Optimising health system capacity: A case study of community care staff's role transition in response to the coronavirus pandemic.
Journal article
Martin, A. and Hatzidimitriadou, E. 2021. Optimising health system capacity: A case study of community care staff's role transition in response to the coronavirus pandemic. Health & Social Care in the Community. https://doi.org/10.1111/hsc.13653
Authors | Martin, A. and Hatzidimitriadou, E. |
---|---|
Abstract | The coronavirus disease (COVID-19) increased the demand for critical care spaces and the task for individual countries was to optimise the capacity of their health systems. Correlating governance and health system capacity to respond to global crises has subsequently garnered the pace in reviewing normalised forms of identifying health priorities. Aligning global health security and universal health security enhances the capacity and resilience of a health system. However, weak methods of governance hinder the alignment necessary for controlling infection spread and coping with the increase in demand for hospital critical care. A range of qualitative studies has explored staff experiences of providing care in hospitals amidst the COVID-19 pandemic. Nonetheless, limited understanding of the influence of governance on health and social care staff experiences in response to the COVID-19 pandemic exists. This case study aimed to explore the influence of health system governance on community care staff experiences of role transition in response to the COVID-19 pandemic in England. We used criterion sampling to include community care staff initially recruited to deliver a community integrated model of dementia care at two facilities repurposed in March 2020 to optimise hospital critical care space. Six community care staff participated in the narrative correspondence inquiry. A lack of control over resources, limitations in collective action in decision making and lack of a voice underpinned staff experiences of role transition in contexts of current crisis preparedness, transition shock and moral dilemmas. Health system governance influenced the disposition of community care staff's role transition in response to the COVID-19 pandemic. Staff's mere coping clouds the glass of wider issues in health system governance and capacity. The normative dominance that the control over resources and centrally determined health system priorities ordain require reviewing to enable optimal health and social care cross systems' capacity and resilience. [Abstract copyright: © 2021 John Wiley & Sons Ltd.] |
Keywords | role transition; healthcare capacity; case study; system governance; coronavirus response |
Year | 2021 |
Journal | Health & Social Care in the Community |
Publisher | Wiley |
ISSN | 1365-2524 |
Digital Object Identifier (DOI) | https://doi.org/10.1111/hsc.13653 |
Funder | European Regional Development Fund |
Publication dates | |
Online | 18 Nov 2021 |
Publication process dates | |
Deposited | 11 Nov 2021 |
Accepted | 08 Nov 2021 |
Accepted author manuscript | File Access Level Open |
Output status | Published |
References | Allen, V. L., & Van de Vliert, E. (Eds.). (2012). Role transitions: Explorations and explanations. Springer Science & Business Media. Al Thobaity, A., & Alshammari, F. (2020). Nurses on the frontline against the COVID-19 pandemic: an Integrative review. Dubai Medical Journal, 3(3), 87-92. Ardebili, M. E., Naserbakht, M., Bernstein, C., Alazmani-Noodeh, F., Hakimi, H., & Ranjbar, H. (2020). Healthcare providers experience of working during the COVID-19 pandemic: A qualitative study. American Journal of Infection Control. Ashforth, B. E., Rogers, K. M., & Corley, K. G. (2011). Identity in organizations: Exploring cross-level dynamics. Organization science, 22(5), 1144-1156. Attwood, M., Pedler, M., Pritchard, S., & Wilkinson, D. (2003). Leading change: A guide to whole systems working. Policy Press. Bayraktar, Y., Özyılmaz, A., Toprak, M., Işık, E., Büyükakın, F., & Olgun, M. F. (2020). Role of the Health System in Combating Covid-19: Cross-Section Analysis and Artificial Neural Network Simulation for 124 Country Cases. Social Work in Public Health, 1-16. Bhaskar, R., & Danermark, B. (2006). Metatheory, interdisciplinarity and disability research: a critical realist perspective. Scandinavian Journal of Disability Research, 8(4), 278-297. Bigdeli, M., Rouffy, B., Lane, B. D., Schmets, G., & Soucat, A. (2020). Health systems governance: the missing links. BMJ Global Health, 5(8), e002533. Carmeli, A., & Schaubroeck, J. (2008). Organisational crisis-preparedness: The importance of learning from failures. Long Range Planning, 41(2), 177-196. Chargualaf, K. A. (2016). Situational transitions and military nurses: A concept analysis using the evolutionary method. Nursing Forum, 51(2), 125-135. Dauncey, S. J., Kelly, P. A., Baykov, D., Skeldon, A. C., & Whyte, M. B. Rhythmicity of patient flow in an acute medical unit: relationship to hospital occupancy, 7-day working and the effect of COVID-19. QJM: An International Journal of Medicine. Dowding, K. (2008). Agency and structure: Interpreting power relationships. Journal of Power, 1(1), 21-36. Duchscher, J. E. B. (2009). Transition shock: The initial stage of role adaptation for newly graduated registered nurses. Journal of Advanced Nursing, 65(5), 1103-1113. Fletcher, A. J. (2017). Applying critical realism in qualitative research: methodology meets method. International Journal of Social Research Methodology, 20(2), 181-194. Florczak, K. L. (2016). Power relations: Their embodiment in research. Nursing Science Quarterly, 29(3), 192-196. Grinyer, A. (2004). The narrative correspondence method: What a follow-up study can tell