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1.
  • Sultan, Mohammed Ali Salem, et al. (författare)
  • Disaster Collaborative Exercises for Healthcare Teamwork in a Saudi Context
  • 2023
  • Ingår i: International Journal of Disaster Risk Science. - 2095-0055. ; 14, s. 183-193
  • Tidskriftsartikel (refereegranskat)abstract
    • This study aimed to evaluate the development of healthcare teamwork during and after the collaboration tabletop exercises, through observation and interview methods. Integration and maturity theoretical models were employed to explain the collaborative challenges in teams that may suffer from unequally distributed power, hierarchies, and fragmentation. Using three-level collaboration tabletop exercises and the Command and control, Safety, Communication, Assessment, Treatment, Triage, Transport (CSCATTT) instrument, 100 healthcare workers were observed during each step in the implementation of the CSCATTT instrument using two simulated scenarios. The results show a lack of integration and team maturity among participants in the first scenario, leading to the delayed start of the activity, task distribution, and decision making. These shortcomings were improved in the second scenario. In-depth interviews with 20 participants in the second phase of the study revealed improved knowledge and practical skills, self-confidence, and ability in team building within trans-professional groups in the second scenario, which in concordance with the integration theory, was due to the attempts made in the first scenario. Additionally, there was an improvement in the team’s maturity, which in concordance with the maturity theory, was due to the knowledge and practical skills during scenario plays. These results indicate the importance of continuous tabletop training, and the use of CSCATTT as a collaborative instrument, to promote the development of collaboration and to test the concept of preparedness.
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3.
  • Carlström, Eric, 1957, et al. (författare)
  • Collaboration Exercises in Emergency Work : Outcomes in Terms of Learning and Usefulness
  • 2019
  • Ingår i: Disaster, Diversity and Emergency Preparation. - Amsterdam : IOS Press. - 9781614999935 ; , s. 147-154, s. 147-154
  • Bokkapitel (refereegranskat)abstract
    • In this study we reviewed scientific papers which measured the effect of collaboration exercises in terms of learning and usefulness. The question to be answered was: Do collaboration exercises contribute to learning that is useful in actual emergency work? The point of departure was the perception that exercises improve handling logic and actions that increase security and safety in the community. However, the organizations involved in emergencies are regarded as inflexible, conservative, and non-collaborative. Data was collected in three steps. In the first step, studies of collaboration exercises in a crisis context were selected. In the next step, studies focused on the outcome of collaboration exercises in terms of learning and usefulness were identified. Out of 564 articles, seven were selected. The data from all included articles was collected by a common questionnaire in the included studies. The instrument measured learning and usefulness on a 5-point Likert scale, from strongly disagree to strongly agree. A total of 477 participants responded to the surveys. The mean within the learning dimension was 3.54 (SD = 0.62), and the mean within the usefulness dimension was 3.64 (SD = 0.65). The results showed that a developed type of exercise that included room for seminars resulted in a higher degree of learning and usefulness than the rest of the exercises studied.
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