Emergency Department, Örebro University Hospital, Örebro, Sweden.
Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Disaster Med Public Health Prep. 2022 Apr 1;17:e191. doi: 10.1017/dmp.2022.91.
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.
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.
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.
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.
瑞典的冠状病毒病（COVID-19）危机应对主要由几个国家机构合作管理。通常，它们的战略和运营合作是有限的，但大流行需要新的和不熟悉的合作。本研究旨在阐明在 4 个国家机构内部和之间感知到的有效员工工作的促进因素和障碍。
通过雪球抽样对危机组织中具有领导作用的 10 名参与者进行了定性研究。参与者访谈于 2020 年 8 月至 11 月进行，并使用内容分析法进行分析。
分析产生了四个类别：个人特征、机构内组织、机构间合作和政府指令。从数据中结晶出的子类别进行了分析，并分为促进有效员工工作的因素或作为有效员工工作的障碍。
个人因素，如态度和方法，对感知到的有效员工工作以及组织的明确任务和结构很重要。感知到的有效员工工作的障碍包括缺乏网络、任务和组织结构的复杂性，以及准备不足和任务不明确。尽管灵活性和适应性是必要的，但它们不能总是计划，而是可以通过选择合适的个人和优化组织规划间接纳入。
