• Has the researcher justified the research design?
A large number of selected papers scored poorly on explicating (1) the approach used to select study participants, (2) the relationship between the researchers and participants, and (3) measures taken to ensure the study adhered to research ethics standards. However, our observation what that this was largely because of difference in style and practice of science writing in health and other sectors. While papers from the health sector were structured in the common tradition of health/medical science (introduction, methods, results, discussion, conclusion) with each section providing significant detail, papers from other sectors were more heterogeneous in structure, and focused more on discussing findings, and less on explicating methods. We therefore interpreted the differences in quality score as difference in style and writing practice rather than necessarily difference in quality. As a result, we opted to include all the selected papers, as excluding some on the basis of the quality score would likely preferentially exclude papers from other sectors and we judged all papers as offering valuable insights for the review.
We conducted a thematic review of the selected papers. 49 This entailed the following steps: (1) familiarizing with the data by reading through the selected papers, (2) generating a coding framework, (3) reading through the selected papers and coding the contents based on the coding framework (4) charting the coded data, and analyzing by constructing themes from these emergent ideas and concepts in an interpretive stage where findings from the selected papers were integrated into coherent themes. Coding was done in NVIVO version 10 software.
Across the selected papers, resilience was generally taken to mean a system’s ability to continue to perform and meet its objectives in the face of challenges. There is a general consensus around the notion that organizational resilience is achieved by a combination of absorbing the challenges faced, and changing by adapting and transforming so as to continue to thrive in the face of challenges. This is in contrast to the early notion of resilience as simply bouncing back from shock (resilience engineering). For instance, Herrfahrdt-Paehle and Pahl-Wostl, 24 who examine the tension between continuity and change and how they affect the resilience of socio-ecological systems to environmental changes in South Africa and Uzbekistan, adopt Folke’s 9 definition of resilience as a system’s capacity to absorb disturbances, while learning from them and reorganizing. While resilience engineering is grounded on a machine-like view of systems, with simple cause and effect relationships, organizational resilience that is conceptualized as the ability of an organization to absorb, adapt, and transform in the face of challenges is grounded on the view of systems as complex and adaptive. 50
Walker et al, 45 who explore the link between work engagement and the resilience of infrastructure organizations (air travel, banking, telecommunications, water/waste services, and roads) to earthquakes in New Zealand, distinguish between two dimensions of resilience; planned resilience , and adaptive resilience . Organizations exhibit planned resilience when they employ pre-existing plans to avoid or minimize the effect of a crisis. These include business continuity and risk management plans that outline pre-disaster activities required to keep organizations running during and after a period of disruptions such as natural (earth quakes, floods, disease outbreaks) and man-made disasters (terrorist attacks, fires). 45 Adaptive resilience emerges during the post-disaster (natural and/or man-made) period as new capacities are developed by organizations by responding to emergent situations. 34 Walker et al 45 emphasize that while planned resilience is important, adaptive resilience is more influential since it is more sustainable and effective in the context of uncertainty about what the future could bring.
A majority of the papers (9/12) that examined the resilience of health systems focused on acute, often catastrophic shocks to the system. Shocks are classified as acute if they are sudden in occurrence and transient in nature. These included disease outbreaks, 27 , 31 insecurity, 15 , 29 economic crisis, 1 , 19 unspecified natural and/manmade disasters, 14 , 46 and rapid policy reforms. 35 Only 2 papers focused on the resilience of health systems to chronic, everyday challenges. Challenges are described as chronic if they persistent and recurrent over long periods of time. Lembani et al 29 examined the resilience of the health system of South African provinces faced with chronic health system dysfunction and politicization. Felland et al 21 examined the resilience of local healthcare safety nets to chronic economic pressures and budget cuts in the United States of America. Among the papers that examined resilience outside the health sector, there appears to be a focus on both acute shocks, such as earthquakes, 26 , 45 environmental disasters, 37 and other natural disasters, 16 , 20 and multiple everyday challenges such as competition, financial difficulties, punitive laws, and climate change. 23 , 24 It appears that the notion of resilience to chronic, everyday challenges has been embraced more by other sectors, compared to the health sector.
Material resources.
