From Threatening Chaos to Temporary Order through a Complex Process of Adaptation
A Grounded Theory Study of the Escalation of Intensive Care during the Covid-19 Pandemic
Bibliographic Data
| ID | 15499032 |
|---|---|
| Authors | Camilla Göras (0000-0002-0883-4072, Falun Hospital), Malin Lohela-Karlsson (0000-0002-9376-846X, Uppsala University), Markus Castegren (0000-0002-9292-0298, Uppsala University), Emelie Condén (0000-0003-4525-1623, Uppsala University), Mirjam Ekstedt (0000-0002-4108-391X, Linnaeus University), Petronella Bjurling‐Sjöberg (0000-0003-0245-3057, Uppsala University, corresponding author) |
| Year | 2023 |
| Volume | 20 |
| Issue | 21 |
| Pages | 7019-7019 |
| Publication date | 2023-11-03 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph20217019 |
| PMID | 37947575 |
| OpenAlex | W4388288776 |
| Language | EN |
| Citations received | 2 |
| References cited | 39 |
To ensure high-quality care, operationalize resilience and fill the knowledge gap regarding how to improve the prerequisites for resilient performance, it is necessary to understand how adaptive capacity unfolds in practice. The main aim of this research was to explain the escalation process of intensive care during the first wave of the pandemic from a microlevel perspective, including expressions of resilient performance, intervening conditions at the micro-meso-macrolevels and short- and long-term consequences. A secondary aim was to provide recommendations regarding how to optimize the prerequisites for resilient performance in intensive care. A grounded theory methodology was used. First-person stories from different healthcare professionals (n70) in two Swedish regions were analyzed using the constant comparative method. This resulted in a novel conceptual model (including 6 main categories and 24 subcategories), and 41 recommendations. The conclusion of these findings is that the escalation of intensive care can be conceptualized as a transition from threatening chaos to temporary order through a complex process of adaptation. To prepare for the future, the components of space, stuff, staff, system and science, with associated continuity plans, must be implemented, anchored and communicated to actors at all levels of the system
Adaptation (eye · Business · Conceptual model · Coronavirus disease 2019 (COVID-19 · Epistemology · Grounded theory · Intensive care · Operationalization · Order (exchange · Pandemic · Process (computing · Process management · Psychological resilience · Qualitative research · Resilience (materials science · Sociology · Computer Science · Disaster Management and Resilience · Disaster Response and Management · Medicine · Occupational Health and Safety Research · Psychology · Social Psychology
Risk management in a dynamic society
What Is Resilience and How Can It Be Nurtured? A Systematic Review of Empirical Literature on Organizational Resilience
The first eight months of Sweden’s Covid‐19 strategy and the key actions and actors that were involved
The challenge of complexity in health care
Critical Care Utilization for the Covid-19 Outbreak in Lombardy, Italy
Consolidated criteria for reporting qualitative research (Coreq)
European countries' responses in ensuring sufficient physical infrastructure and workforce capacity during the first Covid-19 wave
Preserving Organizational Resilience, Patient Safety, and Staff Retention during Covid-19 Requires a Holistic Consideration of the Psychological Safety of Healthcare Workers
Naturalistic inquiry
Health systems resilience
Organizational change and everyday health system resilience
| Citations per year | 2 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |