Table 2.

Finding’s relations to existing literature of managerial strategies for resilience in health care and complex organizations

Findings from this studyManagerial strategies supporting resilienceaComplexity leadershipb
Adjusting guidelines to local context
New procedures and practices
New ways of recruiting and organize staff
Reorganization of resources
Adaptations/adjustmentsGenerative leadership
Ensure contact between residents and next-of-kin
Leaders prioritized being available for staff
Adapting practices to available resources
Trade-offsAdministrative leadership
Used students as buffer resources
Training and educating staff
Improving cleaning procedures
Using new software for information transfer and coordination of care
Reevaluate practices, making care more efficient
Improving system performanceAdministrative leadership
Constantly updating and disseminating new guidelines
Keeping updated of resident’s movements
Keeping updated on available staff
MonitoringInformation gathering
Initiate plans before the pandemic hit Norway, based on information from China
Developing scenarios as proactive activities
Making plans for available resources (staff, infection control equipment)
Providing easy access to infection material
Establish a COVID team
AnticipationInformation using leadership
Providing access of COVID information to staff
Translation of new information to staff to ease understanding
Used situated understanding to evaluate risk for each patient
SensemakingInformation using leadership
Learning from what goes well
Frequent interaction among leaders
Leaders were present at the front-line
Collaboration across departments
Availability and collaborationCommunity building

Notes:

aBased on Ree et al. (2021), bBased on Hazy and Uhl-Bien (2015) 

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