The availability of resources is considered a key enabler of organizational resilience. 21 , 28 , 29 , 32 , 39 When material resources are used strategically, organizations can overcome disruption. Financial resources are also considered necessary to mobilize other needed resources during crisis. For example, Pal et al 39 observed that resource constraints, specifically material, financial, and technological, impaired the resilience of small and middle enterprises to economic crisis in Sweden. McManus et al 32 examined factors that influence the resilience of 10 case study organizations (private manufacturer, local authority, private contractor, public utility provider, private primary producer, education provider, private wholesale distributor, private utility provider, private retailer, private technology provider) to acute shocks (natural and manmade) in New Zealand and found that an organizations’ financial position was a key ingredient to its resilience.
Resilience to acute shocks, rather than everyday challenges, is enhanced by adequate planning. 17 , 26 - 28 , 32 For example, hospitals in the United Kingdom developed and tested business continuity and risk management plans to ensure the continued functioning of core services throughout natural (such as floods) and man-made (such as terrorist attacks) disasters. 14 McManus et al 32 found that the degree to which organizations planned for continued supply of essential goods and services in times of a crisis contributed to the resilience of 10 case study organizations (local authority, private primary producer, private manufacturer, private contractor, public utility provider, private technology provider, private wholesale distributor, private retailer, education provider, private utility provider) in New Zealand. One of the strategies used by organizations to prepare for crises or disasters is by going through scenario exercises (pseudo-crisis situations). Lapao et al 27 observes that health systems in Lusophone African countries, faced with the uncertain future of a disease outbreak, should, among others, prioritize the training of health professionals to seriously prepare them through scenario drills.
Organizational resilience is widely identified as being dependent on how information is managed and used. 14 - 16 , 23 , 26 , 27 , 30 , 32 , 44 For example, Ager et al 15 found that the flow of information between the security services and state ministry of health strengthened health system resilience to the Boko Haram insurgency in Nigeria. Lapao et al 27 found that a clear flow of information was necessary to allow a quick and correct response to the Ebola disease outbreak in Lusophone African countries. Information was seen as a key ingredient to how timely and adequately organizations adapted to challenges. According to Stephenson et al, 44 knowledge management involves ensuring that strategies, organizational goals and achievements are effectively communicated across the organization. Further, organizations should proactively monitor what is happening in their environment. This could be achieved by activities such as evaluation of competitors, market research, and political and regulatory awareness. 44 A key utility of effective information management and use was in enhancing the situation awareness of organizations. Situation awareness refers to an organization’s perception and understanding of its environment. 33 Situation awareness is characterized by an increased understanding of the factors that trigger crisis, minimum operating requirements, availability of internal and external resources. Organizations can identify the early warning signals that precede a crisis by monitoring internal and external environments. Reflecting on the experience of the Ebola disease outbreak in Lusophone African countries, Lapao et al 27 recommend the need for effective information and epidemiological surveillance systems that monitor and report on the status of the system and provide real time early warning of impending health threats.
Ensuring that organizations have multiple, alternative courses of action also bestows resilience. 15 , 21 , 28 , 29 , 32 , 38 , 44 , 46 According to Lembani et al 28 collateral pathways refer to the availability of alternative routes to achieve a desired goal. For instance, in Ivory Coast, the civil unrest following the disputed presidential election of 2010 disrupted healthcare service provision. The local health system achieved resilience by adopting a number of collateral pathways. For instance, non-physicians were allowed to prescribe medicines, and medicines were sourced externally through the United Nations (UN) system. 28 In the United States, one of the strategies employed to improve the resilience of the health safety net programme, in the face of federal budget cuts, was to increase focus on insured patients in order to generate revenues that help cross-subsidize uncompensated care. 21 Collateral pathways enhance resilience by providing for alternative courses of action; when a system experiences disruption or challenges on one pathway, an alternative pathway is utilized to achieve the same goal. This characteristic draws from the feature of systems as complex adaptive systems (CAS). 51 Related to the notion of collateral pathways is redundancy. Redundancy is the inclusion of extra components or resources that are not strictly necessary to functioning, in case of failure in other components or resources. Sheffi and Rice 41 examined the resilience of the transport sector to supply chain disruptions caused by acute manmade and natural shocks and found that organizations were more resilient when they kept additional resources in reserve (over and above the required levels) to be used in case of an emergency.
