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The Social Process ...
The Social Process of Escalation: A Promising Focus for Crisis Management Research
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- Bergström, Johan (författare)
- Lund University,Lunds universitet,Lunds universitets centrum för riskanalys och riskhantering (LUCRAM),Annan verksamhet, LTH,Lunds Tekniska Högskola,Avdelningen för Brandteknik,Institutionen för bygg- och miljöteknologi,Institutioner vid LTH,Avdelningen för Riskhantering och Samhällssäkerhet,Lund University Centre for Risk Assessment and Management (LUCRAM),Other operations, LTH,Faculty of Engineering, LTH,Division of Fire Safety Engineering,Department of Building and Environmental Technology,Departments at LTH,Faculty of Engineering, LTH,Division of Risk Management and Societal Safety,Faculty of Engineering, LTH
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- Dekker, Sidney (författare)
- Lund University,Lunds universitet,Trafikflyghögskolan,Institutioner vid LTH,Lunds Tekniska Högskola,School of Aviation,Departments at LTH,Faculty of Engineering, LTH
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Nyce, James (författare)
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- Amer-Wåhlin, Isis (författare)
- Karolinska Institutet,Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine
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(creator_code:org_t)
- 2012-06-15
- 2012
- Engelska.
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Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 12:161
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http://dx.doi.org/10... (free)
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Abstract
Ämnesord
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- Background This study identifies a promising, new focus for the crisis management research in the health care domain. After reviewing the literature on health care crisis management, there seems to be a knowledge-gap regarding organisational change and adaption, especially when health care situations goes from normal, to non-normal, to pathological and further into a state of emergency or crisis. Discussion Based on studies of escalating situations in obstetric care it is suggested that two theoretical perspectives (contingency theory and the idea of failure as a result of incomplete interaction) tend to simplify the issue of escalation rather than attend to its complexities (including the various power relations among the stakeholders involved). However studying the process of escalation as inherently complex and social allows us to see the definition of a situation as normal or non-normal as an exercise of power in itself, rather than representing a putatively correct response to a particular emergency. Implications The concept of escalation, when treated this way, can help us further the analysis of clinical and institutional acts and competence. It can also turn our attention to some important elements in a class of social phenomenon, crises and emergencies, that so far have not received the attention they deserve. Focusing on organisational choreography, that interplay of potential factors such as power, professional identity, organisational accountability, and experience, is not only a promising focus for future naturalistic research but also for developing more pragmatic strategies that can enhance organisational coordination and response in complex events.
Ämnesord
- SAMHÄLLSVETENSKAP -- Annan samhällsvetenskap -- Tvärvetenskapliga studier inom samhällsvetenskap (hsv//swe)
- SOCIAL SCIENCES -- Other Social Sciences -- Social Sciences Interdisciplinary (hsv//eng)
- TEKNIK OCH TEKNOLOGIER -- Samhällsbyggnadsteknik -- Annan samhällsbyggnadsteknik (hsv//swe)
- ENGINEERING AND TECHNOLOGY -- Civil Engineering -- Other Civil Engineering (hsv//eng)
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