Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Managing boundaries at the accident scene: a qualitative study of collaboration exercises
Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik. (LINA)ORCID-id: 0000-0002-0871-0475
Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur. Sahlgrenska Academy at University of Gothenburg.ORCID-id: 0000-0001-9463-7341
Nordic School of Public Health, Göteborg, Sweden.
Högskolan Väst, Institutionen för individ och samhälle, Avd för socialpedagogik och sociologi.ORCID-id: 0000-0002-6358-3528
2014 (Engelska)Ingår i: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 3, nr 1, s. 77-94Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose The purpose of this study is to identify what is practiced during collaboration exercises and possible facilitators for inter-organisational collaboration.

Design/methodology/approach Interviews with 23 participants from four exercises in Sweden were carried out during autumn 2011. Interview data were subjected to qualitative content analysis.

Findings Findings indicate that the exercises tend to focus on intra-organisational routines and skills, rather than developing collaboration capacities. What the participants practiced depended on roles and order of arrival at the exercise. Exercises contributed to practicing leadership roles, which was considered essential since crises are unpredictable and require inter-organisational decision-making.

Originality/value The results of this study indicate that the ability to identify boundary objects, such as injured/patients, was found to be important in order for collaboration to occur. Furthermore, lessons learned from exercises could benefit from inter-organisational evaluation. By introducing and reinforcing certain elements and distinct aims of the exercise, the proactive function of collaboration exercises can be clarified.

Ort, förlag, år, upplaga, sidor
2014. Vol. 3, nr 1, s. 77-94
Nyckelord [en]
Collaboration, Exercise, Police, Ambulance, Accident, Fire department
Nationell ämneskategori
Pedagogiskt arbete Studier av offentlig förvaltning Företagsekonomi Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Folkhälsovetenskap; SAMHÄLLSVETENSKAP, Företagsekonomi; SAMHÄLLSVETENSKAP, Offentlig förvaltning; SAMHÄLLSVETENSKAP, Sociologi
Identifikatorer
URN: urn:nbn:se:hv:diva-6143DOI: 10.1108/IJES-02-2013-0003OAI: oai:DiVA.org:hv-6143DiVA, id: diva2:710705
Tillgänglig från: 2014-04-08 Skapad: 2014-04-08 Senast uppdaterad: 2019-05-13Bibliografiskt granskad
Ingår i avhandling
1. In case of emergency: Collaboration exercises at the boundaries between emergency service organizations
Öppna denna publikation i ny flik eller fönster >>In case of emergency: Collaboration exercises at the boundaries between emergency service organizations
2016 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Due to the emergent and dynamic nature of incidents, the complexity of emergency work is often referred to as a challenge for learning. Another recurrent challenge in emergency work is that of collaboration at and across established organizational boundaries involving actors with specific types of expertise who are operating under different regulations and responsibilities. In addition, training emergency service organizations in collaboration remains a challenge. In light of the difficulties and shortcomings that have been identified in major incident responses, the need for exercises for developing and maintaining collaborative response effectiveness prior to the next incident is often highlighted. The overall aim of this thesis is to understand how full-scale exercises can provide conditions for developing inter-organizational collaboration between the police, ambulance and rescue services at the incident site. Learning activities that carry the potential to support and develop collaborative capacity, and how the alignment of distributed expertise can be trained for, were of particular interest. Interviews with participants in eight full-scale exercises with professionals and interviews and observations of one exercise with senior-level students in Sweden served as the empirical base.Central concepts from Cultural-Historical Activity Theory (CHAT) provided theoretical tools to explore the exercises and understand boundaries between organizations with a wider, systemic approach. The empirical studies show that the participants understood full-scale exercises to be valuable opportunities for becoming involved in response work, making decisions, and acting and interacting in uncertain situations and realistic environments. As in real-life responses, exercises are characterized by the stabilization and confirmation of everyday routines on the one hand, and by improvisation and change on the other hand. The studies also show that exercises tend to focus on specific scenarios,intra-organizational routines, and leadership positions. Infrequent exercises inwhich the participants were only trained in a limited role were perceived to be in adequate for developing preparedness and collaboration. However, the analysis suggested that the way in which exercises were organized and performed had implications for how participants were trained in collaboration.Realizing the potential of boundaries as resources for learning in exercises depends on how boundaries are explicated and approached. Thus, rather than striving to ignore or eliminate boundaries in exercises, the studies illustrated the learning value of explicitly reflecting on the multiple understandings around boundaries. The studies demonstrated that much of the work at an incident site takes place around negotiations. Collaboration at the incident site was not only aquestion about boundary crossing; operational tasks may not always be aligned and have to be prioritized and sequenced. The exercises comprised work situations in which no single motive could explain or determine the collaboration,due to different types of expertise, primary responsibilities and needs forinformation. These factors were understood in terms of the concepts of boundarywork and boundary awareness. These concepts point at a more divergent understanding of collaboration that reaches beyond striving to create mutual understanding between organizations in learning activities. Differences between organizations, such as in terminology, time horizons, priorities, leadership structures, understandings of safety and how intra-organizational decisions and actions could impact the collaborating organizations' work, were central triggers for discussion and negotiation. These differences required explanations in order to make the actions and decisions of one organization understandable and justifiable to another, based on organizational mandates and types of expertise.Giving emergency services the opportunity to work together, to develop an awareness of their expectations of each other in various situations, to use and interpret their own and others' terminologies, and to identify internal hierarchies and motives for prioritizations was essential dimensions of exercises

Ort, förlag, år, upplaga, sidor
Trollhättan: University West, 2016. s. 135
Serie
PhD Thesis: University West ; 8
Nyckelord
Exercise, Collaboration, Emergency preparedness, Emergency work, Police, Ambulance, Rescue service, Learning, Boundaries
Nationell ämneskategori
Pedagogik
Forskningsämne
Arbetsintegrerat lärande; SAMHÄLLSVETENSKAP, Pedagogik
Identifikatorer
urn:nbn:se:hv:diva-9333 (URN)978-91-87531-29-3 (ISBN)978-91-87531-28-6 (ISBN)
Handledare
Tillgänglig från: 2016-05-02 Skapad: 2016-04-29 Senast uppdaterad: 2016-06-27Bibliografiskt granskad

Open Access i DiVA

Fulltext saknas i DiVA

Övriga länkar

Förlagets fulltext

Personposter BETA

Andersson, AnnikaCarlström, Eric D.Berlin, Johan

Sök vidare i DiVA

Av författaren/redaktören
Andersson, AnnikaCarlström, Eric D.Berlin, Johan
Av organisationen
Avd för hälsa, kultur och pedagogikInstitutionen för omvårdnad, hälsa och kulturAvd för socialpedagogik och sociologi
I samma tidskrift
International Journal of Emergency Services
Pedagogiskt arbeteStudier av offentlig förvaltningFöretagsekonomiHälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

Sök vidare utanför DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetricpoäng

doi
urn-nbn
Totalt: 763 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf