Gillberg Nanna, Ahlstrom Linda, Erichsen Andersson Annette, Fallman Sara L, Degl'Innocenti Alessio, Jonsdottir Ingibjörg H, Wijk Helle, Wikström Ewa
The School of Business, Economics and Law, Department of Business Administration, University of Gothenburg, Gothenburg, Sweden.
The Sahlgrenska Academy, Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
J Nurs Manag. 2023 May 23;2023:6418267. doi: 10.1155/2023/6418267. eCollection 2023.
The current article aims to gain insight into (a) what characterises organisational resilience during an unexpected crisis such as COVID-19 and (b) how organisations respond to developments in their environments.
In times of societal crises, such as the COVID-19 pandemic, the resilience of the healthcare organisation is tested.
This research is based on a case study in a university hospital and a county hospital in Sweden using surveys with both structured and open answers.
The result shows ambiguity and "polarised" experiences, emphasising flexibility vs. structure, clear hierarchical information vs. spaces for peer learning through dialogue, and focus on acute care vs. determination to continue with core operations.
The article concludes that the pandemic resulted in paradoxes, tensions, and new experiences in organisational processes and interactions. These create opportunities for learning not only during crises but also for improving nursing management in both acute and planned care. Three relations are important in building organisational resilience in crises: resilience capability, resilience capacity, and sustainable resilience practices. . Organisational resilience under extraordinary circumstances, such as a pandemic, as well as enhancing the previous literature on nursing management that offer a more individually oriented perspective.
本文旨在深入了解（a）在诸如新冠疫情这样的意外危机期间，组织韧性的特征是什么，以及（b）组织如何应对其环境中的变化。
在社会危机时期，如新冠疫情大流行期间，医疗保健组织的韧性受到考验。
本研究基于瑞典一家大学医院和一家县医院的案例研究，采用了既有结构化答案又有开放式答案的调查。
结果显示存在模糊性和“两极分化”的体验，强调灵活性与结构化、清晰的层级信息与通过对话进行同行学习的空间，以及专注于急性护理与决心继续开展核心业务之间的矛盾。
本文得出结论，疫情在组织流程和互动中导致了矛盾、紧张关系和新的体验。这些不仅在危机期间创造了学习机会，也为改善急性护理和计划护理中的护理管理创造了机会。在危机中建立组织韧性方面，有三个关系很重要：韧性能力、韧性容量和可持续的韧性实践。在诸如大流行这样的特殊情况下的组织韧性，以及丰富了以往关于护理管理的文献，这些文献提供了一个更以个体为导向的视角。
