Does the “state of disaster” response have a downside? Hospital incident command group leaders’ experiences of a terrorist-induced major incident: a qualitative study

Abstract Aim This study explores HICGs’ experience of disaster response during a terrorist-induced major incident major incident. Design A qualitative descriptive design with individual semi-structured interviews was used. Methods This was a qualitative study based on seven individual interviews. Pa...

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Main Authors: Jason P. Murphy, Anna Hörberg, Monica Rådestad RN, Lisa Kurland, Maria Jirwe
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Emergency Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12873-025-01173-4
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author Jason P. Murphy
Anna Hörberg
Monica Rådestad RN
Lisa Kurland
Maria Jirwe
author_facet Jason P. Murphy
Anna Hörberg
Monica Rådestad RN
Lisa Kurland
Maria Jirwe
author_sort Jason P. Murphy
collection DOAJ
description Abstract Aim This study explores HICGs’ experience of disaster response during a terrorist-induced major incident major incident. Design A qualitative descriptive design with individual semi-structured interviews was used. Methods This was a qualitative study based on seven individual interviews. Participants were members of hospital incident command groups during a terror attack. The interviews were transcribed verbatim and analyzed using deductive content analysis. The SRQR checklist was used to report the findings. Results The data created from the interviews identified barriers and facilitators for hospital response as well as aligned with previously established categories: Expectations, prior experience, and uncertainty affect hospital incident command group response during a Major Incident and three categories, (I) Gaining situational awareness (containing two subcategories), (II) Transitioning to management (containing three subcategories) and (III) Experiences of hospital incident command group response (containing two subcategories). In addition, the results suggest that an exaggerated response may have led to unanticipated adverse events. Clinical trial number Not applicable.
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issn 1471-227X
language English
publishDate 2025-02-01
publisher BMC
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series BMC Emergency Medicine
spelling doaj-art-9552d00ff1954814a2c29b8bf448036a2025-02-09T12:16:06ZengBMCBMC Emergency Medicine1471-227X2025-02-012511910.1186/s12873-025-01173-4Does the “state of disaster” response have a downside? Hospital incident command group leaders’ experiences of a terrorist-induced major incident: a qualitative studyJason P. Murphy0Anna Hörberg1Monica Rådestad RN2Lisa Kurland3Maria Jirwe4Department of Diagnostics and Intervention, Umeå UniversitySchool of Health and Welfare, Dalarna UniversityDepartment of Clinical Science and Education, Karolinska InstitutetDepartment of Medical Sciences, Örebro UniversityInstitution for Health Sciences, Swedish Red Cross UniversityAbstract Aim This study explores HICGs’ experience of disaster response during a terrorist-induced major incident major incident. Design A qualitative descriptive design with individual semi-structured interviews was used. Methods This was a qualitative study based on seven individual interviews. Participants were members of hospital incident command groups during a terror attack. The interviews were transcribed verbatim and analyzed using deductive content analysis. The SRQR checklist was used to report the findings. Results The data created from the interviews identified barriers and facilitators for hospital response as well as aligned with previously established categories: Expectations, prior experience, and uncertainty affect hospital incident command group response during a Major Incident and three categories, (I) Gaining situational awareness (containing two subcategories), (II) Transitioning to management (containing three subcategories) and (III) Experiences of hospital incident command group response (containing two subcategories). In addition, the results suggest that an exaggerated response may have led to unanticipated adverse events. Clinical trial number Not applicable.https://doi.org/10.1186/s12873-025-01173-4Hospital incident commandDisaster medicineDisaster preparednessDecision-makingMajor incident
spellingShingle Jason P. Murphy
Anna Hörberg
Monica Rådestad RN
Lisa Kurland
Maria Jirwe
Does the “state of disaster” response have a downside? Hospital incident command group leaders’ experiences of a terrorist-induced major incident: a qualitative study
BMC Emergency Medicine
Hospital incident command
Disaster medicine
Disaster preparedness
Decision-making
Major incident
title Does the “state of disaster” response have a downside? Hospital incident command group leaders’ experiences of a terrorist-induced major incident: a qualitative study
title_full Does the “state of disaster” response have a downside? Hospital incident command group leaders’ experiences of a terrorist-induced major incident: a qualitative study
title_fullStr Does the “state of disaster” response have a downside? Hospital incident command group leaders’ experiences of a terrorist-induced major incident: a qualitative study
title_full_unstemmed Does the “state of disaster” response have a downside? Hospital incident command group leaders’ experiences of a terrorist-induced major incident: a qualitative study
title_short Does the “state of disaster” response have a downside? Hospital incident command group leaders’ experiences of a terrorist-induced major incident: a qualitative study
title_sort does the state of disaster response have a downside hospital incident command group leaders experiences of a terrorist induced major incident a qualitative study
topic Hospital incident command
Disaster medicine
Disaster preparedness
Decision-making
Major incident
url https://doi.org/10.1186/s12873-025-01173-4
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