Ligoninių atsparumo diskursas teoriniame organizacijos atsparumo sampratos, bruožų ir veiksnių kontekste

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Mokslo publikacijos / Scientific publications
Document Type:
Straipsnis / Article
Lietuvių kalba / Lithuanian
Ligoninių atsparumo diskursas teoriniame organizacijos atsparumo sampratos, bruožų ir veiksnių kontekste
Alternative Title:
Discourse of the resilience of hospitals in the theoretical context of the concept, features and factors of organisation’s resilience
In the Journal:
Socialiniai tyrimai [Social Research]. 2022, t. 45, Nr. 1, o. 8-35
Atsparumas; Draugijos. Organizacijos / Societies. Organisations; Pažeidžiamumas; Sveikata / Health.
Organization; Resilience; Vulnerability.
Summary / Abstract:

LTStraipsnyje apibrėžiamos organizacijos pažeidžiamumo ir atsparumo sampratos, organizacijos atsparumo bruožai ir veiksniai (išoriniai ir vidiniai), aktualizuojamas pasyviojo (adaptacinio, operacinio) ir aktyviojo (planuojamo, strateginio, į galimybes orientuoto) atsparumo didinimo derinimas organizacijos valdyme. Teoriniame organizacijos atsparumo sampratos kontekste gryninamas ligoninės atsparumo nenumatytiems įvykiams konceptas, pristatant pandemijos iššauktus empirinius ir viešosios politikos įgyvendinimo priemonių analizės diskursus. [Iš leidinio]

ENRecovery and resilience, the ability to operate under the conditions of uncertainty – these challenges are now becoming the key tasks for each organisation. The research of the organisation’s concept of resilience is primarily linked to ecological sciences, followed by studies in social sciences linked to vulnerability and resilience of social groups, communities, cities, and organizations as systems. The efforts of scientists to develop the analysis, measurement instruments of resilience, observable resilience indicators systems, indices, regional vulnerability maps, development of regional resilience policies, etc. are visible. Scientists indicate that resilience is a complex ability and process and can be defined differently, depending on the contexts, but all of them are united by the notion that it is a positive effect in preparing for or after challenges, that it must be encouraged (Lee et al., 2016). The organisation’s theoretical concept of resilience is not widely developed and there is a lack of information on how organisations become resilient. The research aims to define the concept of organisation’s resilience, its features and factors as well as to reveal the concept of the resilience of hospitals in the theoretical context of the resilience of the organisation. The following research methods were used: the analysis, generalization and systematization of the content of scientific literature, synthesis of ideas based on scientific analysis. [...].According to scientific practice (Barasa et al. (2018); Gečienė (2020)), to analyse the passive and active resilience of the organisation, we have divided the internal factors of the organization’s resilience into two groups: 1. Passive or operational, adaptive resilience of the organisation. The factors are as follows: 1) prudent management of public (physical, economic, organisational, social, human) capital, assets held or entrusted with management; management of organisational change management, absorption, adaptability, reconstruction capacity is essential; 2) a balanced organisational routine and structure; 3) management and continuous improvement of internal information and communication systems; 4) management (managerial) practices; 5) organizational culture. 2. Active or planned, strategic, otherwise capability-oriented resilience of the organization. The factors are as follows: 1) the organisation’s resilience planning, strategy; 2) the organisation’s external policy focused on strengthening resilience; 3) continuous involvement in the analysis, application, development of managerial innovations; 4) leadership and continuous improvement of the organisation’s resilience competencies.Hospitals are organisations whose management is subject to the same managerial principles as in budgetary institutions in general, and therefore the analyzed resilience features of organizations are also applicable to hospitals. Due to the specific purpose of organisations (human health is one of the most important values, health care is a constitutionally justified objective and public interest) and relevance during the 2020–2021 pandemic, there is an increase in the discourse of the scientific resilience of the health system, driven also by increased interaction between politicians, scientists and medical professionals. The resilience of the health system and individual health care institutions is becoming a priority objective of public policy, and the issue of resilience is linked not only to post-crisis recovery but also to the active prospect of resilience – to be prepared for future challenges. In addition to adaptive and planned resilience in the discourse of health system, science activates a discussion on the concept of everyday resilience, as hospitals have to deal with unforeseen challenges every day, the consequences of which can affect patients. [From the publication]

1392-3110; 2351-6712
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2022-09-09 14:20:55
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