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Extreme teams: Toward a greater understanding of multiagency teamwork during major emergencies and disasters.

Nicola Power
Published in: The American psychologist (2019)
Major emergencies are extreme team decision making environments. They are complex, dynamic, high-stakes and fast paced events, wherein successful resolution is contingent upon effective teamwork. Not only do emergency teams coordinate at the intrateam level (e.g., police team), but they are increasingly required to operate at the interteam level (e.g., police, fire and ambulance teams). This is in response to the desire for networked and cost-effective practice and due to the evolving nature of modern threats, such as extreme weather events and terrorist attacks, which require a multi- rather than single-agency response. Yet the capacity for interoperability between emergency teams is under researched and poorly understood. Much of the teamwork research is based on student-samples or in artificial lab settings, reducing the salient contextual demands of emergencies (e.g., high-stakes, meaningful risk). Furthermore, the minimal research that has been conducted has tended to provide broad descriptive accounts of challenges faced during emergencies, but failed to develop and test solutions. This article identifies what is known about emergency teams and highlights why it is an important and timely area for research. It will focus on the challenges and solutions to three areas of team processing: cooperation, coordination, and communication. Future research must have a solutions-focused approach. This can be oriented around areas: training, sociotechnical networks, and policies/procedural guidelines. Greater collaboration between academics and practitioners can grow knowledge in this domain, ensuring that interventions to improve emergency teamwork are both contextually grounded and empirically validated. (PsycINFO Database Record
Keyphrases
  • public health
  • healthcare
  • emergency department
  • emergency medical
  • palliative care
  • climate change
  • quality improvement
  • primary care
  • decision making
  • physical activity
  • gene expression
  • clinical practice
  • current status