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Situational awareness during a full-scale exercise in an underground mine: A qualitative single-case study of the ambulance incident commander
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.ORCID iD: 0000-0003-3716-6445
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.ORCID iD: 0000-0002-1848-060x
2021 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 54, article id 100950Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Underground environments present challenges for providing and managing effective emergency care. Situational awareness (SA) has been suggested as a critical process to the management of care.

AIM: This study aims to explore the process of SA in the tasks of an ambulance incident commander (AIC) during a fullscale underground mine exercise.

METHODS: Data consisted of video recordings, audiotapes and fieldnotes; these were subjected to content analysis based on the categories from the Busby Theory of Situational Awareness in Multi-casualty Incidents.

RESULTS: The results show that the underground mining environment presented the AIC with specific challenges for the SA process with respect to aspects such as situational information about the scene and the victims, as well as with making decisions for ambulance personnel so they could perform their work safely, and having a structured manner to counteract information overload. Both technical and non-technical aspects influenced the process.

CONCLUSION: The AIC's situational awareness was largely built through coordinated communications and actions with collaborating actors. The results of this study can be used for further exploration of how to train and support people in medical leadership roles on aspects of SA in emergency care, as well as on how to evaluate educational outcomes through exercises.

Place, publisher, year, edition, pages
Elsevier, 2021. Vol. 54, article id 100950
Keywords [en]
Emergency medical management, Exercise, Preparedness, Qualitative observational study, Situational awareness, Underground mine incident
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-182432DOI: 10.1016/j.ienj.2020.100950ISI: 000611967400004PubMedID: 33326908Scopus ID: 2-s2.0-85097740584OAI: oai:DiVA.org:umu-182432DiVA, id: diva2:1546231
Available from: 2021-04-21 Created: 2021-04-21 Last updated: 2023-09-05Bibliographically approved

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Saveman, Britt-IngerGyllencreutz, Lina

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