Translating Resilience into Healthcare Practice

Resilience in healthcare is more relevant than ever. Global health crises, increasing service complexity, resource constraints, shortages of qualified professionals, and rapid technological development all demand continuous adaptation from stakeholders at every level of the healthcare system. Amid these challenges, ensuring high-quality care requires a deeper understanding of how systems, teams, and individuals respond and adapt. This book explores resilience as a multilevel phenomenon and positions adaptive capacity as the cornerstone of care quality. It expands the perspective of resilience beyond frontline staff to include patients and families, managers, teams, organizations, and policymakers as stakeholders in maintaining and improving healthcare quality. With its findings from the Resilience in Healthcare research program (RiH, 2018-2024), a large-scale international study, this book addresses knowledge gaps and real-world challenges. It presents a view of what enables resilient performance across healthcare systems and settings, from regulatory bodies and policy institutions to hospitals, primary care, nursing homes, and home care services. It provides the reader with examples, frameworks, and lessons learned that support cross-sector learning and practical implementation. Translating Resilience into Healthcare Practice is an essential read for researchers, educators, and professionals working in healthcare quality and safety, resilience engineering, human factors, medicine, nursing, and social care.

Siri Wiig is Professor and Centre Director at SHARE - Centre for Resilience in Healthcare, at the University of Stavanger (UiS), Norway. Dr Wiig is full Professor of Quality and Safety in Healthcare Systems at UiS; Adjunct Professor at Western Norway University of Applied Sciences, Norway; Senior Adviser at Stavanger University Hospital, Norway; and Honorary Professor at Australian Institute of Health Innovation, Macquarie University, Australia and at the University of Wollongong, Australia. Her main research interests are resilient healthcare, risk regulation, leadership and learning in high-risk industry. Cecilie Haraldseid-Driftland is an Associate Professor at the University of Stavanger, Norway. Her research explores how to strengthen learning and leadership in health services through operationalizing resilience in healthcare. She is interested in collaborative learning practices and has extensive experience in co-designing and evaluating digital tools for healthcare professionals. Hilda Bø Lyng is an Associate Professor at the University of Stavanger, Norway. Her research concentrates on resilience in healthcare, implementation, innovation and knowledge transfer. Her recent work concerns theory development. Veslemøy Guise is an Associate Professor at the University of Stavanger, Norway Her main research focus is resilience in healthcare with a focus on patient and stakeholder involvement in adaptations and resilient performance in diverse healthcare contexts. Her research interests also include simulation in healthcare education and practice, especially in support of new ways of working for healthcare professionals. Lene Schibevaag holds a Master's degree in Societal Safety from the University of Stavanger, Norway She is Center Coordinator for SHARE Center for Resilience in Healthcare at the University of Stavanger. Her research centers on patient safety and stakeholder involvement, particularly in regulatory investigations.

- Setting the scene - Status and challenges of the research on adaptive capacity and resilience in healthcare. 2. The CARE model: A research tool for understanding resilience. 3. The resilience journey from definitions to large scale research - how did we get there? 4. Articulating Resilience in Healthcare: Defining the Phenomena and Making Resilience Practical. 5. Building Resilient Team Performance: The Critical Role of Leadership"5: "Building resilient team performance: The critical role of leadership. 6. Measuring Resilience in Healthcare: Challenges and Opportunities. 7. Resilience and human factors - same, same but different. 8. Empowering healthcare professionals with resilience theory. 9. Don't throw the baby out with the bathwater- rethinking incident reporting through a resilient healthcare lens. 10. Patient and family involvement in resilient healthcare - why is it important to ensure high quality care? 11. A framework for mapping stakeholder involvement in resilient healthcare. 12. Next of kin involvement and perspectives of resilient and perspectives of healthcare. 13. The role of leaders as facilitators of resilience in healthcare - old wine in new bottles? 14. Understanding and co-creating resilience through multilevel stakeholder involvement: exemplars from transitional care. 15. Regulatory resilience - mission impossible? 16. Characteristics of resilience in the prehospital critical care setting 17. Characteristics of resilience in the interface between nursing home staff, general practitioners and hospitals. 18. Handling resilience in pandemic crisis in homecare in rural areas. 19. Characteristics of resilient performance in mental health care. 20. Enabling adaptive capacity in different types of hospital teams. 21. Using health technology to support resilient performance in hospital to home context. 22. Developing a framework for collaborative learning in resilient healthcare - the need for structures and planned processes. 23. Lessons learnt from the participatory design approach used for developing the Resilience in Healthcare learning tool. 24. Using Simulation to Leverage Resilience into Practice in Complex Adaptive Systems. 25. The role of pedagogical thinking and adaptive reflexive spaces in resilient healthcare research and practice. 26. Exploring the role of team, organisation, and system factors in adaptive capacity in hospital teams- results from an international cross-country study in Australia, England, Japan, the Netherlands, and Norway. 27. Using action research to promote resilient performance in the Netherlands. 28. The complex problems emerging from individual adaptive behaviour within its silos and possible strategies for solutions. 29. Experiences from supporting resilience in Australian emergency departments. 30. Integrating the micro, meso and macro levels for resilient healthcare: the role of built environment regulations. 31. Engaging citizens in societal resilience: experiences across Europe. 32. Patient safety as multilevel phenomenon, insights from other sectors. 33. Time for resilience in procured critical service? 34. Challenges and opportunities in designing and executing cross-country studies in resilient healthcare. 35. Concluding remarks - the future for research on resilience in healthcare.