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Open Access 01-12-2024 | Research

Identifying, categorising, and mapping actors involved in resilience in healthcare: a qualitative stakeholder analysis

Authors: Veslemøy Guise, Mary Chambers, Hilda Bø Lyng, Cecilie Haraldseid-Driftland, Lene Schibevaag, Birte Fagerdal, Heidi Dombestein, Eline Ree, Siri Wiig

Published in: BMC Health Services Research | Issue 1/2024

Abstract

Background

Resilience in healthcare is the capacity to adapt to challenges and changes to maintain high-quality care across system levels. While healthcare system stakeholders such as patients, informal carers, healthcare professionals and service managers have all come to be acknowledged as important co-creators of resilient healthcare, our knowledge and understanding of who, how, and in which contexts different stakeholders come to facilitate and support resilience is still lacking. This study addresses gaps in the research by conducting a stakeholder analysis to identify and categorise the stakeholders that are key to facilitating and sustaining resilience in healthcare, and to investigate stakeholder relationships relevant for the enactment of resilient healthcare systems.

Methods

The stakeholder analysis was conducted using a sample of 19 empirical research projects. A narrative summary was written for 14 of the projects, based on publicly available material. In addition, 16 individual interviews were undertaken with researchers from the same sample of 19 projects. The 16 interview transcripts and 14 narratives made up the data material of the study. Application of stakeholder analysis methods was done in three steps: a) identification of stakeholders; b) differentiation and categorisation of stakeholders using an interest/influence grid; and c) investigation and mapping of stakeholder relationships using an actor-linkage matrix.

Results

Identified stakeholders were Patients, Family Carers, Healthcare Professionals, Ward/Unit Managers, Service or Case Managers, Regulatory Investigators, Policy Makers, and Other Service Providers. All identified stakeholders were categorised as either ‘Subjects’, ‘Players’, or ‘Context Setters’ according to their level of interest in and influence on resilient healthcare. Stakeholder relationships were mapped according to the degree and type of contact between the various groups of stakeholders involved in facilitating resilient healthcare, ranging from ‘Not linked’ to ‘Fully linked’.

Conclusion

Family carers and healthcare professionals were found to be the most active groups of stakeholders in the enactment of healthcare system resilience. Patients, managers, and policy makers also contribute to resilience to various degrees. Relationships between stakeholder groups are largely characterised by communication and coordination, in addition to formal collaborations where diverse actors work together to achieve common goals.

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Wiig S, Aase K, Billett S, Canfield C, Røise O, Njå O, Guise V, Haraldseid-Driftland C, Ree E, Anderson JE, et al. Defining the boundaries and operational concepts of resilience in the resilience in healthcare research program. BMC Health Serv Res. 2020;20(1):330. https://doi.org/10.1186/s12913-020-05224-3.CrossRefPubMedPubMedCentral

Hollnagel E, Wears RL, Braithwaite J. From safety-I to safety-II: a white paper. The Resilient Health Care Net: published simultaneously by the University of Southern Denmark University of Florida U, and Macquarie University, Australia; 2015. https://www.england.nhs.uk/signuptosafety/wp-content/uploads/sites/16/2015/10/safety-1-safety-2-whte-papr.pdf.

Lyng HB, Macrae C, Guise V, Haraldseid-Driftland C, Fagerdal B, Schibevaag L, Alsvik JG, Wiig S. Balancing adaptation and innovation for resilience in healthcare - a metasynthesis of narratives. BMC Health Serv Res. 2021;21(1):759. https://doi.org/10.1186/s12913-021-06592-0.CrossRefPubMedPubMedCentral

Bergström J, van Winsen R, Henriqson E. On the rationale of resilience in the domain of safety: a literature review. Reliab Eng Syst Saf. 2015;141:131–41. https://doi.org/10.1016/j.ress.2015.03.008.CrossRef

Guise V, Aase K, Chambers M, Canfield C, Wiig S. Patient and stakeholder involvement in resilient healthcare: an interactive research study protocol. BMJ Open. 2021;11(6):e049116. https://doi.org/10.1136/bmjopen-2021-049116.CrossRefPubMedPubMedCentral

Gittell JH. Relationships and resilience: care provider responses to pressures from managed care. J Appl Behav Sci. 2008;44(1):25–47. https://doi.org/10.1177/0021886307311469.CrossRef

Gittell JH. High performance healthcare: using the power of relationships to achieve quality, efficiency and resilience. 1st ed. New York: McGraw-Hill; 2009.