Governance practices are also shown to influence the resilience of organizations to both acute and everyday challenges, in both health and other sectors. 15 , 18 , 31 , 36 , 44 Governance is used here to mean the rules and processes that guide operations and affairs of organizations. 52 A number of governance practices are identified as critical for organizational resilience. The first is decentralization; resilient organizations adopted a form of governance characterized by distributed control, rather than top down hierarchy, under central control. 15 , 18 , 36 , 44 This allowed systems to be more responsive to changes in the environment by empowering local actors and provided the necessary flexibility that facilitated timely responses to everyday challenges and in times of crisis. 15 , 18 , 36 , 44 For example, when the healthcare system in Ivory Coast was disrupted by civil war, the fact that drug management and distribution had been decentralized from the federal to the state level made it much easier to transport drugs to and from the local drug store whenever transport routes were secure. 15 This allowed for reduced disruption of drug supply during the civil war. A shift from a centralized and top-down decision making system, to a decentralized system with bottom-up decision making that was characterized by local and regional initiatives was shown to contribute to the resilience of the California water management system to chronic economic, political, and environmental challenges in the United States of America. 18 Another governance practice that distinguished resilient from non-resilient organizations was non-linear planning. For example, the federal and state laws required the California program of water management in the United States to plan in a linear, stepwise fashion; defining problems, identifying possible interventions, and refining them into implementable actions. This approach was linear in the sense that it did not allow for feedback loops between different stages (eg, redefining problems based on deliberations on agreeable interventions) or the simultaneous considerations of problems and solutions. This approach was however found to compromise the resilience of the water management system to everyday environmental, economic, and political challenges, and was instead replaced by a non-linear approach that was evolving, open-ended, iterative, and characterized by feedback loops between stages, and learning by trial and error. 18 Non-linear planning is compatible with CAS which are typically characterized by non-linear dynamics. Resilient organizations also practiced deliberative democracy, rather than representative democracy. 18 , 23 , 29 , 31 , 44 Deliberative democracy differs from representative democracy in that deliberation, not mere voting, is the basis of decision making. Decision making by deliberative democratic principles empowered actors and built trust, motivation and commitment. 18 , 23 , 44 Related to deliberative democracy, organizations that embraced transparency in their processes and decisions, especially during turbulent times were found to be more resilient. 24 Another governance feature that influences the resilience of organizations to both acute and everyday challenges is the degree of coordination between different functions and parts of the organization. 18 , 31 , 33 McKenzie et al 31 examined the resilience of the Nigerian health system to a disease outbreak such as Ebola, and found that the fragmentation of the health sector, characterized by lack of coordination between the delivery of services, management of human resources, and health financing, was the most significant threat to resilience because it resulted in duplication of efforts, wastage and impaired coordination during crisis. McManus et al 33 found that organizations (10 case study organizations drawn from varied sectors) whose functions and parts operated in an uncoordinated and “silo” fashion where less resilient to manmade and natural disasters, compared to organizations that had coordinated systems. Integrating delivery systems enhances coordination, effectiveness and efficiency as well as eliminating constraints, managerial uncertainty and wastage of resources. 31 , 33
The importance of leadership practices to the resilience of organizations is a recurrent theme across the selected papers in both the health and other sectors, and for both acute, and everyday challenges. 17 , 21 - 23 , 26 , 29 , 32 , 36 , 39 , 43 , 45 For example, Seville et al 42 examined the resilience of road infrastructure organizations to earthquakes in New Zealand and found that while some organizations had comprehensive risk management and business continuity plans, resilience depended not only on how well these plans were applied, but also on the leadership capacity of the organizations. In South Africa, health facilities that had dedicated leaders were found to be more resilient to everyday challenges (eg, chronic staff shortages, and resource scarcity) compared to health facilities whose leaders were not dedicated. 29 One of the important roles of leaders was creating a clear and shared vision. 18 , 26 , 33 A shared vision provided a point of focus and stimulated agency among staff during challenges and crises. McManus et al 32 found that leadership practices characterized by visibility, and availability contributed to the resilience of organizations to acute natural and manmade shocks in New Zealand. Leadership in resilient organizations was characterized by inclusive decision making. 18 , 29 , 33 , 39 Leaders ensured that relevant stakeholders were included and contributed to decision making. This nurtured the resilience of organizations to both everyday challenges, and acute shocks by building trust, empowering, motivating and creating commitment among staff and other stakeholders. For example, Pal et al 39 examined the resilience of textile firms in Sweden to economic crisis and found that firms that had transparent and inclusive leaders were more resilient compared to those that had less transparent, non-inclusive leaders. A distinction was also made between leadership practices that were not aligned to the complex adaptive nature of systems, and those that were aligned. Booher and Innes 18 found that the resilience of water management organizations to everyday environmental, economic and political challenges was improved when managers exercised complex leadership: rather than being controlling and directive, the leaders were mediators and facilitators of the actions of organization actors, and influenced conditions to guide interactions.
