Rationale, aims, and objectives: The application of resilience in health care requires the shift from a cause‐effect approach to a systemic approach, yet few tools have been developed to measure resilience potential in this specific context. This study tests a resilience assessment grid (RAG) questionnaire to measure the resilience of anaesthesiologists, with a cross‐country survey. Method: A study was conducted with an analytic hierarchy process (AHP) question- naire containing 57 detailed questions; 16 nations and 172 respondents were involved in the study. The data were statistically analysed to identify insights from the questionnaire, main improvements for further assessment, and confirmation of the design of the questionnaire. The questionnaire reliability was assessed by Cronbach analysis. Weak items were identified by a detailed correlations analysis and through a weight‐polarization matrix. Construct validity was confirmed by principal component analysis (PCA) and factor analysis (FA). Results: The α level of Cronbach analysis is 0.910. PCA and FA confirmed the absence of underlying unexpected factors, with less than 8% from the first factor and a total of just 54% of variability explained by 17 factors. Suggestions for revising the questionnaire ensue from the analysis, with improvements for the questionnaire's significance. Conclusion: The questionnaire shows the potential to assess proxy measures of resilience, even confirming the relevance of a structured weighting approach based on the AHP. The exemplar statistical cross‐country analyses encourage the widespread use of a centralized resilience questionnaire to support standardized analyses and the diffusion of best practices among organizations.

A multicountry comparative survey about organizational resilience in anaesthesia / Falegnami, Andrea; Bilotta, Federico; Pugliese, Francesco; Costantino, Francesco; Di Gravio, Giulio; Tronci, Massimo; Patriarca, Riccardo. - In: JOURNAL OF EVALUATION IN CLINICAL PRACTICE. - ISSN 1356-1294. - 24:6(2018), pp. 1347-1357. [10.1111/jep.13054]

A multicountry comparative survey about organizational resilience in anaesthesia

Falegnami, Andrea
;
Bilotta, Federico;Pugliese, Francesco;Costantino, Francesco;Di Gravio, Giulio;Tronci, Massimo;Patriarca, Riccardo
2018

Abstract

Rationale, aims, and objectives: The application of resilience in health care requires the shift from a cause‐effect approach to a systemic approach, yet few tools have been developed to measure resilience potential in this specific context. This study tests a resilience assessment grid (RAG) questionnaire to measure the resilience of anaesthesiologists, with a cross‐country survey. Method: A study was conducted with an analytic hierarchy process (AHP) question- naire containing 57 detailed questions; 16 nations and 172 respondents were involved in the study. The data were statistically analysed to identify insights from the questionnaire, main improvements for further assessment, and confirmation of the design of the questionnaire. The questionnaire reliability was assessed by Cronbach analysis. Weak items were identified by a detailed correlations analysis and through a weight‐polarization matrix. Construct validity was confirmed by principal component analysis (PCA) and factor analysis (FA). Results: The α level of Cronbach analysis is 0.910. PCA and FA confirmed the absence of underlying unexpected factors, with less than 8% from the first factor and a total of just 54% of variability explained by 17 factors. Suggestions for revising the questionnaire ensue from the analysis, with improvements for the questionnaire's significance. Conclusion: The questionnaire shows the potential to assess proxy measures of resilience, even confirming the relevance of a structured weighting approach based on the AHP. The exemplar statistical cross‐country analyses encourage the widespread use of a centralized resilience questionnaire to support standardized analyses and the diffusion of best practices among organizations.
2018
AHP; anaesthesia; questionnaire; RAG; resilience; health policy; public health, environmental and occupational health
01 Pubblicazione su rivista::01a Articolo in rivista
A multicountry comparative survey about organizational resilience in anaesthesia / Falegnami, Andrea; Bilotta, Federico; Pugliese, Francesco; Costantino, Francesco; Di Gravio, Giulio; Tronci, Massimo; Patriarca, Riccardo. - In: JOURNAL OF EVALUATION IN CLINICAL PRACTICE. - ISSN 1356-1294. - 24:6(2018), pp. 1347-1357. [10.1111/jep.13054]
File allegati a questo prodotto
File Dimensione Formato  
Falegnami_Resilience-anesthesia_2018.pdf

solo gestori archivio

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 1.22 MB
Formato Adobe PDF
1.22 MB Adobe PDF   Contatta l'autore

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1181614
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 5
  • Scopus 18
  • ???jsp.display-item.citation.isi??? 13
social impact