Langi Sasongko Praiseldy, Vrielink Hans, de Bruijne Martine
Department of Public and Occupational Health Amsterdam UMC, Location VUmc Amsterdam the Netherlands.
Department of Unit Transfusion Medicine Sanquin Blood Supply Foundation Amsterdam the Netherlands.
Health Sci Rep. 2024 Jul 14;7(7):e2171. doi: 10.1002/hsr2.2171. eCollection 2024 Jul.
The COVID-19 pandemic has revealed the importance of organizational resilience, the ability to effectively respond to a disruptive event before, during, and after it occurs. Team improvisation is an important component of organizational resilience as it describes characteristics of team skills and contextual qualities to create order from chaos. In Spring 2020, the Dutch national blood bank, began the convalescent plasma project (CCP). We aimed to study which elements of team improvisation in the CCP group were found and how lessons learned can contribute towards a non-crisis situation for blood establishments.
Using Vera and Crossan's framework of improvisation, semi-structured interviews with eight members of the CCP group were conducted. This was simultaneous to performing a document analysis of 21 Intranet posts and seven internal reports. MAXDA 2020 was used to conduct deductive and inductive thematic analyses.
The CCP group showed strong characteristics of expertise and memory, teamwork quality, experimental culture, and real-time information and communication that enabled them to improvise in all aspects of the donation process. Improvisation examples included comprehensive communication methods to identify and obtain new donors, asking additional intake questions and collecting additional aliquots to store while waiting for an internal antibody test to be developed, and regulatory respondents allowing a flexible change control procedure to meet the pace of the crisis. Training was evident to a lesser degree.
While improvisation impacted set routines and procedures, the safety and quality of the product were not affected. Regarding organizational resilience, our results showed that the CCP group "coped" well using elements of team improvisation. Blood establishments may consider introducing improvisational training and innovation teams throughout the organization for future preparedness and improving organizational resilience.
新冠疫情揭示了组织韧性的重要性，即组织在破坏性事件发生之前、期间和之后有效应对的能力。团队即兴发挥是组织韧性的一个重要组成部分，因为它描述了团队技能和情境特质的特征，以便在混乱中创造秩序。2020年春季，荷兰国家血库启动了康复期血浆项目（CCP）。我们旨在研究CCP团队中发现了哪些团队即兴发挥的要素，以及所吸取的经验教训如何有助于血库应对非危机情况。
采用维拉和克罗斯兰的即兴发挥框架，对CCP团队的八名成员进行了半结构化访谈。与此同时，对21篇内部网帖子和7份内部报告进行了文件分析。使用MAXDA 2020进行演绎和归纳主题分析。
CCP团队展现出专业知识与记忆、团队合作质量、实验文化以及实时信息与沟通等强大特质，使他们能够在捐赠过程的各个方面进行即兴发挥。即兴发挥的例子包括采用全面的沟通方法来识别和获取新捐赠者，提出额外的采集问题并收集额外的等分样本以便在等待内部抗体检测开发期间储存，以及监管部门允许灵活的变更控制程序以跟上危机的节奏。培训方面的体现程度较低。
虽然即兴发挥影响了既定的常规和程序，但产品的安全性和质量并未受到影响。关于组织韧性，我们的结果表明CCP团队利用团队即兴发挥的要素“应对”得很好。血库可能会考虑在整个组织中引入即兴发挥培训和创新团队，以备未来之需并提高组织韧性。
