Resilience Capability and Capacity in Unexpected Crises: Experiences and Lessons Learned in a Healthcare Organisation during the COVID-19 Pandemic

Abstract

Aim. 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. Background. In times of societal crises, such as the COVID-19 pandemic, the resilience of the healthcare organisation is tested. Method. 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. Results. 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. Conclusion. 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. Implications for Nursing Management. 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.

Adaptive, Persistent, and Available Support: The Crucial Way in Healthcare during Covid-19

“…Several studies highlighted resilience as a main factor for the ability to handle and recuperate from difficult circumstances, for example, Gillberg et al (2023) and Foster (2020) describe resilience as a mental coping mechanism enabling positive adaptation and recuperation despite adversity. According to the Swedish study by Gillberg et al (2023) and the Spanish study by Frias et al (2020), the resilience among the healthcare staff seemed to have been of major importance for how they handled the stress brought on by the pandemic. Further, they claimed that psychological support for healthcare workers could increase their resilience in a situation as challenging as the one brought on by the pandemic.…”

“…This has also been confirmed by previous research. Gillberg et al (2023) and Maunder et al (2021), among others, have highlighted the perception of self-sufficiency or self-efficacy as an important factor for reducing the risk of mental health problems. The results from this study also emphasized the importance of crisis support for recuperation, sustainability, and stamina among the staff, and how the crisis support was focused on increasing the resilience of the staff.…”