Gittell JH. Rethinking autonomy: relationships as a source of resilience in a changing healthcare system. Health Services Research. 2016;51(5):1701–5. https://doi.org/10.1111/1475-6773.12578.CrossRefPubMedPubMedCentral

Gittell JH, Godfrey M, Thistlethwaite J. Interprofessional collaborative practice and relational coordination: improving healthcare through relationships. J Interprof Care. 2013;27(3):210–3. https://doi.org/10.3109/13561820.2012.730564.CrossRefPubMed

10.

Fagerdal B, Lyng HB, Guise V, Anderson JE, Thornam PL, Wiig S. Exploring the role of leaders in enabling adaptive capacity in hospital teams – a multiple case study. BMC Health Serv Res. 2022;22(1):908. https://doi.org/10.1186/s12913-022-08296-5.CrossRefPubMedPubMedCentral

11.

Salwei ME, Carayon P, Hundt AS, Hoonakker P, Agrawal V, Kleinschmidt P, Stamm J, Wiegmann D, Patterson BW. Role network measures to assess healthcare team adaptation to complex situations: the case of venous thromboembolism prophylaxis. Ergonomics. 2019;62(7):864–79. https://doi.org/10.1080/00140139.2019.1603402.CrossRefPubMedPubMedCentral

12.

Bertoni VB, Saurin TA, Fogliatto FS, Falegnami A, Patriarca R. Monitor, anticipate, respond, and learn: developing and interpreting a multilayer social network of resilience abilities. Safety Sci. 2021;136:105148. https://doi.org/10.1016/j.ssci.2020.105148.CrossRef

13.

Nemeth C, Wears R, Woods D, Hollnagel E, Cook R. Minding the gaps: creating resilience in health care. In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in patient safety: new directions and alternative approaches. Volume 3: Performance and Tools. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008.

14.

Bergerød IJ, Braut GS, Wiig S. Resilience from a stakeholder perspective: the role of next of kin in cancer care. J Patient Saf. 2020;16(3):e205–10. https://doi.org/10.1097/PTS.0000000000000532.CrossRefPubMed

15.

Bergerød IJ, Gilje B, Braut GS, Wiig S. Next-of-kin involvement in improving hospital cancer care quality and safety - a qualitative cross-case study as basis for theory development. BMC Health Serv Res. 2018;18(1):324. https://doi.org/10.1186/s12913-018-3141-7.CrossRefPubMedPubMedCentral

16.

Fylan B, Armitage G, Naylor D, Blenkinsopp A. A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience. BMJ Qual Saf. 2018;27(7):539–46. https://doi.org/10.1136/bmjqs-2017-006813.CrossRefPubMed

17.

O’Hara JK, Canfield C, Aase K. Patient and family perspectives in resilient healthcare studies: a question of morality or logic? Saf Sci. 2019;120:99–106. https://doi.org/10.1016/j.ssci.2019.06.024.CrossRef

18.

O’Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families ‘reaching in’ as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3–6. https://doi.org/10.1136/bmjqs-2018-008216.CrossRefPubMed

19.

Lyng HB, Ree E, Wibe T, Wiig S. Healthcare leaders’ use of innovative solutions to ensure resilience in healthcare during the Covid-19 pandemic: a qualitative study in Norwegian nursing homes and home care services. BMC Health Serv Res. 2021;21(1):878. https://doi.org/10.1186/s12913-021-06923-1.CrossRefPubMedPubMedCentral

20.

