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A Paramedic Field Supervisor's Situational Awareness in Prehospital Emergency Care

Published online by Cambridge University Press:  03 March 2014

Teija Norri-Sederholm*
Affiliation:
Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland
Rauno Kuusisto
Affiliation:
Technical Research Center, Finnish Defense Forces, Riihimäki, Finland
Jouni Kurola
Affiliation:
Centre for Prehospital Emergency Care. Kuopio University Hospital, Kuopio, Finland
Kaija Saranto
Affiliation:
Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland
Heikki Paakkonen
Affiliation:
Centre for Prehospital Emergency Care. Kuopio University Hospital, Kuopio, Finland
*
Correspondence: Teija Norri-Sederholm, RN, MS Pikonniemenkatu 6 70800 Kuopio, Finland E-mail norrised@student.uef.fi

Abstract

Introduction

Situational awareness (SA), or being aware of what is going on and what might happen next, is essential for the successful management of prehospital emergency care. However, far too little attention has been paid to the flow of information. Having the right information is important when formulating plans and actions.

Problem

The aim of this study was to analyze and describe the type of information that is meaningful for SA in the work of paramedic field supervisors, and to create an information profile for them in the context of prehospital emergency care.

Methods

Data were collected from January through March 2012 from semi-structured interviews with ten paramedic field supervisors representing four rescue departments in Finland. The interviews were based on three different types of real-life scenarios in the context of prehospital emergency care, and deductive content analysis was employed according to the information exchange meta-model. Data management and analysis were performed using Atlas.ti 7.

Results

A paramedic field supervisor information interest profile was formulated. The most important information categories were Events, Means, Action Patterns, and Decisions. The profile showed that paramedic field supervisors had four roles – situation follower, analyzer, planner and decision maker – and they acted in all four roles at the same time in the planning and execution phases.

Conclusion

Paramedic field supervisors are multitasking persons, building SA by using the available data, combining it with extensive know-how from their working methods and competencies, and their tacit knowledge. The results can be used in developing work processes, training programs, and information systems.

Norri-SederholmT, KuusistoR, KurolaJ, SarantoK, PaakkonenH. A Paramedic Field Supervisor's Situational Awareness in Prehospital Emergency Care. Prehosp Disaster Med. 2014;29(2):1-9.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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References

