Special Issue "Resilience and Improvisation at the Frontlines of Healthcare"
A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".
Deadline for manuscript submissions: closed (31 March 2021).
Interests: health services research; implementation science; organizational change; inter-professional learning; knowledge sharing networks; systems improvement; patient safety; public health systems; mixed-methods research; social network analysis
A key concept in human factors engineering is resilience, which has received increasing attention in the context of healthcare. Resilience focuses on how we can proactively learn from error recovery, rather than reactively searching for causes of error and simplistic remedies. The emphasis of resilience is on preventing errors from being repeated as opposed to an emphasis on human error and error analysis. In other words, resilience shifts the focus from viewing humans (healthcare workers) as a source of error within the healthcare system to one where they can contribute actively toward greater patient safety.
Resilience at the frontlines of healthcare organizations enables the safe delivery of healthcare, despite obstacles. A key source of organizational resilience is improvisation at the frontline, sometimes referred to as ‘workarounds’. Improvisation refers to the ability to develop a solution to an unexpected problem or situation with limited resources or materials at hand. This may involve a clinician contacting a replacement before a shift change to ensure a proper handover or clinicians leveraging the use of telehealth and social media to triage patients based on risk to prevent clinic or ED overflow.
Resilience can be described as a property of individuals and teams within the workplace as well as the whole healthcare organization. When improvisation is left to individual healthcare workers and patient encounters, although the immediate issue may be resolved, the problem is likely to recur. On the other hand, when team and organizational dynamics enable the opportunity to learn from the improvisation of individual healthcare workers and take action to prevent the problem from recurring, it is possible to embed the improvement at an organizational level. Correspondingly, senior leadership commitment to building a culture of safety is a key characteristic of resilient healthcare organizations.
For this IJERPH Special Issue, we welcome submissions on a range of topics relevant to resilience and improvisation at the frontlines of healthcare, including:
- Resilience and workarounds at the frontlines of healthcare under stressful situations;
- Improvisational responses of frontline healthcare workers to the COVID-19 pandemic;
- Psychological and emotional responses of frontline healthcare workers to the COVID-19 pandemic;
- Impact of the work environment on the mental and emotional health of frontline healthcare workers;
- Advances in the use of telehealth and other types of information and communication technologies at the frontlines of patient care delivery;
- Use and influence of social media at the frontlines of healthcare delivery;
- Role of healthcare leadership in developing a culture of safety in healthcare organizations;
- Strategies for developing a learning culture for patient safety and systems improvement;
- Strategies for developing effective interprofessional communication and teamwork in healthcare delivery;
- Strategies for the successful implementation of evidence-based practices to improve safety and quality at the frontlines of healthcare.
All types of submissions, including original research articles, reviews, communications, and case reports, are welcome for this Special Issue. IJERPH operates a single-blind peer review, meaning that the author does not know the identity of the reviewer but the reviewer knows the identity of the author. Authors can recommend potential reviewers. Journal editors will check to make sure that there are no conflict of interests before contacting those reviewers and will not consider those with competing interests. Reviewers are asked to declare any conflicts of interest. Authors can also enter the names of potential peer reviewers they wish to exclude from consideration in the peer review of their manuscript, during the initial submission process. The editorial team will respect these requests so long as this does not interfere with the objective and thorough assessment of the submission.
I look forward to receiving your submissions for this Special Issue.
Prof. Pavani Rangachari
Manuscript Submission Information
Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All papers will be peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.
Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access semimonthly journal published by MDPI.
Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2300 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.
- Frontlines of healthcare
- Social media
- Health information technology
- Interprofessional communication
- Leadership in healthcare
- Safety culture
- Safety climate
- Evidence-based practices
- Healthcare Organizational resilience
- Quality of care
- Patient safety