Sanford N, Lavelle M, Markiewicz O, Reedy G, Rafferty AM, Darzi A, Anderson JE. Capturing challenges and trade-offs in healthcare work using the pressures diagram: an ethnographic study. Appl Ergon. 2022;101:103688. https://doi.org/10.1016/j.apergo.2022.103688.CrossRefPubMed

21.

Sanford N, Lavelle M, Markiewicz O, Reedy G, Rafferty AM, Darzi A, Anderson JE. Understanding complex work using an extension of the resilience CARE model: an ethnographic study. BMC Health Serv Res. 2022;22(1):1126. https://doi.org/10.1186/s12913-022-08482-5.CrossRefPubMedPubMedCentral

22.

Clarkson MBE. A stakeholder framework for analyzing and evaluating corporate social performance. Acad Manag Rev. 1995;20(1):92–117. https://doi.org/10.2307/258888.CrossRef

23.

Bryson JM. What to do when stakeholders matter. Public Manag Rev. 2004;6(1):21–53. https://doi.org/10.1080/14719030410001675722.CrossRef

24.

Chambers M, Storm M. Resilience in healthcare: a modified stakeholder analysis. In: Wiig S, Fahlbruch B, editors. Exploring resilience - a scientific journey from practice to theory. Cham: Springer Nature; 2019. p. 113–9.CrossRef

25.

Aase K, Guise V, Billett S, Sollid SJM, Njå O, Røise O, Manser T, Anderson JE, Wiig S. Resilience in Healthcare (RiH): a longitudinal research programme protocol. BMJ Open. 2020; 10(e038779) https://doi.org/10.1136/bmjopen-2020-038779.

26.

Varvasovszky Z, Brugha R. A stakeholder analysis. Health Policy Plan. 2000;15(3):338–45. https://doi.org/10.1093/heapol/15.3.338.CrossRefPubMed

27.

Brugha R, Varvasovszky Z. Stakeholder analysis: a review. Health Policy Plan. 2000;15(3):239–46. https://doi.org/10.1093/heapol/15.3.239.CrossRefPubMed

28.

Reed MS, Graves A, Dandy N, Posthumus H, Hubacek K, Morris J, Prell C, Quinn CH, Stringer LC. Who’s in and why? A typology of stakeholder analysis methods for natural resource management. J Environ Manag. 2009;90(5):1933–49. https://doi.org/10.1016/j.jenvman.2009.01.001.CrossRef

29.

Gilmour J, Beilin R. Stakeholder mapping for effective risk assessment and communication. Australian Centre for Excellence in Risk Analysis (ACERA); 2007. https://cebra.unimelb.edu.au/__data/assets/pdf_file/0006/2220990/gilmour0609.pdf.

30.

Franco-Trigo L, Marqués-Sánchez P, Tudball J, Benrimoj SI, Martínez-Martínez F, Sabater-Hernández D. Collaborative health service planning: a stakeholder analysis with social network analysis to develop a community pharmacy service. Res Soc Adm Pharm. 2020;16(2):216–29. https://doi.org/10.1016/j.sapharm.2019.05.008.CrossRef

31.

Bertoni VB, Saurin TA, Fogliatto FS. How to identify key players that contribute to resilient performance: a social network analysis perspective. Saf Sci. 2022;148:105648. https://doi.org/10.1016/j.ssci.2021.105648.CrossRef

32.

Braithwaite J, Plumb J. Exposing hidden aspects of resilience and brittleness in everyday clinical practice using network theories. In: Wears RL, Hollnagel E, Braithwaite J, editors. Resilient health care: the resilience of everyday clinical work, vol. 2. UNITED KINGDOM: Ashgate; 2015. p. 115–28.

33.

Braithwaite J, Clay-Williams R, Hunte GS, Wears RL. Understanding resilient clinical practices in emergency department ecosystems. In: Braithwaite J, Wears RL, Hollnagel E, editors. Resilient health care: reconciling work-as-imagined and work-as-done, vol. 3. CRC Press; 2017. p. 115–28.

34.

Saunes IS, Karanikolos M, Sagan A. Norway: health system review, Health systems in transition. In., vol. 22. Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies; 2020.

35.

Lyng HB, Macrae C, Guise V, Haraldseid-Driftland C, Fagerdal B, Schibevaag L, Alsvik JG, Wiig S. Exploring the nature of adaptive capacity for resilience in healthcare across different healthcare contexts; a metasynthesis of narratives. Appl Ergon. 2022;104:103810. https://doi.org/10.1016/j.apergo.2022.103810.CrossRefPubMed

36.

Foster CJ, Plant KL, Stanton NA. Adaptation as a source of safety in complex socio-technical systems: a literature review and model development. Saf Sci. 2019;118:617–31. https://doi.org/10.1016/j.ssci.2019.05.035.CrossRef

37.

Anderson JE, Ross AJ, Macrae C, Wiig S. Defining adaptive capacity in healthcare: a new framework for researching resilient performance. Appl Ergon. 2020;87:103111. https://doi.org/10.1016/j.apergo.2020.103111.CrossRefPubMed

38.

Berg SH, Akerjordet K, Ekstedt M, Aase K. Methodological strategies in resilient health care studies: an integrative review. Saf Sci. 2018; 110(Part A):300-12. https://doi.org/10.1016/j.ssci.2018.08.025.

39.

Berg SH, Aase K. Resilient characteristics as described in empirical studies on health care. In: Wiig S, Fahlbruch B, editors. Exploring resilience - a scientific journey from practice to theory. Cham: Springer Nature; 2019. p. 79–89.CrossRef

40.

Wiig S, Haraldseid-Driftland C, Dombestein H, Lyng HB, Ree E, Fagerdal B, Schibevaag L, Guise V. Backstage researching resilience researchers – dilemmas and principles for data collection in the resilience in healthcare research program. Int J Health Governance. 2022;28(1):46–54. https://doi.org/10.1108/IJHG-07-2022-0068.CrossRef

41.

Macrae C, Wiig S. Resilience: from practice to theory and back again. In: Wiig S, Fahlbruch B, editors. Exploring resilience: a scientific journey from practice to theory. Cham: Springer Nature; 2019. p. 121–8.CrossRef

42.

Greene MJ. On the inside looking in: methodological insights and challenges in conducting qualitative insider research. Qual Rep. 2014; 19(29):1-13. https://doi.org/10.46743/2160-3715/2014.1106.

43.

McDermid F, Peters K, Jackson D, Daly J. Conducting qualitative research in the context of pre-existing peer and collegial relationships. Nurse Researcher. 2014;21(5):28–33. https://doi.org/10.7748/nr.21.5.28.e1232.CrossRefPubMed

44.

Bekhet AK, Zauszniewski JA. Methodological triangulation: an approach to understanding data. Nurse Res. 2012;20(2):40–3. https://doi.org/10.7748/nr2012.11.20.2.40.c9442.CrossRefPubMed

45.

Lyng HB, Macrae C, Guise V, Haraldseid-Driftland C, Fagerdal B, Schibevaag L, Wiig S. Capacities for resilience in healthcare; a qualitative study across different healthcare contexts. BMC Health Serv Res. 2022;22:474. https://doi.org/10.1186/s12913-022-07887-6.CrossRefPubMedPubMedCentral

46.

Franco-Trigo L, Fernandez-Llimos F, Martínez-Martínez F, Benrimoj SI, Sabater-Hernández D. Stakeholder analysis in health innovation planning processes: a systematic scoping review. Health Policy. 2020;124(10):1083–99. https://doi.org/10.1016/j.healthpol.2020.06.012.CrossRefPubMed

47.