1. Decree of the Ministry of Social and Health on Prehospital Emergency Care 340/2011. Finland: 2011. http://www.finlex.fi/fi/laki/alkup/2011/20110340 Google Scholar
2. Adam, EC. Fighter Cockpits of the Future. In: Proceedings of 12th IEEE/AIAA Digital Avionics Systems Conference. (DASC) October 25-28, 1993; Texas USA. 1993:318-323.Google Scholar
3. McGuinness, B. Quantitative Analysis of Situational Awareness (QUASA): Applying Signal Detection Theory to True/False Probes and Self-Ratings. Command and Control Research and Technology Symposium June 15-17, 2004; San Diego, California USA.Google Scholar
4. Hone, G, Martin, L, Ayres, R. Awareness – does the acronym “SA” still have practical value? In: 11th ICCRTS Coalition command and control in the networked era September 26-28, 2006; Cambridge, UK.Google Scholar
5. Busby, S, Witucki-Brown, J. Theory development for situational awareness in multi-casualty incidents. J Emerg Nurs. 2011;37(5):444-452.CrossRefGoogle ScholarPubMed
6. Demchak, B, Griswold, WG, Lenert, LA. Data Quality for Situational Awareness during Mass-Casualty Events. In AMIA 2007 Symposium Proceedings November 10-14, 2007; Chicago, Illinois USA. 2007:176-180.Google Scholar
7. Wu, A, Convertino, G, Ganoe, C, Carroll, JM, Zhangn, X. Supporting collaborative sense-making in emergency management through geo-visualization. Int J Hum Comput Stud. 2013;71(1):4-23.Google Scholar
8. Wang, Y, Luangkesorn, KL, Shuman, L. Modeling emergency medical response to a mass casualty incident using agent based simulation. Socioecon Plann Sci. Special Issue: Disaster Planning and Logistics: Part 2. 2012;46(4):281-290.Google Scholar
9. Abdullahi, A, Qi, S, Madjid, M. Situation Awareness in Systems of Systems Ad-Hoc Environments. In: Jahankhani H, Hessami AG, Hsu F, eds. Global Security, Safety and Sustainability: 5th International Conference, ICGS3 2009, London, UK, September 1-2, 2009. Proceedings. New York, New York USA: Springer Berlin Heidelberg; 2009:27-34.Google Scholar
10. Jokela, J, Radestad, M, Gryth, D, et al. Increase situation awareness in major incidents - radio frequency identification (RFID) technique: a promising tool. Prehosp Disaster Med. 2012;27(2):81-87.Google Scholar
11. Artinger, E, Maier, P, Coskun, T, et al. Creating a common operation picture in real time with user-centered interface for mass casualty incidents [abstract]. In: 6th International Conference on Pervasive Computing Technologies for Healthcare and Workshops, Pervasive Health May 21-24, 2012; San Diego, California USA. 2012:291-296.Google Scholar
12. Lenert, LA, Kirsh, D, Griswold, WG, et al. Design and evaluation of a wireless electronic health records system for field care in mass casualty settings. Journal of the American Medical Informatics Association. 2011;18(6):842-852.Google Scholar
13. Flin, R, Patey, R, Glavin, R, Maran, N. Anaesthetists’ non-technical skills. Br J Anaesth. 2010;105(1):38-44.Google Scholar
14. Schulz, CM, Schneider, FL, Vockeroth, J, et al. Visual attention of anesthetists during simulated critical incidents. Br J Anaesth. 2011;106(6):807-813.CrossRefGoogle ScholarPubMed
15. Mcllvaine, WB. Situational awareness in the operating room: a primer for the anesthesiologist. Perioperative Medicine and Pain. 2007;26(3):167-172.Google Scholar
16. Parush, AKC, Foster-Hunt, T, Momtahan, K, Hunter, A, Sohmer, B. Communication and team situation awareness in the OR: implications for augmented information display. J Biomed Inform. 2011;44(3):477-485.Google Scholar
17. Lai, F, Spitz, G, Brzezinski, P. Gestalt operating room display design for perioperative team situation awareness. Stud Health Technol Inform. 2006;119:282-284.Google ScholarPubMed
18. Karlsen, ES, Toussaint, PJ. Peri-operative communication patterns and media usage-implications for systems design. Stud Health Technol Inform. 2010;160(1):294-298.Google Scholar
19. Kim, Y, Xiao, Y, Hu, P, Dutton, R. Staff acceptance of video monitoring for coordination: a video system to support perioperative situation awareness. J Clin Nurs. 2009;18(16):2366-2371.Google Scholar
20. Koch, SH, Weir, C, Haar, M, et al. Intensive care unit nurses’ information needs and recommendations for integrated displays to improve nurses’ situational awareness. Journal of the American Medical Informatics Association. 2012;19(4):583-590.Google Scholar
21. Pennathur, PR, Cao, D, Bisantz, AM, et al. Emergency department patient-tracking system evaluation. Int J Ind Ergon. 2011;41(4):360-369.Google Scholar
22. Flowerdew, L, Brown, R, Vincent, C, Woloshynowych, M. Identifying nontechnicalskills associated with safety in the emergency department: s scoping review of the literature. Ann Emerg Med. 2012;59(5):386-394.Google Scholar
23. Kuusisto, R. “SHIFT” Theoretically-Practically Motivated Framework: Information Exchange Viewpoint on Developing Collaboration Support Systems. Helsinki, Finland: Edita Prima Oy; 2008. Finnish Defense University, Department of Tactics and Operations Art, Series 3, No 1/2008.Google Scholar
24. Kuusisto, R. Information Sharing Framework for Agile Command and Control in Complex Inter-domain Collaboration Environment. In: Proceedings of 17th International Command and Control Research and Technology Symposium June 19-21, 2012; Fairfax, Virginia USA.Google Scholar
25. Kuusisto, R, Kuusisto, T. Information Security Culture as a Social System: Some Notes of Information Availability and Sharing. In: Gupta M, Sharman R, eds. Social and Human Elements of Information Security: Emerging Trends and Countermeasures. Hershey, New York USA: IGI Global; 2009:77-97.Google Scholar
26. Kuusisto, R. User Approach to Knowledge Discovery in Networked Environment. In: Syväjärvi A, Stenvall J, eds. Data Mining in Public and Private Sectors: Organizational and Government Applications. Hershey, New York USA: IGI Global; 2011:358-374.Google Scholar
27. Schein, E.H. Organizational Psychology, 3rd ed. Englewood Cliffs, New Jersey: Prentice-Hall; 1980, (first published 1965, 2nd ed. 1970).Google Scholar
28. Schein, E.H. Organizational Culture and Leadership, 2nd ed. San Francisco, USA: Jossey-Bass; 1992.Google Scholar
29. Kuusisto, R. Aspects on Availability. A teleological adventure of information in the lifeworld. [PhD thesis]. Helsinki, Finland. National Defense College, Department of Tactics and Operations Art Helsinki;2004.Google Scholar
30. Krippendorf, K. Content Analysis: An Introduction to its Methodology, 3rd ed. Los Angeles, California USA: SAGE Publications Inc.; 2013.Google Scholar
31. Kyngäs, H, Elo, S. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107-115.Google Scholar
32. Kuusisto, R. From Common Operational Picture to Precision Management. Managemental Information Flows in Crisis Management Network. Helsinki, Finland: Publications of the Ministry of Transport and Communications 81/2005; 2005.Google Scholar
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