Corbaz-Kurth Sandrine, Juvet Typhaine M, Benzakour Lamyae, Cereghetti Sara, Fournier Claude-Alexandre, Moullec Gregory, Nguyen Alice, Suard Jean-Claude, Vieux Laure, Wozniak Hannah, Pralong Jacques A, Weissbrodt Rafaël, Roos Pauline
Haute École Arc Santé, University of Applied Sciences and Arts Western Switzerland (HES-SO), Delémont and Neuchâtel, Switzerland.
Geneva University Hospitals, Geneva, Switzerland.
Saf Sci. 2022 Nov;155:105879. doi: 10.1016/j.ssci.2022.105879. Epub 2022 Jul 22.
COVID-19 had a huge impact on healthcare systems globally. Institutions, care teams and individuals made considerable efforts to adapt their practices. The present longitudinal, mixed-methods study examined a large sample of healthcare institution employees in Switzerland. Organisational resilience processes were assessed by identifying problematic real-world situations and evaluating how they were managed during three phases of the pandemic's first year. Results highlighted differences between resilience processes across the different types of problematic situations encountered by healthcare workers. Four configurations of organisational resilience were identified depending on teams' performance and ability to adapt over time: "learning from mistakes", "effective development", "new standards" and "hindered resilience". Resilience trajectories differed depending on professional categories, hierarchical status and the problematic situation's perceived severity. Factors promoting or impairing organisational resilience are discussed. Findings highlighted the importance of individuals', teams' and institutions' - and micro-level adaptations and macro-level actors' structural actions.
新冠疫情对全球医疗体系产生了巨大影响。各机构、医护团队和个人都付出了巨大努力来调整他们的做法。本纵向混合方法研究调查了瑞士大量医疗保健机构员工。通过识别现实世界中的问题情况，并评估在疫情第一年的三个阶段中这些情况是如何得到处理的，来评估组织的复原力过程。结果突出了医护人员在不同类型问题情况下复原力过程的差异。根据团队的表现和随时间适应的能力，确定了四种组织复原力配置：“从错误中学习”、“有效发展”、“新标准”和“复原力受阻”。复原力轨迹因职业类别、层级地位以及问题情况的感知严重程度而异。讨论了促进或损害组织复原力的因素。研究结果突出了个人、团队和机构以及微观层面适应和宏观层面行动者结构行动的重要性。
