Literature study from a social ecological perspective on how to create flexibility in healthcare organisations

Gool, Frank van; Theunissen, N.C.M.; Bierbooms, Joyce; Bongers, I.M.B.

doi:10.1080/20479700.2016.1230581

Cited by 14 publications

(12 citation statements)

References 29 publications

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“…Studies [39] [40] reveal the existing high demand of interdisciplinary and transdisciplinary approaches toward investigating the interplay and interrelationships of human and natural systems. Despite the fact that interdisciplinary approaches have used in research for decades [38], the past two decades has seen huge application of SES in explaining the interactions in and between factors in the field of environmental sciences, economics, social sciences as well as medicines and psychology [41] [42]. Scholars on interdisciplinary study of systems provide five levels of interactions that govern the SES [43], interaction levels such as intra-individual, interindividual, organization, community and macropolicy profoundly influence interdependent changes [41].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Despite the fact that interdisciplinary approaches have used in research for decades [38], the past two decades has seen huge application of SES in explaining the interactions in and between factors in the field of environmental sciences, economics, social sciences as well as medicines and psychology [41] [42]. Scholars on interdisciplinary study of systems provide five levels of interactions that govern the SES [43], interaction levels such as intra-individual, interindividual, organization, community and macropolicy profoundly influence interdependent changes [41]. Changes inside an individual in one level influences changes to neighbouring individual and level, hence the mutual influence and effect at one level impacts diversely and variously at another level [44] [45].…”

Section: Literature Reviewmentioning

confidence: 99%

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Analysis of Socio-Ecological Impacts of Built Environment at Dar es Salaam Metropolitan Coastline, Tanzania

Manyama¹,

Hepelwa²,

Nahonyo³

2019

JSS

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This paper analyzed and mapped the impact of built environment (BE) on socio-ecological services along Dar es Salaam metropolitan coastline. In the period of 1995-2016, burgeoning population exacerbated high rate of construction processes and activities. Such anthropic initiatives affect the benefits and values delivered by landscape wetlands, estuaries, beach areas, open space and greenery patches in Dar es Salaam coastline. Motivated to understanding socio-ecological impacts (SEIs) of BE along the coastline; the study applied focus group discussions (FGDs) method to identify SEIs, and their category as either positive or negative. Using analytical hierarchy process (AHP) generated weight to each SEIs; thereafter combined that weight with landuse landcover (LULC) change statistics of each of the 67 wards involved in the study. Mapping results of geographically weighted regression and inverse distance weighting (IDW) interpolation (ArcMap v10.3) displayed the variables relationship magnitudes and distribution in positive and negative SEIs for year 1995, 2005 and 2016. logical and social systems [4]. Such intertwining feedbacks results in complex systemic relationship, termed as socio-ecological system (SES) [5] [6] [7].Existence of human desire for improved economic and social services in SES are external stimuli to coastline resources utilization hence degradation of ecological system [5]. Studies [8] explain that coastline, also referred to as coastal zone, ranges from 60 to 200 kilometre inland and 50 m depth of ocean water system. In between exists highly fertile areas like continental shelf, estuaries and wetlands at both low and high tide periods [9]; these fertile characters are a reason for dominant human perturbation in such areas [10] [11]. While [12] justified the relationship of anthropogenic activities and coastal zone, little has done to disclose the existing link of BE and its impact on SES.BE as a product of construction activities [13], in the search for suitable and comfortable places for recreation, residence and work; impacts the landscape by aggravating vegetation cover clearance, waste generation and permanent consumption of a piece of land [14] [15]. The habitat loss and fragmentation caused by such impacts account significantly for biodiversity loss. According to [16], the functioning of biodiversity species are greatly the determinant of the quality and quantity of services derived from SES. Thus, state of landscape loss or gain of such biological component is a socio-ecological impact (SEI) that alters SES functioning capacity [17]. Scholars such as [18] and [19] typify that some of the positive SEIs include cooling, shadow, air filtration, climate variability and flood prevention by trees; pollinations by avian and arthropods species as well as medicines and food from both fauna and flora.However, irreversible anthropic construction activities provoke landscape environmental challenges as result of megacities development processes and activities [20] [21]. In the search for quality prod...