Ackermann F, Eden C. Strategic management of stakeholders: theory and practice. Long Range Plan. 2011;44(3):179–96. https://doi.org/10.1016/j.lrp.2010.08.001.CrossRef

48.

Biggs S, Matsaert H. An actor-oriented approach for strengthening research and development capabilities in natural resource systems. Public Adm Dev. 1999;19(3):231–62. https://doi.org/10.1002/(SICI)1099-162X(199908)19:3%3c231.CrossRef

49.

Biggs S, Matsaert H. Strengthening poverty reduction programmes using an actor oriented approach: examples from natural resources innovation systems Overseas development institute (ODI), Agricultural research & extension network (AgREN); 2004. https://cdn.odi.org/media/documents/8260.pdf.

50.

Harris JK, Luke DA, Burke RC, Mueller NB. Seeing the forest and the trees: using network analysis to develop an organizational blueprint of state tobacco control systems. Soc Sci Med. 2008;67(11):1669–78. https://doi.org/10.1016/j.socscimed.2008.07.013.CrossRefPubMed

51.

Schoen MW, Moreland-Russell S, Prewitt K, Carothers BJ. Social network analysis of public health programs to measure partnership. Soc Sci Med. 2014;123:90–5. https://doi.org/10.1016/j.socscimed.2014.10.057.CrossRefPubMed

52.

Meld. St. 47. The Coordination Reform - Proper treatment - at the right place and right time. In Norwegian: Samhandlinsgreformen: Rett behandling - på rett sted - til rett tid Ministry of Health and Care Services; 2008-2009. https://www.regjeringen.no/en/dokumenter/report.no.-47-to-the-storting-2008-2009/id567201/.

53.

Ellis LA, Churruca K, Clay-Williams R, Pomare C, Austin EE, Long JC, Grødahl A, Braithwaite J. Patterns of resilience: a scoping review and bibliometric analysis of resilient health care. Saf Sci. 2019;118:241–57. https://doi.org/10.1016/j.ssci.2019.04.044.CrossRef

54.

Iflaifel M, Lim RH, Ryan K, Crowley C. Resilient health care: a systematic review of conceptualisations, study methods and factors that develop resilience. BMC Health Serv Res. 2020;20(1):324. https://doi.org/10.1186/s12913-020-05208-3.CrossRefPubMedPubMedCentral

55.

Travaglia JF, Nugus PI, Greenfield D, Westbrook JI, Braithwaite J. Visualising differences in professionals’ perspectives on quality and safety. BMJ Qual Saf. 2012;21(9):778–83. https://doi.org/10.1136/bmjqs-2011-051755.CrossRefPubMed

56.

Wiig S, Aase K, von Plessen C, Burnett S, Nunes F, Weggelaar AM, Anderson-Gare B, Calltorp J, Fulop N, the Quaser-team. Talking about quality: exploring how ‘quality’ is conceptualized in European hospitals and healthcare systems. BMC Health Serv Res. 2014; 14(1):478. https://doi.org/10.1186/1472-6963-14-478.

57.

Brasaite I, Kaunonen M, Martinkenas A, Suominen T. Health care professionals’ attitudes regarding patient safety: cross-sectional survey. BMC Res Notes. 2016;9(1):177. https://doi.org/10.1186/s13104-016-1977-7.CrossRefPubMedPubMedCentral

58.

Aase I, Ree E, Johannessen T, Strømme T, Ullebust B, Holen-Rabbersvik E, Thomsen LH, Schibevaag L, van de Bovenkamp H, Wiig S. Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare. BMC Health Serv Res. 2021;21(1):104. https://doi.org/10.1186/s12913-021-06104-0.CrossRefPubMedPubMedCentral

59.

Fylan B, Marques I, Ismail H, Breen L, Gardner P, Armitage G, Blenkinsopp A. Gaps, traps, bridges and props: a mixed-methods study of resilience in the medicines management system for patients with heart failure at hospital discharge. BMJ Open. 2019;9(2):e023440. https://doi.org/10.1136/bmjopen-2018-023440.CrossRefPubMedPubMedCentral

60.

