Abstract
Resilience has in recent decades been introduced as a term describing a new perspective within the domains of disaster management and safety management. Several theoretical interpretations and definitions of the essence of resilience have been proposed, but less work has described how to operationalise resilience and implement the concept within organisations. This case study describes the implementation of a set of general resilience management guidelines for critical infrastructure within a Swedish Regional Medical Command and Control Team. The case study demonstrates how domain-independent guidelines can be contextualised and introduced at an operational level, through a comprehensive capability development programme. It also demonstrates how a set of conceptual and reflective tools consisting of educational, training and exercise sessions of increasing complexity and realism can be used to move from high-level guidelines to practice. The experience from the case study demonstrates the value of combining (1) developmental learning of practitioners’ cognitive skills through resilience-oriented reflection and interaction with dynamic complex open-ended problems; (2) contextualisation of generic guidelines as a basis for operational methodological support in the operational environment; and (3) the use of simulation-based training as part of a capability development programme with increasing complexity and realism across mixed educational, training and exercise sessions. As an actual example of a resilience implementation effort in a disaster medicine management organisation, the study contributes to the body of knowledge regarding how to implement the concept of resilience in operational practice.
Highlights
The potential contribution of the diversely employed term resilience in, for example, the disaster management and safety management domains has been articulated by numerous researchers (Hills 2000; Comfort et al 2001, 2010; Hollnagel et al 2006, 2011; Manyena 2006; Woods 2015)
Due to the wide scope of the DARWIN Resilience Management Guidelines (DRMG), the current study focused on implementing a subset of these guidelines that was considered especially relevant for the targeted participants in the Swedish Regional Medical Command and Control Team (RMCCT)
The aim of this article is to describe a resilience training programme that was applied in a Swedish regional medical command and control team
Summary
The potential contribution of the diversely employed term resilience in, for example, the disaster management and safety management domains has been articulated by numerous researchers (Hills 2000; Comfort et al 2001, 2010; Hollnagel et al 2006, 2011; Manyena 2006; Woods 2015) This has resulted in various interpretations of resilience as, for example, the robustness of a system or the adaptive capacity of a system before, during, and after disturbances to find a. Many definitions and concepts of resilience have been suggested in research areas such as Resilience Engineering, Community Resilience, and Disaster Resilience (Holling 1996; Hills 2000; Comfort et al 2001, 2010; Hollnagel et al 2006, 2011; Manyena 2006; Longstaff et al 2010; Woods 2015) In these areas, the definitions of resilience commonly connote a need for safety–critical organisations to develop their adaptive capacity and prepare for the unexpected in a pro-active manner. The DRMG described by Herrera et al (2019) are proposed as a stepping stone of operationalising the theoretical concept of resilience, to make it more accessible for organisations aiming to increase their resilience
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