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Tactical leaders' and collaborative organizations' non-technical skills during major road tunnel incidents – An iterative focus group study

Karlsson, Sofia (author)
Umeå universitet,Kirurgi,Department of Surgical and Perioperative Sciences, Surgery, Umeå University, 901 87 Umeå, (SWE)
Gyllencreutz, Lina (author)
Umeå universitet,Institutionen för omvårdnad,Kirurgi,Department of Surgical and Perioperative Sciences, Surgery, Umeå University, 901 87 Umeå,(SWE); Department of Nursing, Umeå University, 901 87 Umeå (SWE)
Hylander, Johan, 1986- (author)
Umeå universitet,Kirurgi,Department of Surgical and Perioperative Sciences, Surgery, Umeå University, 901 87 Umeå (SWE)
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Eklund, Annika, 1981- (author)
Högskolan Väst,Avdelningen för psykologi, pedagogik och sociologi,LOVHH
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 (creator_code:org_t)
Elsevier, 2023
2023
English.
In: International Emergency Nursing. - : Elsevier. - 1755-599X .- 1878-013X. ; 71
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Introduction: Leadership during major incidents has been described as challenging and dependent on the non-technical skills of leaders. The complex tunnel environment contributes to an even more challenging incident response. Hence, this study aims to identify elements of non-technical skills when leading collaborative road-tunnel incident responses.Methods: The study was conducted using four focus group discussions with tactical leaders from the rescue services, emergency medical services, police, and collaborative organizations from the emergency dispatch center and road-traffic control center. The data was analyzed using a non-technical skills taxonomy.Results: Twelve non-technical skill elements emerged. Abilities to gather, sort, and proactively share relevant information and dispatch the correct resources were described. Additionally, abilities to prioritize actions and cooperate to establish a shared operational picture were found. Abilities to adjust leadership to the tunnel environment and conditions and assess the severity of the incident to make decisions were also described.Conclusion: When managing a road-tunnel incident response, tactical leaders utilizes a range of non-technical skills. The elements of these skills were found to be specific both to the tunnel environment and the collaborative nature of the response. Further studies into and development of these skills are needed to facilitate a timely response and minimize potential risks to personnel or evacuees in future tunnel incident responses.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Keyword

Collaboration
Emergency medical dispatch
Emergency medical service
Incident response
Major incident
Police
Rescue service
Traffic control center
Tunnel incident
Vårdvetenskap

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Karlsson, Sofia
Gyllencreutz, Li ...
Hylander, Johan, ...
Eklund, Annika, ...
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
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and Nursing
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International Em ...
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Umeå University
University West

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