us about the longer term effect on participants in emotionally demanding research. Qualitative Health Research, 14(10), 1326-1341. Grinyer, A., & Thomas, C. (2001). Young adults with cancer: The effect of the illness on parents and families. International Journal of Palliative Nursing, 7(4), 162-170. Gorski, P. S. (2013). What is critical realism? And why should you care? Contemporary Sociology: A Journal of Reviews, 42(5), 658-670. Hlatshwako, T. G., Shah, S. J., Kosana, P., Adebayo, E., Hendriks, J., Larsson, E. C., Hensel, D. J., Erausquin, J. T., Marks, M., Michielsen, K., Saltis, H., Francis, J. M., Wouters, E., & Tucker, J. D. (2021). Online health survey research during COVID-19. The Lancet Digital Health, 3(2), e76-e77. Humphries, R. (2020). Integrating health and social care in the Covid-19 (coronavirus) response. The Kings Fund. https://www.kingsfund.org.uk/blog/2020/04/health-social-care-covid-1... Kim, J. H. (2016). Narrative data analysis and interpretation: Flirting with data. In J. H. Kim (Ed), Understanding Narrative Inquiry, (pp.185-224). Sage Publications. Kirchhof, P. (2020). A tale of two countries: how decentralized organization and long-term investment build resilient healthcare systems. European Heart Journal-Quality of Care and Clinical Outcomes, 6(3), 201-203. Kvalnes Ø. (2019) Moral Dilemmas. In: Moral Reasoning at Work: Rethinking Ethics in Organizations. (11-19). Palgrave Pivot. Lal, A., Erondu, N. A., Heymann, D. L., Gitahi, G., & Yates, R. (2020). Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage. The Lancet. Lewis, R., Pereira, P., Thorlby, R., & Warburton, W. (2020). Understanding and sustaining the health care service shifts accelerated by COVID-19. The Health Foundation. Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Xia, L., Lui, Z., Yang, J., & Yang, B. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. The Lancet Global Health, 8(6), e790-e798. Martin, D., Miller, A. P., Quesnel-Vallée, A., Caron, N. R., Vissandjée, B., & Marchildon, G. P. (2018). Canada's universal health-care system: achieving its potential. The Lancet, 391(10131), 1718-1735. Meessen, B. (2020). Health system governance: welcoming the reboot. BMJ Global Health, 5(8), e002404. Milligan, C. (2005). Placing narrative correspondence in the geographer's toolbox: insights from care research in New Zealand. New Zealand Geographer, 61(3), 213-224. NHS England & NHS Improvement (2020). COVID-19 hospital discharge service requirements. Meyer, R. M., & O’Brien‐Pallas, L. L. (2010). Nursing services delivery theory: an open system approach. Journal of Advanced Nursing, 66(12), 2828-2838. Oliver, D. (2020). Covid-19: Hospital discharges during pandemic were often chaotic, says watchdog. BMJ 371:m4155 Organisation for Economic Co-operation and Development (2020, April 16). Beyond containment: Health systems responses to Covid-19 in the OECD. Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 42(5), 533-544. Propper, C., & Phillips, N. (2020) Centralisation vs decentralisation: the disastrous confusion at the heart of Britain’s approach to coronavirus. Imperial College. Rickles, D., Hawe, P., & Shiell, A. (2007). A simple guide to chaos and complexity. Journal of Epidemiology & Community Health, 61(11), 933-937. Riley, T., & Hawe, P. (2005). Researching practice: the methodological case for narrative inquiry. Health Education Research, 20(2), 226-236. Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., & Jinks, C. (2018). Saturation in qualitative research: exploring its conceptualization and operationalization. Quality & Quantity, 52(4), 1893-1907. Sorrell, S. (2018). Explaining sociotechnical transitions: A critical realist perspective. Research Policy, 47(7), 1267-1282. Topp, S. M. (2020). Power and politics: the case for linking resilience to health system governance. BMJ Global Health, 5:e002891. Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. Vindrola-Padros, C., Andrews, L., Dowrick, A., Djellouli, N., Fillmore, H., Gonzalez, E. B., Javadi, D., Lewis-Jackson, S., Manby, L., Mitchinson, L., Symmons, S. M., Martin, S., Regenold, N., Robinson, H., Sumray, K., Singleton, G., Syversen, A., Vanderslott, S., & Johnson, G. (2020). Perceptions and experiences of healthcare workers during the COVID-19 pandemic in the UK. BMJ Open, 10(11), e040503. Webster, P. (2020). Canada and COVID-19: learning from SARS. The Lancet, 395(10228), 936-937. Weiner, B. J. (2020). A theory of organizational readiness for change. In P. Nilsen & S. A. Birken (Eds.), Handbook on Implementation Science (pp. 215-232). Edward Elgar Publishing. Wenham, C., Katz, R., Birungi, C., Boden, L., Eccleston-Turner, M., Gostin, L., Guinto, R., Hellowell, M., Onarheim, K. H., Hutton, J., Kapilashrami, A., Mendenhall, E., Phelan, A., Tichenor, M., & Sridhar, D. (2019). Global health security and universal health coverage: from a marriage of convenience to a strategic, effective partnership. BMJ Global Health, 4(1), e001145. White, K.R., Thompson, S. & Griffith, J.R. (2011). Transforming the Dominant Logic of Hospitals. In J. D. Blair & M. D. Fottler. (Eds.) Biennial Review of Health Care Management. Vol. 11. (pp. 133-145). Emerald Group Publishing Limited. Yin, R. K. (2003). Case study research: Design and methods. Vol. 5. Applied Social Research Methods. (3rd ed.) Sage Publications. |
Additional information | Publications router: Date 2021-11-08 of type 'accepted_date' included in notification. |
https://repository.canterbury.ac.uk/item/8z869/optimising-health-system-capacity-a-case-study-of-community-care-staff-s-role-transition-in-response-to-the-coronavirus-pandemic
Download files
185
total views60
total downloads2
views this month1
downloads this month