Tillbrook D, Absolom K, Sheard L, Baxter R, O’Hara JK. What do patients and their carers do to support the safety of cancer treatment and care? a scoping review. J Patient Saf. 2022;18(8):779–87. https://doi.org/10.1097/PTS.0000000000001031.CrossRefPubMedPubMedCentral

61.

Hahn-Goldberg S, Jeffs L, Troup A, Kubba R, Okrainec K. “We are doing it together”; the integral role of caregivers in a patients’ transition home from the medicine unit. PLoS One. 2018;13(5): e0197831. https://doi.org/10.1371/journal.pone.0197831.CrossRefPubMedPubMedCentral

62.

Merner B, Hill S, Taylor M. “I’m trying to stop things before they happen”: Carers’ contributions to patient safety in hospitals. Qual Health Res. 2019;29(10):1508–18. https://doi.org/10.1177/1049732319841021.CrossRefPubMedPubMedCentral

63.

Law S, Ormel I, Babinski S, Kuluski K, Quesnel-Vallee A. “Caregiving is like on the job training but nobody has the manual”: Canadian caregivers’ perceptions of their roles within the healthcare system. BMC Geriatr. 2021;21(1):404. https://doi.org/10.1186/s12877-021-02354-z.CrossRefPubMedPubMedCentral

64.

Gittell JH, Seidner R, Wimbush J. A relational model of how high-performance work systems work. Organ Sci. 2010;21(2):490–506. https://doi.org/10.1287/orsc.1090.0446.CrossRef

65.

Havens DS, Vasey J, Gittell JH, Lin W-T. Relational coordination among nurses and other providers: impact on the quality of patient care. J Nurs Manag. 2010;18(8):926–37. https://doi.org/10.1111/j.1365-2834.2010.01138.x.CrossRefPubMed

66.

Wiig S, Aase K, Bal R. Reflexive spaces: leveraging resilience into healthcare regulation and management. J Patient Saf. 2021;17(8):e1681. https://doi.org/10.1097/pts.0000000000000658.CrossRefPubMed

67.

Ree E, Ellis LA, Wiig S. Managers’ role in supporting resilience in healthcare: a proposed model of how managers contribute to a healthcare system’s overall resilience. Int J Health Gov. 2021;26(3):266–80. https://doi.org/10.1108/IJHG-11-2020-0129.CrossRef

68.

Ree E, Wiig S, Seljemo C, Wibe T, Lyng HB. Managers’ strategies in handling the COVID-19 pandemic in Norwegian nursing homes and homecare services. Leadersh Health Serv. 2022;36(2):200–18. https://doi.org/10.1108/LHS-05-2022-0052.CrossRef

69.

Johannessen T, Ree E, Aase I, Bal R, Wiig S. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis for theory development. BMC Health Serv Res. 2020;20(1):277. https://doi.org/10.1186/s12913-020-05149-x.CrossRefPubMedPubMedCentral

70.

Berg SH, Rørtveit K, Walby FA, Aase K. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. BMC Health Serv Res. 2022;22(1):967. https://doi.org/10.1186/s12913-022-08282-x.CrossRefPubMedPubMedCentral

71.

Ellis LA, Churruca K, Braithwaite J. Mental health services conceptualised as complex adaptive systems: what can be learned? Int J Mental Health Syst. 2017;11(1):43. https://doi.org/10.1186/s13033-017-0150-6.CrossRef

72.

Smaggus A, Long JC, Ellis LA, Clay-Williams R, Braithwaite J. Government actions and their relation to resilience in healthcare during the COVID-19 pandemic in New South Wales, Australia and Ontario, Canada. Int J Health Policy Manag. 2022;11(9):1682–94. https://doi.org/10.34172/ijhpm.2021.67.CrossRefPubMed

73.

