Accepted for/Published in: JMIR Human Factors
Date Submitted: Oct 7, 2024
Date Accepted: Dec 31, 2024
Development of a web-based intervention for middle managers to enhance resilience at the individual, team, and organizational levels in healthcare systems: a pilot study
ABSTRACT
Background:
Healthcare institutions face high systemic risk due to the inherent uncertainty and complexity of their operations. This often leads to stressful incidents impacting the well-being of healthcare professionals, which can compromise the effectiveness of healthcare systems. Enhancing resilience among healthcare professionals is essential for maintaining high-quality care and ensuring patient safety. The role of middle managers is essential to ensure the response capacity of individuals and teams.
Objective:
To develop a web-based intervention aimed at middle management to enhance individual, team, and organizational resilience.
Methods:
An observational study was conducted in three phases: design, validation, and pilot study. The study was initiated in February 2022 and concluded in June 2023. Phase 1 involved designing the content for the web-based tool based on a comprehensive review of critical elements around resilience. Phase 2 included validation by an international panel of experts who reviewed the tool and rated it according to a structured grid. They were also encouraged to highlight strengths and areas for improvement. Phase 3 involved piloting the tool with healthcare professionals in Ecuador to refine the platform and assess its effectiveness. 458 people were invited to participate through the Continuous Improvement Course in Healthcare Quality and Safety offered by the Ministry of Public Health of Ecuador.
Results:
The tool, eResiliencia, was structured into two main blocks: individual and team resilience and organizational resilience. It included videos, images, PDFs, and interactive links. Thirteen out of twenty experts (65% response rate) validated the tool, rating content clarity at 4.5 (SD 0.7) and utility at 4.7 (SD 0.5) out of 5. Overall satisfaction was 9.3 (SD 0.6) out of 10 points, and feedback on improvements was implemented. 362 healthcare professionals began the intervention, of which 218 (60.2% response rate) completed pre- and post-questionnaires, with significant knowledge increases (P<.001). Of these, 146 (response rate 40.3%) completed the satisfaction questionnaire, where overall satisfaction was rated at 9.4 (SD 1.1) out of 10 points.
Conclusions:
The eResiliencia web-based platform provides middle managers with resources to enhance resilience among their teams and their components, promoting better well-being and performance also under highly stressful events. Future research should focus on long-term impacts and practical applications in diverse clinical settings.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.