multilevel design based on grounded theory methodology is applied. Open and theoretical sampling is performed. Empirical data are gathered over time from written narratives and qualitative interviews with staff with different positions in healthcare organisations in two Swedish regions. The participants' first-person stories are complemented with data from the healthcare organisations' internal documents and national and international official documents.ANALYSIS: Experiences and expressions of resilient performance at different system levels and times, existing influencing risk and success factors at the microlevels, mesolevels and macrolevels and inter-relationships and consequences in different healthcare contexts, are explored using constant comparative analysis. Finally, the data are complemented with the current literature to develop a substantive theory of resilient performance during the pandemic.ETHICS AND DISSEMINATION: This project is ethically approved and recognises the ongoing strain on the healthcare system when gathering data. The ongoing pandemic provides unique possibilities to study system-wide adaptive capacity across different system levels and times, which can create an important basis for designing interventions focusing on preparedness to manage current and future challenges in healthcare. Feedback is provided to the settings to enable pressing improvements. The findings will also be disseminated through scientific journals and conferences.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Göras, Camilla,1969-Högskolan Dalarna,Omvårdnad,Department of Anesthesia and Intensive Care Unit, Falun Hospital, Region Dalarna, Falun,Region Dalarna, Sweden;Dalarna University, Sweden,Falun Cent Hosp, Dept Anesthesia & Intens Care Unit, Region Dalarna, Falun, Sweden.;Dalama Univ, Sch Hlth & Welf, Falun, Sweden.(Swepub:hig)caagos
(author)
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Lohela-Karlsson, MalinUppsala universitet,Hälso- och sjukvårdsforskning,Centrum för klinisk forskning, Västerås
(author)
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Nordgren, Lena,Docent,1963-Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Vårdvetenskap(Swepub:uu)lenno418
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Källberg, Ann-SofieHögskolan Dalarna,Omvårdnad,Department of Emergency Medicine, Falun Hospital, Region Dalarna, Falun,Dalarna University, Sweden;Region Dalarna, Sweden,Dalama Univ, Sch Hlth & Welf, Falun, Sweden.;Falun Cent Hosp, Dept Emergency Med, Region Dalarna, Falun, Sweden.(Swepub:du)akg
(author)
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Castegren, Markus,1976-Karolinska Institutet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Karolinska Inst, CLINTEC, Stockholm, Sweden.(Swepub:uu)marca458
(author)
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Condén, Emelie,1979-Uppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)emeco178
(author)
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Holmberg, Mats,Med.Dr.1976-Uppsala universitet,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Uppsala University, Sweden;Region Sörmland, Sweden,CISA,Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV),Centrum för klinisk forskning i Sörmland (CKFD),Linneuniv, Dept Hlth & Caring Sci, Kalmar Växjö, Sweden.(Swepub:lnu)mahoai
(author)
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Ekstedt, Mirjam,ProfessorLinnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Karolinska Institutet, Sweden,ReAction,Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV),Linneuniv, Dept Hlth & Caring Sci, Kalmar Växjö, Sweden.;Karolinska Inst, LIME, Stockholm, Sweden.(Swepub:lnu)miekaa
(author)
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Uppsala universitetVårdvetenskap
(creator_code:org_t)
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In:BMJ Open: BMJ11:122044-6055
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