TY - JOUR
T1 - Resilience skills as emergent phenomena
T2 - a study of emergency departments in Brazil and the United States
AU - Wachs, Priscila
AU - Saurin, Tarcisio Abreu
AU - Righi, Angela Weber
AU - Wears, Robert Lewis
PY - 2016/9
Y1 - 2016/9
N2 - Although the use of resilience skills (RSs) by emergency department (ED) front-line staff is ubiquitous, the nature and origin of these skills tend to be taken for granted. This study investigates the research question “where do RSs come from”? Case studies in two EDs were undertaken in order to answer the research question: one in Brazil and the other in the United States. The case studies adopted the same data collection and analysis procedures, involving interviews, questionnaires, observations, and analysis of documents. A model for describing RSs as emergent phenomena is proposed. The model indicates that RSs arise from interactions between: work constraints, hidden curriculum, gaps in standardized operating procedures, organizational support for resilience, and RSs themselves. An instantiation of the model is illustrated by a critical event identified from the American ED. The model allows the identification of leverage points for influencing the development of RSs, instead of leaving their evolution purely to chance.
AB - Although the use of resilience skills (RSs) by emergency department (ED) front-line staff is ubiquitous, the nature and origin of these skills tend to be taken for granted. This study investigates the research question “where do RSs come from”? Case studies in two EDs were undertaken in order to answer the research question: one in Brazil and the other in the United States. The case studies adopted the same data collection and analysis procedures, involving interviews, questionnaires, observations, and analysis of documents. A model for describing RSs as emergent phenomena is proposed. The model indicates that RSs arise from interactions between: work constraints, hidden curriculum, gaps in standardized operating procedures, organizational support for resilience, and RSs themselves. An instantiation of the model is illustrated by a critical event identified from the American ED. The model allows the identification of leverage points for influencing the development of RSs, instead of leaving their evolution purely to chance.
KW - Complexity
KW - Emergency department
KW - Resilience engineering
KW - Resilience skills
UR - http://www.scopus.com/inward/record.url?scp=84960158311&partnerID=8YFLogxK
U2 - 10.1016/j.apergo.2016.02.012
DO - 10.1016/j.apergo.2016.02.012
M3 - Article
C2 - 26972019
AN - SCOPUS:84960158311
SN - 0003-6870
VL - 56
SP - 227
EP - 237
JO - Applied Ergonomics
JF - Applied Ergonomics
ER -