Team adaptive capacity and adaptation in dynamic environments: A scoping review of the literature

Healthcare systems rely on the expertise, ingenuity, and resilience of healthcare teams to maintain safe and high-quality care in complex, variable, and resource-constrained environments. Research has suggested that successful team adaptation prevents patient harm, optimises efficiency, and keeps he...

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Bibliographic Details
Main Authors: Natalie Sanford, Olivia Lounsbury, Gabriel Reedy, Dame Anne Marie Rafferty, Janet E. Anderson
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Human Factors in Healthcare
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772501424000253
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Summary:Healthcare systems rely on the expertise, ingenuity, and resilience of healthcare teams to maintain safe and high-quality care in complex, variable, and resource-constrained environments. Research has suggested that successful team adaptation prevents patient harm, optimises efficiency, and keeps healthcare systems running. Team adaptation is a central concept in both teamworking and organisational resilience theory, but team adaptation and its associated concepts, specifically team adaptive capacity, remain underspecified, ill-defined, and poorly understood in healthcare. Other high-risk industries, such as aviation, military, and nuclear power, may have a more extensive evidence base that can inform conceptualisations in healthcare and beyond. This scoping review synthesizes the cross-disciplinary literature on team adaptation, proposes a new definition for team adaptive capacity, and develops a model for understanding team adaptation, its outcomes, and antecedents: the team adaptive cycle.
ISSN:2772-5014