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Analysis of Socio-Ecological Impacts of Built Environment at Dar es Salaam Metropolitan Coastline, Tanzania

Manyama¹,

Hepelwa²,

Nahonyo³

2019

JSS

View full text Add to dashboard Cite

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“…Mobility is then a permanent characteristic of the flexible organization (Sopelana et al. , 2014; van Gool et al. , 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Flexibility is defined as the ability to respond quickly to changing conditions and manifests on three organizational levels (Roberts and Stockport, 2009;Sopelana et al, 2014;van Gool et al, 2017;Volberda, 1997). The first level is the organizational direction, also known as strategic flexibility.…”

Section: Introductionmentioning

confidence: 99%

Whether and how top management create flexibility in mental healthcare organizations: COVID-19 as a test case

Gool

Bongers

Bierbooms

et al. 2022

JHOM

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PurposeFlexibility is essential for healthcare organizations to anticipate the increasing internal and external dynamics. Mental healthcare organizations in the Netherlands face major policy reforms made by the government, increasing involvement from municipalities and gradual replacement of clinical care with outpatient care. Top management plays an important strategic role in creating this flexibility because they make important choices, give direction and structure the organization. To create flexibility, managers have to deal with complexity and paradoxes. In this study, the authors aim to contribute to the knowledge on how healthcare managers can create flexibility in their organizations.Design/methodology/approachThis is a qualitative empirical field study. In total, 21 managers of mental healthcare organizations participated in open in-depth interviews. The authors explored flexibility on three perspectives: organizational direction, structure and operations. The COVID-19 pandemic has provided an opportunity to explore flexibility. The authors asked participants to reflect on their organization's response to the pandemic.FindingsMost mental healthcare organizations create flexibility in an implicit way. Flexibility and resilience are closely linked mechanisms. Flexibility ensures a quick response while resilience provides the counterforce and rebound needed to adapt. Adaption ensures that healthcare professionals learn from their experiences and do not return completely to the way things were done before. The primary urge to survive ensured rapid and adequate responses to the COVID-19 pandemic. Whether this is a manifestation of flexibility remains difficult to conclude.Practical implicationsThe complexity theory offers some guidance in creating a flexible organization without losing consistency. Flexibility and resilience are closely linked mechanisms that antagonize and protect each other. With this insight, managers in mental healthcare can utilize the qualities and balance them without falling into the various pitfalls.Originality/valueIn this research, the authors are concerned with flexibility as a proactive attitude and capacity of organizations. By looking at the response of organizations to the COVID-19 crisis, the authors find out that responding to a disaster out of survival instinct is something else than flexibility. There is an interesting relationship between flexibility, resilience and adaptability, and they can balance each other.

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“…Adapting to continuous change (van Gool et al , 2017) in a dynamic healthcare environment (Heij et al , 2013; Pipe et al , 2012; Poiesz and Caris, 2010) is as an essential and proactive ability. Flexibility within a team (defined as small groups of people committed to a common purpose, with complementary skills and who agreed on performance goals (Borkowski, 2011)) is important for adapting to changing demands from clients and other stakeholders (Heij et al , 2013).…”

Section: Introductionmentioning

confidence: 99%

Realistic evaluation of the Flexmonitor, a team program to maintain and reflect on flexibility

Gool

Bierbooms

Janssen

et al. 2020

JHOM

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PurposeFlexibility is necessary in a dynamic healthcare environment. However, balancing flexibility and consistency is difficult for healthcare teams, especially when working in threatening conditions. Methods are needed to help teams create, monitor and maintain flexibility.Design/methodology/approachThis study evaluates a practice-based program –– the Flexmonitor – which aims to help teams develop and maintain flexibility. Here, realistic evaluation was used to refine the program and define building blocks for future programs.FindingsThe Flexmonitor can be used to monitor implicit criteria and differences in interpretation and beliefs among team members to promote flexibility. It also monitors team behavior and the effects of this behavior on self-defined indicators. Using the Flexmonitor, team members can discuss their beliefs and the definitions and criteria of flexibility. Strikingly, teams were not able to effectively self-manage their flexibility using the Flexmonitor.Originality/valueThis article contributes to our knowledge of self-managing teams, particularly the question of whether team members can take responsibility for team flexibility.

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Literature study from a social ecological perspective on how to create flexibility in healthcare organisations

Cited by 14 publications

References 29 publications

Analysis of Socio-Ecological Impacts of Built Environment at Dar es Salaam Metropolitan Coastline, Tanzania

Analysis of Socio-Ecological Impacts of Built Environment at Dar es Salaam Metropolitan Coastline, Tanzania

Whether and how top management create flexibility in mental healthcare organizations: COVID-19 as a test case

Realistic evaluation of the Flexmonitor, a team program to maintain and reflect on flexibility

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