Two cultural practices are identified as key to organizational resilience. First is the organizations attitude towards everyday and acute challenges. 22 , 45 The ability of leaders and other staff to view challenges from an opportunistic perspective is important for resilience. 22 , 33 , 45 Resilient organizations consider challenges as learning opportunities, and used these experiences to develop capabilities that improve their resilience. 33 , 40 , 45 For example, Oluwasoye and Ugonna 37 found that the resilience of multinational oil corporations to environmental disasters (eg, gas flaring and oil spills) in Nigeria was weakened by a tendency towards denial of problems and potential risks. They observe that improving the organisational resilience of these organizations will entail, among others, the willingness for organization’s leaders to own the problems and seek to learn from the experiences. 37 Sawalha 22 found that an organizational culture characterised by lack of organisational learning from past experiences weakened the resilience of insurance companies to everyday challenges (competition, loss of customers, financial losses, political instability) in Jordan. Second, resilient organizations support creativity and innovation. 30 , 44 Mafabi et al 30 examined the resilience of 51 public corporations in Uganda to unspecified acute shocks and observed that when organizations have a creative climate, staff are motivated to generate new ideas, which strengthen organisational resilience. Staff in organizations with a poor creative climate were guarded and closed, and reluctant to offer innovative and creative ideas because they would be disregarded. A creative climate is thought to be imperative for providing a conducive environment for organizational adaptation and transformation in the face of challenges. 30 , 44 Resilient organizations nurtured creativity by providing time and resources for experimentation, rewarded innovation, tolerance for failure, and an atmosphere in which employees felt safe to share new ideas. 30 , 44
All the selected papers recognize the important role that human resources play in the resilience of organizations to everyday challenges and acute shocks. Having an adequate number of human resources and the requisite skills was highlighted as a critical contributor to resilience. However, beyond numbers and skills, ensuring that staff are adequately motivated and fully committed to organizational goals was highlighted as more important. 15 , 21 , 23 , 28 , 45 For instance, Ager et al 15 found that the resilience of the healthcare system in Yobe state, Nigeria, in the face of Boko Haram terrorism insurgency was enhanced by staff commitment and motivation, that was characterized by acceptance of challenging working shift arrangements and taking of additional responsibilities through informal task shifting. In Ivory Coast, the continuity of service delivery of the HIV program was made possible by the commitment and motivation of health workers, who continued to come to work despite delays in salaries, and security concerns. 28 One ways of ensuring that staff are motivated and committed is prioritizing staff wellbeing. 39 , 45 Walker et al 45 found that the resilience of infrastructure organizations (air travel, banking, telecommunications, roading and water/waste services) to earthquakes in New Zealand was enhanced in those organizations where the wellbeing of staff was prioritized. This was achieved by creating a positive social environment where staff were free to express emotions and share information, providing staff with resources that were adequate to match their work demand, actively listening, monitoring, and addressing changing staff stresses, and flexibility around staff-needs. 45 Employee engagement was reduced when managers lacked emotional intelligence. Macey and Schneider 53 define work engagement as a fulfilling, positive, work-related state of mind that is characterized by dedication and vigor. In organizations that had a high level of employee engagement, staff dedication and commitment made them to focus on the needs of the organization despite the existence of a crisis. 45
How well organizations establish and leverage their networks determines the extent to which they are resilient to everyday challenges and acute shocks. 15 - 18 , 21 , 26 , 27 , 33 , 35 , 43 For example, during the civil war in Ivory Coast, the resilience of the HIV service delivery program was enhanced by the relationship between healthcare facilities that allowed them to share drugs with those running out of stock. 28 The resilience of the California water management system to everyday environmental, economic, and political challenges was enhanced by the networked nature of its agencies and a culture of collaboration among them. 18 Social networks offer avenues for increased mobilization and transfer of knowledge, dissemination of innovations, thus increasing the overall resilience of systems. 54 Collaboration among organizations in a networked environment also expands resources that can be drawn on, ability to learn, and its capacity to respond. 16 , 45 Andrew et al 16 examined the resilience of public (government agencies), private (small businesses and corporations) and non-governmental organizations (temples and community groups) to floods in Thailand and found that organizations that strategically collaborate with others are able to mobilize additional resources that are crucial for emergency response. The study found that organizations in urban and sub-urban areas were less resilient compared to those in rural areas because urban settings were more fragmented and hence had less social support and cohesion compared to rural ones, making them more vulnerable to disruptions. 16
