Show simple item record

dc.contributor.authorAbutt, A.
dc.contributor.authorRamsey, L.
dc.contributor.authorFylan, Beth
dc.contributor.authorGrindey, C.
dc.contributor.authorHague, I.
dc.contributor.authorO'Hara, J.K.
dc.date.accessioned2024-09-18T14:35:26Z
dc.date.accessioned2024-09-19T09:29:15Z
dc.date.available2024-09-18T14:35:26Z
dc.date.available2024-09-19T09:29:15Z
dc.date.issued2023-08
dc.identifier.citationAlbutt A, Ramsey L, Fylan B et al (2023) Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. Health Expectations. 26(4): 1467-1477.en_US
dc.identifier.issn1369-7625
dc.identifier.urihttp://hdl.handle.net/10454/20009
dc.descriptionYesen_US
dc.description.abstractHealthcare system resilience is a conceptual approach that seeks to explore how health services adapt and respond to variability in demand and resources. As has been witnessed since the beginning of the COVID-19 pandemic, healthcare services have undergone many reconfigurations. One understudied aspect of how the 'system' is able to adapt and respond is the contribution of key stakeholders-patients and families, and in the context of the pandemic, the general public as a whole. This study aimed to understand what people were doing during the first wave of the pandemic to protect the safety of their health, and the health of others from COVID-19, and the resilience of the healthcare system. Social media (Twitter) was used as a method of recruitment due to its ability for social reach. Twenty-one participants took part in 57 semistructured interviews over three time points from June to September 2020. The included an initial interview and invitation to two follow-up interviews after 3 and 6 weeks. Interviews were conducted virtually using Zoom-an encrypted secure video conferencing software. A reflexive thematic analysis approach to analysis was used. Three themes, each with its own subthemes were identified in the analysis: (1) A 'new safety normal'; (2) Existing vulnerabilities and heightened safety and (3) Are we all in this together? This study found that the public had a role in supporting the resilience of healthcare services and systems during the first wave of the pandemic by adapting their behaviour to protect themselves and others, and to avoid overwhelming the National Health Service. People who had existing vulnerabilities were more likely to experience safety gaps in their care, and be required to step in to support their safety, despite it being more difficult for them to do so. It may be that the most vulnerable were previously required to do this extra work to support the safety of their care and that the pandemic has just illuminated this issue. Future research should explore existing vulnerabilities and inequalities, and the heightened safety consequences created by the pandemic. The National Institute for Health Research (NIHR) Yorkshire and Humber Patient Safety Translational Research Centre (NIHR Yorkshire and Humber PSTRC), Patient and Public Involvement and Engagement Research Fellow and NIHR Yorkshire and Humber PSTRC Patient Involvement in Patient Safety theme lay leader are involved in the preparation of a lay version of the findings within this manuscript.en_US
dc.languageen
dc.language.isoenen_US
dc.rights© 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en_US
dc.subjectCOVID-19 pandemicen_US
dc.subjectQualitative studyen_US
dc.subjectResilient healthcare theoryen_US
dc.titlePatient and public co-creation of healthcare safety and healthcare system resilience: The case of COVID-19en_US
dc.status.refereedYesen_US
dc.date.application2023-05-04
dc.typeArticleen_US
dc.type.versionPublished versionen_US
dc.identifier.doihttps://doi.org/10.1111/hex.13659en_US
dc.rights.licenseCC-BYen_US
dc.date.updated2024-09-18T14:35:27Z
refterms.dateFOA2024-09-19T09:29:56Z
dc.openaccess.statusopenAccessen_US
dc.date.accepted2022-10-19


Item file(s)

Thumbnail
Name:
HealthExpectations-2023-Albutt ...
Size:
432.7Kb
Format:
PDF
Description:
Fylan_et_al_Health_Expectations

This item appears in the following Collection(s)

Show simple item record