Multiple meanings of resilience: Health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error

Journal article


Janes, G., Harrison, R., Johnson, J., Simms-Ellis, R., Mills, T. and Lawton, R. (2021). Multiple meanings of resilience: Health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. Journal of Evaluation in Clinical Practice. 28. https://doi.org/10.1111/jep.13555
AuthorsJanes, G., Harrison, R., Johnson, J., Simms-Ellis, R., Mills, T. and Lawton, R.
Abstract

Rationale, aims and objectives:

Consistent data demonstrates negative psychological effects of caregiving on front-line health professionals. Evidence that psychological resilience factors can help minimize distress and the potential for low-cost interventions have created interest in resilience-based development programmes; yet evidence of perceived value amongst health professionals is lacking. This study explored health professionals' experiences and perceptions of a novel, resilience-based intervention designed to pro-actively prepare staff for coping with error; to investigate their perceptions of what resilience meant to them, the relevance of the intervention, and impact of participation on ability to cope with error.

Methods:

Semi-structured interviews 4-6 weeks post intervention with 23 randomly selected participants from seven cohorts (midwives, paediatricians, obstetricians/gynaecologists, paramedics) and trainees (physician associates, mammographers, sonographers). Thematic analysis of interview data.

Findings:

Participants reported various interpretations of, and a shift in perception regarding what the concept of psychological resilience meant to them and their practice. These included for example, resilience as a positive or negative concept and their awareness and response to a range of personal, organizational and system factors influencing personal resilience. They valued the prophylactic, clinically relevant, interactive and applied nature of the intervention; having developed and applied valuable skills beyond the context of involvement in error, noting that individuals needed to be willing to explore their own coping mechanisms and human fallibility to gain maximum benefit. There was also consensus that whilst proactively developing individual levelpsychological resilience is important, so too is addressing the organizational and system factors that affect staff resilience which are outside individual staff control.

Conclusion:

Enhancing resilience appears to be considered useful in supporting staff to prepare for coping with error and the wider emotional burden of clinical work, but such interventions require integration into wider system approaches to reduce the burden of clinical work for health professionals.

KeywordsCoping intervention, error, healthcare professionals, resilience
Year2021
JournalJournal of Evaluation in Clinical Practice
Journal citation28
PublisherWiley
ISSN1365-2753
Digital Object Identifier (DOI)https://doi.org/10.1111/jep.13555
Web address (URL)https://onlinelibrary.wiley.com/doi/full/10.1111/jep.13555
Publication dates
Print04 Mar 2021
Publication process dates
Accepted21 Feb 2021
Deposited05 Dec 2022
Publisher's version
License
File Access Level
Open
Permalink -