Drawing from our review, we make several observations that are relevant to nurturing the resilience of health systems. First, a recurrent theme across resilient literature is the recognition of systems and organizations as CAS. A CAS framework is predominantly used to understand and examine organizational resilience. This resonates with conceptual literature that views resilience as an emergent property of systems. CAS are composed of multiple interconnected components whose interaction is dynamic and non-linear. 55 , 56 CAS are characterized by self - organization and emergence. 55 , 57 Self-organization occurs when system components mutually adjust their configurations in response to environmental signals. 58 Self-organization of the system leads to emergence , the appearance of unpredictable outcomes such as new structures, and patterns of behaviour. 59 Complex interactions between system components provide multiple paths for action and enable organizations to adapt to multiple environmental changes. 57 The attributes of resilient organizations that we identified in this literature review, including the use of collateral pathways, governance practices that promote flexibility, nurturing of social networks and collaborations neatly map onto the view of resilience as an emergent property of CAS. Further, complex leadership practices that foster productive emergence rather than prescriptive control recognize the CAS nature of systems. Leaders who recognize complexity seek to forge connections and networks among system agents because they appreciate the value of social networks to organizational resilience. 60 , 61 They seek to create organizational environments that incentivize the emergence of positive adaptations, rather than prescribe solutions. 60 , 61 They see the system whole rather than as isolated components. 60 , 61 Given that health systems are CAS, these attributes of CAS should be recognized and nurtured to promote the resilience of health systems.
Second, empirical literature recognizes that resilience is both a function of planning for and preparing for future crisis (planned resilience), and adapting to change and disruptions (adaptive resilience). It is however recognized that planning alone is not sufficient, and that organizations must focus on developing a capacity to adapt to changing environments. While planning might help mitigate the effect of acute shocks to the health system, whether or not the health system is able to maintain core functions of delivering quality healthcare services in an efficient and equitable way also depends on how well it adjusts to the post crisis phase. Investing in structures and processes that promote the adaptive capacity of health systems is therefore important. Further, resilience to everyday challenges cannot be achieved by risk management and organizational continuity plans because such plans are often aimed at isolated events that are transient and have clear boundaries. Everyday challenges are unpredictable, multiple, and have fuzzy boundaries in the sense that they are interconnected in complex ways. To overcome these challenges, health systems will need to adapt in creative and innovative ways, and transform to new and improved forms of operations.
Third, while the empirical literature from other sectors has embraced not only the notion of resilience to acute shocks, but also resilience to chronic or everyday challenges, it appears that the health sector is largely focused on acute shocks. This is perhaps understandable given that the resilience debate in the health sector has been inspired by the occurrence of acute shocks, most notably the 2014-2016 Ebola outbreak. However, general experience of health systems, especially in low- and middle-income countries, highlights the fact that health systems also face chronic everyday challenges such as dysfunctional policies, chronic underfunding, limited human resource capacity, and high levels of disease burden. 62 In the same way that organizations outside the health sector recognize and strategize on how to nurture resilience to chronic, everyday challenges, health systems also need to focus on nurturing what Gilson et al 62 call “everyday resilience.” This is crucial not only because everyday resilience has an inherent value, but also because it has an instrumental value in promoting the resilience of organizations to acute shocks. 33 This can be explained by the finding from our review that everyday resilience, and resilience to acute shocks share attributes.
A fourth lesson to draw from this literature review is that organizational software is at least, if not more, important than organisational hardware, in nurturing health system resilience. While the hardware of material resources are key ingredients for health system resilience, soft aspects of the system such as adequate planning, governance practices, leadership practices, organizational culture, staff motivation and commitment are much more important in and of themselves, and also in ensuring that the hardware is adequately mobilized for resilience. For instance, our review found that social networks and collaboration (system software) were crucial in mobilizing material resources (system hardware) that was necessary for resilience.
