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Facilitators and barriers for effective staff work in Swedish National governmental crisis response to the COVID-19 pandemic
Örebro University, School of Medical Sciences. Emergency Department, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Health Sciences. CRIMEDIM, Novara, Italy.ORCID iD: 0000-0003-0534-4593
CRIMEDIM, Novara, Italy.
Örebro University, School of Medical Sciences.ORCID iD: 0000-0003-3290-4111
2022 (English)In: Disaster Medicine and Public Health Preparedness, ISSN 1935-7893, E-ISSN 1938-744X, Vol. 17, article id E191Article in journal (Refereed) Published
Abstract [en]

Objectives: The coronavirus disease (COVID-19) crisis response in Sweden was managed foremost by a collaboration of several national agencies. Normally, their strategical and operational collaboration is limited, but the pandemic required new and unfamiliar collaborations. This study aimed to clarify the facilitators and barriers of perceived effective staff work within and between 4 national agencies.

Methods: A qualitative study of 10 participants with leading roles within the 4 national agencies' crisis organization was conducted via snowball sampling. The participant interviews were conducted between August and November 2020 and analyzed using content analysis.

Results: Four categories emerged from the analysis: individual characteristics, intra-agency organization, interorganizational collaboration, and governmental directives. Subcategories crystallized from the data were analyzed and divided into factors for facilitating or to function as barriers for effective staff work.

Conclusion: Individual factors such as attitude and approach were important for perceived effective staff work as well as clear mandates and structure of the organization. Barriers for perceived effective staff work include lack of network, the complexity of the mission and organizational structures, as well as lack of preparations and unclear mandates. Although flexibility and adaptability are necessary, they cannot always be planned, but can be incorporated indirectly by selecting suitable individuals and optimizing organizational planning.

Place, publisher, year, edition, pages
Cambridge University Press, 2022. Vol. 17, article id E191
Keywords [en]
COVID-19 pandemic, crisis management, decision making, disaster medicine, staff management
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:oru:diva-98478DOI: 10.1017/dmp.2022.91ISI: 000818549800001PubMedID: 35362402Scopus ID: 2-s2.0-85128329417OAI: oai:DiVA.org:oru-98478DiVA, id: diva2:1650422
Note

Funding agency:

Department of Emergency Medicine, Örebro University Hospital

Available from: 2022-04-07 Created: 2022-04-07 Last updated: 2024-01-16Bibliographically approved

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Westman, AnjaHugelius, KarinKurland, Lisa

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