Why is collaboration minimised at the accident scene? A critical study of a hidden phenomenon

被引:62
作者
Berlin, Johan M. [1 ]
Carlstrom, Eric D. [2 ,3 ]
机构
[1] Univ West, Dept Social & Behav Studies, Trollhattan, Sweden
[2] Univ Gothenburg, Sahlgrenska Acad, Gothenburg, Sweden
[3] Univ West, Dept Nursing Hlth & Culture, Trollhattan, Sweden
关键词
Accidents; Emergency services; Sweden; TEAM;
D O I
10.1108/09653561111126094
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Purpose - The purpose of this paper is to study why collaboration among police, fire, and ambulance services is minimised at accident scenes. Design/methodology/approach - Observations and semi-structured interviews were carried out during 2007-2008. The data material comprises a total of 248 hours of observations on 20 occasions and 57 interviews with 80 people. Findings - The study identifies the difference between rhetoric and practice in connection with accident work. Collaboration is seen as a rhetorical ideal rather than something that is carried out in normal practice. Asymmetry, uncertainty and lack of incentives are important explanations as to why only limited forms of collaboration are actually implemented. Research limitations/implications - The paper shows a distinction between collaboration as rhetoric and practical collaboration at accident scenes. Practical implications The article proposes a multi-faceted collaboration concept. In this way, collaboration can be developed and refined. Originality/value - The results of the study show that police, fire, and ambulance services want to develop excellent forms of collaboration at the accident scene, but avoid this as it leads to uncertainty and asymmetries and because of a lack of incentives. However, simpler forms of collaboration may be realistic in the organisation of everyday work at accident scenes.
引用
收藏
页码:159 / 171
页数:13
相关论文
共 37 条
[1]  
[Anonymous], J CONTINGENCIES CRIS
[2]  
[Anonymous], 1013 LUCRAM LUNDS U
[3]  
[Anonymous], MAKING SENSE ORG
[4]  
[Anonymous], J CONTINGENCIES CRIS
[5]  
[Anonymous], AM ED RES J
[6]  
[Anonymous], 2009, SAMVERKAN OLYCKSPLAT
[7]  
[Anonymous], 1989, PARTICIPANT OBSERVAT
[8]  
[Anonymous], FUTURUM EXAKTUM
[9]   Integration and collaboration in public health - a conceptual framework [J].
Axelsson, R ;
Axelsson, SB .
INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, 2006, 21 (01) :75-88
[10]   The organizational pendulum -: Healthcare management in Sweden 1865-1998 [J].
Axelsson, R .
SCANDINAVIAN JOURNAL OF PUBLIC HEALTH, 2000, 28 (01) :47-53