Abstract

The aim was to investigate professional confidence in the roles of ambulance and medical incident commander (AIC and MIC), and how it influences achievement of performance indicators at an incident site. A web survey based on theoretical constructs (e.g., social identity, efficacy, accountability) and questions about prehospital emergency care connected to the roles were used (n = 426 Swedish ambulance nurses and emergency medical technicians). The results showed that social identity, independence and occupation were moderators for professional confidence. Organizational support, relational trust and independence were moderators for achieving performance indicators. Strengthening group identification and independence as MIC and independence and support for women as AIC together with a stronger organizational support can increase professional confidence and improve performance.

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