Organizational change and everyday health system resilience: Lessons from Cape Town, South Africa.

ABSTRACT: This paper reports a study from Cape Town, South Africa, that tested an existing framework of everyday health system resilience (EHSR) in examining how a local health system responded to the chronic stress of large-scale organizational change. Over two years (2017-18), through cycles of action-learning involving local managers and researchers, the authorial team tracked the stress experienced, the response strategies implemented and their consequences. The paper considers how a set of micro-governance interventions and mid-level leadership practices supported responses to stress whilst nurturing organizational resilience capacities. Data collection involved observation, in-depth interviews and analysis of meeting minutes and secondary data. Data analysis included iterative synthesis and va

SUBMITTER: Gilson L 

PROVIDER: S-EPMC7538378 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature