| 1. |
- Carlström, Eric, 1957, et al.
(författare)
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Collaboration Exercises in Emergency Work : Outcomes in Terms of Learning and Usefulness
- 2019
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Ingår i: Disaster, Diversity and Emergency Preparation. - Amsterdam : IOS Press. - 9781614999935 ; , s. 147-154, s. 147-154
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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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| 2. |
- Magnussen, Leif Inge, et al.
(författare)
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Help we are sinking! Stories from Norwegian dispatch centers on decision-making in unfamiliar and ambiguous situations
- 2018
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Ingår i: Journal of Emergency Management. - : Weston Medical Publishing. - 1543-5865. ; 16:4, s. 245-254
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Tidskriftsartikel (refereegranskat)abstract
- © 2018 Weston Medical Publishing. All rights reserved. The aim of this exploratory case study was to examine whether sensemaking processes may influence decision-making of emergency call center dispatchers when dealing with maritime crises. This article focuses on sensemaking and decision-making in an emergency services context using Norwegian operators as a case and reports on data collected from five focus-group interviews with emergency dispatchers at five different locations. Each focus group consisted of three dispatchers, representing the three main Norwegian emergency response dispatch centers: police, fire and rescue, and the Emergency Medical Communication Centre (AMK). The study's purpose was to see whether choices made when responding to maritime crisis calls are influenced by sensemaking processes, and whether these processes may have influenced the dispatcher's choice of which search and rescue resources to contact. The study found that the sensemaking processes that occurred prior to the decision-making might have been influenced by the dispatcher's past experiences, in particular, experiences from land-based operations. The findings also suggested that the emergency dispatchers made decisions based on intuitive sensemaking, as they were perceived pressed on time and experienced maritime crisis in a more transboundary nature than everyday land-based emergencies. The effects of sensemaking processes and intuitive decision-making shown in this study are of possible relevance to emergency services educators and managers outside a Norwegian framework.
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| 3. |
- Sultan, Mohammed Ali Salem, et al.
(författare)
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Disaster Collaborative Exercises for Healthcare Teamwork in a Saudi Context
- 2023
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Ingår i: International Journal of Disaster Risk Science. - 2095-0055. ; 14, s. 183-193
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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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| 4. |
- Sultan, Mohammed Ali Salem, et al.
(författare)
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Emergency Healthcare Providers' Perceptions of Preparedness and Willingness to Work during Disasters and Public Health Emergencies.
- 2020
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Ingår i: Healthcare (Basel, Switzerland). - : MDPI AG. - 2227-9032. ; 8:4
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Tidskriftsartikel (refereegranskat)abstract
- This study evaluates the perceptions of preparedness and willingness to work during disasters and public health emergencies among 213 healthcare workers at hospitals in the southern region of Saudi Arabia by using a quantitative survey (Fight or Flight). The results showed that participants' willingness to work unconditionally during disasters and emergencies varied based on the type of condition: natural disasters (61.97%), seasonal influenza pandemic (52.58%), smallpox pandemic (47.89%), SARS/COVID-19 pandemic (43.56%), special flu pandemic (36.15%), mass shooting (37.56%), chemical incident and bombing threats (31.92%), biological events (28.17%), Ebola outbreaks (27.7%), and nuclear incident (24.88%). A lack of confidence and the absence of safety assurance for healthcare workers and their family members were the most important reasons cited. The co-variation between age and education versus risk and danger by Spearman's rho confirmed a small negative correlation between education and danger at a 95% level of significance, meaning that educated healthcare workers have less fear to work under dangerous events. Although the causes of unsuccessful management of disasters and emergencies may vary, individuals' characteristics, such as lack of confidence and emotional distractions because of uncertainty about the safety issues, may also play a significant role. Besides educational initiatives, other measures, which guarantee the safety of healthcare providers and their family members, should be established and implemented.
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| 5. |
- Sultan, Mohammed Ali Salem, et al.
(författare)
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Nurses’ Readiness for Emergencies and Public Health Challenges—The Case of Saudi Arabia
- 2020
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Ingår i: Sustainability. - : MDPI AG. - 2071-1050. ; 12:19
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Tidskriftsartikel (refereegranskat)abstract
- This study was aimed at assessing the readiness of 200 emergency nurses in the southern part of Saudi Arabia in the management of public health emergencies, major incidents, and disasters by using quantitative research through a self-reporting validated questionnaire containing 10 different dimensions. All registered nurses working in emergency departments who were willing to participate, of all ages and gender groups, were included. Nurses who were not present during the study period because of vacation or maternity leave, nurses at the managerial level, and nursing aides were excluded. The participating nurses reported good knowledge in almost all investigated aspects of the theoretical dimensions of emergency management. However, they revealed perceived weaknesses in practical dimensions of emergency management and difficulties in assessing their own efforts. There was a significant correlation between qualification and the dimensions of emergency preparedness, epidemiology and surveillance, isolation and quarantine and critical resources, which indicates a need for strengthening their practical contribution as well as their theoretical knowledge. Educational initiatives combining theoretical and practical aspects of emergency management may provide an opportunity to examine nurses’ knowledge, skills, and abilities continuously in an environment with no harm to patients
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| 6. |
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| 7. |
- Sørensen, Jarle Løwe, et al.
(författare)
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Employees Perception of Organizational Crises and Their Reactions to Them – A Norwegian Organizational Case Study
- 2022
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Ingår i: Frontiers in Psychology. - : Frontiers Media SA. - 1664-1078. ; 13
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Tidskriftsartikel (refereegranskat)abstract
- Organizational sensemaking is crucial for resource planning and crisis management since facing complex strategic problems that exceed their capacity and ability, such as crises, forces organizations to engage in inter-organizational collaboration, which leads to obtaining individual and diverse perspectives to comprehend the issues and find solutions. This online qualitative survey study examines how Norwegian Sea Rescue Society employees perceived the concept of an organizational crisis and how they sensed their co-workers react to it. The scope was the ongoing COVID-19 pandemic, a global event affecting all countries and organizations and responding similarly globally. Data were collected during the Fall of 2020. The instrument of choice was the Internal Crisis Management and Crisis Communication survey (ICMCC). The results showed that the overall sample strongly believed in their organization’s overall resilience level. However, a somewhat vague understanding of roles and responsibilities in a crisis where detected, together with some signs of informal communication, rumor spreading, misunderstanding, frustration, and insecurity. This study contributes to the academic field of organizational research, hence crisis management and sensemaking, and could be valuable to managers and decision-makers across sectors. Increased knowledge about how employees react to a crisis may help optimize internal crisis management planning and utilize robust mitigation and response strategies.
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