To our knowledge, this is the first review of empirical studies that focuses on organizational resilience, and includes literature from the health sector. Understanding the attributes of resilient systems and strategies that can be employed to nurture resilience will be useful in informing global health efforts to strengthen health systems. Further studies should focus on testing the attributes identified by this review in the health sector, as well as identifying other factors that characterize resilient health systems. For the concept to offer insights that are useful in improving health systems performance, it is imperative that sufficient evidence about how organizations and systems experience, and deal with, both chronic stresses and acute shocks is generated. The concepts and principles that have dominated much of resilience literature will need to be tested in the real world of health systems. In such work, frameworks should be developed that focus not only on resilience to sudden shocks, but also resilience to everyday challenges. Moreover, methods that appreciate the CAS nature of systems, such as system dynamic modeling, should be applied and explored.
Edwine Barasa, Rahab Mbau, and Lucy Gilson are members of the Consortium for Resilient and Responsive Health Systems (RESYST). This document is an output from a project funded by the UK Aid from the UK Department for International Development (DFID) for the benefit of developing countries. However, the views expressed and information contained in it are not necessarily those of or endorsed by DFID, which can accept no responsibility for such views or information or for any reliance placed on them. Edwine W. Barasa is supported by a Wellcome Trust Training Fellowship (#107527). The funders had no role in the writing of this paper or in the decision to submit for publication. This work is published with the permission of the Director of KEMRI.
Not applicable.
Authors declare that they have no competing interests.
EB and LG conceptualized the review; EB and RM conducted the literature search and selection. EB and RM conducted the data extraction. EB conducted the analysis, and synthesis. EB developed the first draft of the paper. All authors contributed to subsequent and final drafts.
1 Health Economics Research Unit, KEMRI Wellcome Trust Research Programme, Nairobi, Kenya. 2 Nuffield Department of Medicine, University of Oxford, Oxford, UK. 3 School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa. 4 Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.
Citation: Barasa E, Mbau R, Gilson L. What is resilience and how can it be nurtured? A systematic review of empirical literature on organizational resilience. Int J Health Policy Manag. 2018;7(6):491–503. doi:10.15171/ijhpm.2018.06
This inquiry aims to highlight the philosophical perspective of Aristotle’s “business” priority of the organization over the individual in combination with Heraclitus’ flux theory and the unity of opposites to alternatively approach organizational resilience. While current literature on organizational resilience argues that disorganization and gradual decaying are probable but not certain, they can be predicted and managed. In contrast, the combined analysis of Aristotelian and Heraclitean philosophical theories points out that organizational disorganization and the fluctuation of resilience are a certainty and not a probability, constituting an automation embedded in a circular, repeatable pattern for organizations and businesses. In this project, organizational and entrepreneurial scientific realism meets with the philosophical synthesis of Heraclitus’ and Aristotle’s thought on organizational resilience. The intended outcome of this “encounter” is to contribute an applicable perceptual “intellectual tool” that will foster a deeper understanding of resilience, organizationally and individually.
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International Journal of Disaster Resilience in the Built Environment
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Article publication date: 31 May 2019
Issue publication date: 9 September 2019
This paper aims to explore the empirical literature on organizational resilience. The goal consists of identifying and understanding the indicators used to evaluate organizational resilience and instigating the development of indicators to assess resilience in other areas, such as project management and critical infrastructure.
A review of recent empirical studies is conducted to collect information on the indicators used to assess organizational resilience.
A range of interrelated indicators aiming to measure organizational resilience in two dimensions is shown in this literature review: awareness and adaptive capacity. Awareness is the ability of an organization to assess its environment and interpret the changes in its surroundings, both now and in the future, to be proactive and better manage possible disruptive events. On the other hand, adaptive capacity is the organization’s capacity to transform its structure, processes, culture, etc. for recovering once faced with a disruptive event. Awareness forms the main base of the organization’s adaptive capacity.
Organizational resilience contributes to the safe development of the built environment. This concept helps organizations to cope with disruptions. However, little research has been conducted on the indicators to assess organizational resilience, in different fields. Moreover, these indicators’ credibility is based on empirical studies.
Rahi, K. (2018), "Indicators to assess organizational resilience – a review of empirical literature", International Journal of Disaster Resilience in the Built Environment , Vol. 10 No. 2/3, pp. 85-98. https://doi.org/10.1108/IJDRBE-11-2018-0046
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