Øyri SF. Healthcare regulation and resilience: a Norwegian multilevel case study. [PhD Thesis] Brage: University of Stavanger; 2021: No.595 https://uis.brage.unit.no/uis-xmlui/handle/11250/2766250.

74.

Øyri SF, Wiig S. Linking resilience and regulation across system levels in healthcare – a multilevel study. BMC Health Serv Res. 2022;22(1):510. https://doi.org/10.1186/s12913-022-07848-z.CrossRefPubMedPubMedCentral

75.

Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Qual Saf. 2020;29(10):1. https://doi.org/10.1136/bmjqs-2019-010610.CrossRefPubMedPubMedCentral

76.

Anderson JE. Theorising health system resilience and the role of government policy- challenges and future directions; Comment on “Government actions and their relation to resilience in healthcare during the COVID-19 pandemic in New South Wales, Australia and Ontario, Canada.” Int J Health Policy Manag. 2022;11(9):1960–3. https://doi.org/10.34172/ijhpm.2022.7364.CrossRefPubMedPubMedCentral

77.

Øyri SF, Wiig S. Articulating concepts matters! Resilient actions in the Norwegian governmental response to the COVID-19 pandemic; Comment on “Government actions and their relation to resilience in healthcare during the COVID-19 pandemic in New South Wales, Australia and Ontario, Canada.” Int J Health Policy Manag. 2022;11(9):1945–8. https://doi.org/10.34172/ijhpm.2022.6892.CrossRefPubMedPubMedCentral

78.

Aase K. Successful outcomes for whom and for what? Comment on “Government actions and their relation to resilience in healthcare during the COVID-19 pandemic in New South Wales, Australia and Ontario, Canada.” Int J Health Policy Manag. 2022;11(9):1953–5. https://doi.org/10.34172/ijhpm.2022.6944.CrossRefPubMedPubMedCentral

79.

Leistikow IP, Bal R. Government actions and their relation to resilience in healthcare; what we see is not always what we get; Comment on “Government actions and their relation to resilience in healthcare during the COVID-19 pandemic in New South Wales, Australia and Ontario, Canada.” Int J Health Policy Manag. 2022;11(9):1942–4. https://doi.org/10.34172/ijhpm.2021.170.CrossRefPubMed

80.

O'Hara JK, Canfield C. The future of engaging patients and families for patient safety. Lancet. 2023; 0(0). https://doi.org/10.1016/S0140-6736(23)01908-6.

81.

Haraldseid-Driftland C, Lyng HB, Guise V, Waehle HV, Schibevaag L, Ree E, Fagerdal B, Baxter R, Ellis LA, Braithwaite J, Wiig S. Learning does not just happen: establishing learning principles for tools to translate resilience into practice, based on a participatory approach. BMC Health Serv Res. 2023;23(1):646. https://doi.org/10.1186/s12913-023-09653-8.CrossRefPubMedPubMedCentral

82.

Mitchell RK, Agle BR, Wood DJ. Toward a theory of stakeholder identification and salience: Defining the principle of who and what really counts. Acad Manag Rev. 1997;22(4):853–86. https://doi.org/10.2307/259247.CrossRef

83.

Wood DJ, Mitchell RK, Agle BR, Bryan LM. Stakeholder identification and salience after 20 years: progress, problems, and prospects. Bus Soc. 2018;60(1):196–245. https://doi.org/10.1177/0007650318816522.CrossRef

Title: Identifying, categorising, and mapping actors involved in resilience in healthcare: a qualitative stakeholder analysis
Authors: Veslemøy Guise
Mary Chambers
Hilda Bø Lyng
Cecilie Haraldseid-Driftland
Lene Schibevaag
Birte Fagerdal
Heidi Dombestein
Eline Ree
Siri Wiig
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-024-10654-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Identifying, categorising, and mapping actors involved in resilience in healthcare: a qualitative stakeholder analysis

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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