{"title":"What is known about resilient healthcare systems in the context of natural disasters? A scoping review","authors":"Adele Ferguson , Kim Ward , Rachael Parke","doi":"10.1016/j.colegn.2024.05.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>During natural disasters, priorities are frequently revised, and new strategies are adopted to deal with the enormity and outcome of the disaster. Understanding how resilient healthcare systems adapt and respond under these unexpected conditions is important in learning how to respond more effectively in future events to provide high-quality care.</p></div><div><h3>Aim</h3><p>We aimed to understand concepts and definitions of resilient healthcare from a systems perspective in the context of natural disasters.</p></div><div><h3>Methods</h3><p>Using scoping review methodology, as described by Joanna Briggs Institute.</p></div><div><h3>Findings</h3><p>Of 1011 articles screened, 18 met eligibility criteria and were included in the review. Natural disasters in the included papers were bushfires, floods, earthquakes, hurricanes, and tsunamis, ranging across five geographical locations.</p></div><div><h3>Discussion</h3><p>We identified broad definitions of resilient healthcare that reflect the varied healthcare systems’ responses to disasters. Definitions of resilient healthcare came from the ecology field, resilient engineering, and resilience in healthcare systems. The adaptive capacity of health systems during a natural disaster response is key to ecological resilience. Moreover, resilient engineering and resilience in healthcare determined the proposed potential of a resilient system by monitoring, anticipating, responding, and learning from disasters. Consequently, healthcare systems are recognised as complex adaptive systems.</p></div><div><h3>Conclusion</h3><p>This review identified that adapting and adjusting at a systems level is crucial for effective resilience in healthcare and natural disasters. Further research is needed to explore what concepts of resilience healthcare are used from a whole system perspective and how the system’s adaptive capacity supports handling the event before, during, and after the disaster.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 5","pages":"Pages 292-301"},"PeriodicalIF":1.6000,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000350/pdfft?md5=db39f8ef65e71c8ac5e289b964761912&pid=1-s2.0-S1322769624000350-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Collegian","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1322769624000350","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background
During natural disasters, priorities are frequently revised, and new strategies are adopted to deal with the enormity and outcome of the disaster. Understanding how resilient healthcare systems adapt and respond under these unexpected conditions is important in learning how to respond more effectively in future events to provide high-quality care.
Aim
We aimed to understand concepts and definitions of resilient healthcare from a systems perspective in the context of natural disasters.
Methods
Using scoping review methodology, as described by Joanna Briggs Institute.
Findings
Of 1011 articles screened, 18 met eligibility criteria and were included in the review. Natural disasters in the included papers were bushfires, floods, earthquakes, hurricanes, and tsunamis, ranging across five geographical locations.
Discussion
We identified broad definitions of resilient healthcare that reflect the varied healthcare systems’ responses to disasters. Definitions of resilient healthcare came from the ecology field, resilient engineering, and resilience in healthcare systems. The adaptive capacity of health systems during a natural disaster response is key to ecological resilience. Moreover, resilient engineering and resilience in healthcare determined the proposed potential of a resilient system by monitoring, anticipating, responding, and learning from disasters. Consequently, healthcare systems are recognised as complex adaptive systems.
Conclusion
This review identified that adapting and adjusting at a systems level is crucial for effective resilience in healthcare and natural disasters. Further research is needed to explore what concepts of resilience healthcare are used from a whole system perspective and how the system’s adaptive capacity supports handling the event before, during, and after the disaster.
背景在发生自然灾害时，人们经常会修改优先事项，并采取新的策略来应对灾害的严重性和结果。了解具有抗灾能力的医疗保健系统如何在这些意外情况下进行调整和应对，对于学习如何在未来事件中更有效地应对以提供高质量的医疗保健服务非常重要。AimWe aimed to understand concepts and definitions of resilient healthcare from a system perspective in the context of natural disasters.MethodsUsing scoping review methodology, as described by Joanna Briggs Institute.FindingsOf 1011 articles screensed, 18 met eligibility criteria and were included in the review.在筛选出的 1011 篇文章中，有 18 篇符合资格标准并被纳入综述。讨论我们确定了抗灾医疗保健的广泛定义，这些定义反映了医疗保健系统对灾害的不同反应。抗灾医疗保健的定义来自生态学领域、抗灾工程学和医疗保健系统的抗灾能力。医疗系统在应对自然灾害时的适应能力是生态复原力的关键。此外，抗灾工程和医疗保健中的抗灾能力决定了抗灾系统通过监测、预测、应对和从灾害中学习所建议的潜力。因此，医疗保健系统被认为是复杂的适应性系统。还需要进一步研究，从整个系统的角度来探讨抗灾医疗保健的概念，以及系统的适应能力如何支持灾前、灾中和灾后的事件处理。
期刊介绍：
Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN).
The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues.
Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor.
The journal, online only from 2016, is available to members of ACN and also by separate subscription.
ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.
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