https://openresearch.lsbu.ac.uk/item/92vx2

  • 3
    total views
  • 1
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Development of a ‘real-world’ logic model through testing the feasibility of a complex healthcare intervention: the challenge of reconciling scalability and context-sensitivity
Mills, T., Shannon, R., O'Hara, J., Lawton, R. and Sheard, L. Development of a ‘real-world’ logic model through testing the feasibility of a complex healthcare intervention: the challenge of reconciling scalability and context-sensitivity. Evaluation. https://doi.org/10.1177/13563890211068869
Improving patient experience and safety at transitions of care through the Your Care Needs You (YCNY) intervention: a study protocol for a cluster randomised controlled feasibility trial
Baxter, R., Murray, J., O'Hara, J., Hewitt, C., Richardson, G., Cockayne, S., Sheard, L., Mills, T. and Lawton, R. (2022). Improving patient experience and safety at transitions of care through the Your Care Needs You (YCNY) intervention: a study protocol for a cluster randomised controlled feasibility trial. Pilot and Feasibility Studies. 6 (123). https://doi.org/10.1186/s40814-020-00655-5
Improving the safety and experience of transitions from hospital to home: a cluster randomised controlled feasibility trial of the ’Your Care Needs You’ intervention versus usual care
Baxter, R., Murray, J., Cockayne, S., Baird, K., Mandefield, L., Mills, T., Lawton, R., Hewitt, C., Richardson, G., Sheard, L. and O.Hara, J. (2022). Improving the safety and experience of transitions from hospital to home: a cluster randomised controlled feasibility trial of the ’Your Care Needs You’ intervention versus usual care. Pilot and Feasibility Studies. 8 (222). https://doi.org/10.1186/s40814-022-01180-3
A qualitative formative evaluation of a patient facing intervention to improve care transitions for older people moving from hospital to home
Shannon, R., Baxter, R., Hardicre, N., Mills, T., Murray, J., Lawton, R. and O'Hara, J. (2022). A qualitative formative evaluation of a patient facing intervention to improve care transitions for older people moving from hospital to home. Health Expectations. https://doi.org/10.1111/hex.13560
Integration of a clinical pharmacist workforce into newly forming primary care networks: a qualitatively driven, complex systems analysis
Mills, T., Madden, M., Stewart, D., Gough, B. and McCambridge, J. (2022). Integration of a clinical pharmacist workforce into newly forming primary care networks: a qualitatively driven, complex systems analysis. BMJ Open. 12 (11). https://doi.org/10.1136/bmjopen-2022-066025
Early implementation of the structured medication review in England: a qualitative study.
Madden, M., Mills, T., Atkin, K., Stewart, D. and McCambridge, J. (2022). Early implementation of the structured medication review in England: a qualitative study. The British journal of general practice : the journal of the Royal College of General Practitioners. https://doi.org/BJGP.2022.0014
Using qualitative process evaluation in the development of a complex intervention to advance person-centred practice by pharmacists: The Medicines and Alcohol Consultation (MAC)
Madden, M., Morris, S., Stewart, D., Atkin, K., Gough, B., Mills, T. and McCambridge, J. (2021). Using qualitative process evaluation in the development of a complex intervention to advance person-centred practice by pharmacists: The Medicines and Alcohol Consultation (MAC). Social Science and Medicine - Qualitative Research in Health. 1. https://doi.org/10.1016/j.ssmqr.2021.100012
The Association Between Health Care Staff Engagement and Patient Safety Outcomes: A Systematic Review and Meta-Analysis
Janes, G., Mills, T., Budworth, L., Johnson, J. and Lawton, R. (2021). The Association Between Health Care Staff Engagement and Patient Safety Outcomes: A Systematic Review and Meta-Analysis. Journal of Patient Safety. 17 (3), pp. 207-216. https://doi.org/10.1097/PTS.0000000000000807
Can we prepare healthcare professionals and students for involvement in stressful healthcare events? A mixed-methods evaluation of a resilience training intervention
Johnson, J., Simms-Ellis, R., Janes, G., Mills, T., Budworth, L., Atkinson, L. and Reema, H. (2020). Can we prepare healthcare professionals and students for involvement in stressful healthcare events? A mixed-methods evaluation of a resilience training intervention. BMC Health Services Research. 20. https://doi.org/10.1186/s12913-020-05948-2
Improving transitions from hospital to home: Using ‘real world’ logic models to derive learning from a feasibility trial of a ‘hybrid intervention’
Mills, T., Baxter, R., Shannon, R., Murray, J., Lawton, R. and O'Hara, J. (2020). Improving transitions from hospital to home: Using ‘real world’ logic models to derive learning from a feasibility trial of a ‘hybrid intervention’. Health Services Research UK.
Between interventions and systems: A proposal for ‘real world’ logic models
Mills, T. (2019). Between interventions and systems: A proposal for ‘real world’ logic models. Improving Patient Safety Conference. Oct 2019
Developing, implementing and evaluating the Yorkshire Patient Experience Toolkit (PET): How process evaluation can strengthen action research
Mills, T., Lawton, R. and Sheard, L. (2019). Developing, implementing and evaluating the Yorkshire Patient Experience Toolkit (PET): How process evaluation can strengthen action research. Health Services Research UK.
Dialectical thinking and the 'economic determinants' of performance: What Marxism can contribute to health services research in an age of complexity
Mills, T. (2019). Dialectical thinking and the 'economic determinants' of performance: What Marxism can contribute to health services research in an age of complexity. British Sociological Association: Medical Sociology.
National Patient Safety Alerts: An Exploration of How Trusts Coordinate their Responses
Mills, T., Atkinson, L., Janes, G. and Lawton, R. (2019). National Patient Safety Alerts: An Exploration of How Trusts Coordinate their Responses. NHS.
Using patient experience data to develop a patient experience toolkit to improve hospital care: a mixed-methods study
Sheard, L., Marsh, C., Mills, T., Peacock, R., Langley, J., Partridge, R., Gwilt, I. and Lawton, R. (2019). Using patient experience data to develop a patient experience toolkit to improve hospital care: a mixed-methods study. NIHR, Health Services and Delivery Research . https://doi.org/10.3310/hsdr07360
Steering, Knowledge and the Challenge of Governance Evaluation: The Case of National Health Service Governance and Reform in England
Greenwood, D and Mills, T. (2019). Steering, Knowledge and the Challenge of Governance Evaluation: The Case of National Health Service Governance and Reform in England. Administration and Society. 52 (7). https://doi.org/10.1177/0095399719883564
Improving Patient Experience in Hospital Settings: Assessing the Role of Toolkits and Action Research through a Process Evaluation of a Complex Intervention
Mills, T., Lawton, R. and Sheard, L. (2019). Improving Patient Experience in Hospital Settings: Assessing the Role of Toolkits and Action Research through a Process Evaluation of a Complex Intervention. Qualitative Health Research. 29 (14), pp. 2108 - 2118. https://doi.org/10.1177/1049732319855960
Advancing Complexity Theory in Health Services Research: The Logic of Logic Models
Mills, T., Lawton, R. and Sheard, L. (2019). Advancing Complexity Theory in Health Services Research: The Logic of Logic Models. BMC Medical Research Methodology. 19 (55). https://doi.org/10.1186/s12874-019-0701-4
Advancing Complexity Science in Healthcare Research: The Logic of Logic Models
Mills, T., Lawton, R. and Sheard, L. (2018). Advancing Complexity Science in Healthcare Research: The Logic of Logic Models. Health Services Research UK.
Exploring the Economic Dimensions of Complexity: A Post-Positivist Evaluation of Diabetes Policy and Governance
Mills, T. (2017). Exploring the Economic Dimensions of Complexity: A Post-Positivist Evaluation of Diabetes Policy and Governance. "We Need to Talk About Complexity": Oxford University Talks. Green Templeton College, University of Oxford 13 - 14 Jun 2017
Losing Control Again? Power and the quality of working life
Mills, T. and Overell, S. (2010). Losing Control Again? Power and the quality of working life. The Work Foundation.