On collective improvisation in crisis management – A scoping study analysis

Frykmer, Tove; Uhr, Christian; Tehler, Henrik

doi:10.1016/j.ssci.2018.02.028

Cited by 30 publications

(15 citation statements)

References 95 publications

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“… 6 , 9 Standard forms of innovation require planning and funding, often impossible when responding to an unforeseen event like the COVID-19 pandemic. 10 , 11 As discussed in the introduction, the term improvisation rather than innovation has been used in crisis management, 10 – 13 as organisations are required to be creative by using, adjusting and recombining existing resources, structures and processes to manage the impact of a crisis. 14 In these circumstances, resistance to change is limited as there is an acceptance that ‘normal’ rules no longer apply and a collective identity develops, as seen in this study, with clinicians no longer working in professional silos and previously resisted technology being used.…”

Section: Discussionmentioning

confidence: 99%

“… 6 A more ubiquitous definition, also used in healthcare, 7 , 8 defines innovation more broadly as ‘an idea, practice or object that is perceived as new’ so a change in practice may be novel even if the same approach has been used elsewhere (p.12). 9 In crisis management, innovation can incorporate ‘improvisation’, 10 – 13 which involves organisations using, adjusting and recombining existing resources, structures and processes to manage the impact of a crisis. 14 In this paper, the term innovation is used as a broad umbrella term that includes ‘improvisation’ and practice change.…”

Section: Introductionmentioning

confidence: 99%

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‘Necessity is the mother of invention’: Specialist palliative care service innovation and practice change in response to COVID-19. Results from a multinational survey (CovPall)

et al. 2021

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Background: Specialist palliative care services have a key role in a whole system response to COVID-19, a disease caused by the SARS-CoV-2 virus. There is a need to understand service response to share good practice and prepare for future care. Aim: To map and understand specialist palliative care services innovations and practice changes in response to COVID-19. Design: Online survey of specialist palliative care providers (CovPall), disseminated via key stakeholders. Data collected on service characteristics, innovations and changes in response to COVID-19. Statistical analysis included frequencies, proportions and means, and free-text comments were analysed using a qualitative framework approach. Setting/participants: Inpatient palliative care units, home nursing services, hospital and home palliative care teams from any country. Results: Four hundred and fifty-eight respondents: 277 UK, 85 Europe (except UK), 95 World (except UK and Europe), 1 missing country. 54.8% provided care across 2+ settings; 47.4% hospital palliative care teams, 57% in-patient palliative care units and 57% home palliative care teams. The crisis context meant services implemented rapid changes. Changes involved streamlining, extending and increasing outreach of services, using technology to facilitate communication, and implementing staff wellbeing innovations. Barriers included; fear and anxiety, duplication of effort, information overload and funding. Enablers included; collaborative teamwork, staff flexibility, a pre-existing IT infrastructure and strong leadership. Conclusions: Specialist palliative care services have been flexible, highly adaptive and have adopted low-cost solutions, also called ‘frugal innovations’, in response to COVID-19. In addition to financial support, greater collaboration is essential to minimise duplication of effort and optimise resource use. ISRCTN16561225 https://doi.org/10.1186/ISRCTN16561225

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

‘Necessity is the mother of invention’: Specialist palliative care service innovation and practice change in response to COVID-19. Results from a multinational survey (CovPall)

et al. 2021

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“…Complexity theory claims that emergence is inherent in all organizational phenomena [7,10,[33][34][35], which creates incentives to prepare the system to be able to reach its goals even in unforeseen radically uncertain events. Operating in radical uncertainty requires flexibility [36][37][38][39][40][41][42][43][44] and professionals that are able, and allowed, to use experience and professional knowledge in creative and novel ways to change processes on the go when circumstances change [39,[45][46][47]. Thus, according to RE, pre-defined work descriptions, or the formalized WAP dimension of work, could never completely guide decision-making [42].…”

Section: Complexity As a Prerequisitementioning

confidence: 99%

Barriers towards Resilient Performance among Public Critical Infrastructure Organizations: The Refugee Influx Case of 2015 in Sweden

Degerman

2021

Infrastructures

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During the autumn of 2015, Europe experienced a sharp increase in refugee influx, and many refugees arrived in the European Øresund Region. Refugees travelled through Denmark and over the Øresund Bridge, arriving in the third largest city in Sweden, Malmö. Private, public and voluntary organizations in Malmö had to change the way they worked to meet the new entry demands. Flexible adaptations to changing circumstances can be described as resilient performance and are supported or hindered by societal and organizational drivers and barriers. Qualitative interview data from Swedish organizations managing the refugee reception in Malmö were analyzed through the theoretical lens of Resilience Engineering (RE). The analysis results showed that necessary adaptations were not supported by the managerial design of the responsible public organizations. The analysis also showed that preconditions created from societal steering hinders value responsiveness at the public management level, i.e., the public management level has barriers towards becoming familiar with the organization’s value structures. Familiarity with the system value and goal structure is essential for an efficient prioritizing of conflicting goals, which is why it is suggested that this aspect be explicitly included in RE principles.

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“…Much of disaster response management research has focused on describing and explaining various phenomena, such as emergence (Quarantelli et al 1966;Dynes 1970;David 2006), improvisation (Wachtendorf 2004;Frykmer et al 2018), and sensemaking (Weick 1988;Combe and Carrington2015). The research has thus been concerned with how the world works (with respect to disaster management).…”

Section: A Design Science Approach To Research On Emergency and Disasmentioning

confidence: 99%

Advancing the Field of Disaster Response Management: Toward a Design Science Approach

Frykmer

Tehler

Uhr

et al. 2021

Int J Disaster Risk Sci

Self Cite

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Multiorganizational response to emergencies and disasters requires collaboration. How to improve the collective response is therefore an essential question, but not easy to answer. In disaster research, normative research with a focus on providing evidence for how to improve professional practice has traditionally received less attention than explanatory ones. The aim of this article, using insights from design science where normative research is more common, is to suggest a complementary approach to response management research. Our approach, which combines experimental and explanatory research, is applied to a study of goal alignment. Goal alignment among response actors is often recommended despite literature’s contradictory evidence regarding its effect. We conducted an experiment with 111 participants, who, in groups of three, played a computer game under one of two conditions (goal alignment or not). Our results show that aligning goals did not improve the outcome in the game. Although this may serve as a counterargument to implementing goal alignment interventions, there are concerns with such conclusions. These reservations include, but are not limited to, the lack of validated models to use in experiments. Nevertheless, our suggested research approach and the goal alignment experiment highlight the importance of testing interventions and their effectiveness before implementation.

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On collective improvisation in crisis management – A scoping study analysis

Cited by 30 publications

References 95 publications

‘Necessity is the mother of invention’: Specialist palliative care service innovation and practice change in response to COVID-19. Results from a multinational survey (CovPall)

‘Necessity is the mother of invention’: Specialist palliative care service innovation and practice change in response to COVID-19. Results from a multinational survey (CovPall)

Barriers towards Resilient Performance among Public Critical Infrastructure Organizations: The Refugee Influx Case of 2015 in Sweden

Advancing the Field of Disaster Response Management: Toward a Design Science Approach

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