The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose.
Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers.
Part I: Openings. Introduction: The Journey to Here and What Happens Next. Bon Voyage: Navigating the Boundaries of Resilient Health Care. Part II: Negotiating Across Boundaries. Working Across Boundaries: Creating Value and Producing Safety in Health Care Using Empathetic Negotiation Skills. Untangling Conflict in Health Care. Part III: Theorising About Boundaries. 'Practical' Resilience: Misapplication of Theory?. Creating Resilience in Health Care Organisations through Various Forms of Shared Leadership. Simulation: A Tool to Detect and Traverse Boundaries. Part IV: Empiricising Boundaries. Looking Back Over the Boundaries of our Systems and Knowledge. Understanding Medication Dispensing as Done in Real World Settings – Combining Conceptual Models and an Empirical Approach. Resilient Frontline Management of the Operating Room Floor: The Role of Boundaries and Coordination. Patient Flow Management: Codified and Opportunistic Escalation Actions. Trust and Psychological Safety as Facilitators of Resilient Health Care. Collaborative Use of Slack Resources as a Support to Resilience: Study of a Maternity Ward. Resilient Performance in Acute Health Care: Implementation of an Intervention Across Care Boundaries. Part V: Closure. Discussion, Integration and Concluding Remarks