Management Of Crisis Situations Research Articles

PUBLIC ANTI-CRISIS MANAGEMENT AND COMMUNICATIONS WHEN PROVIDING EMERGENCY MEDICAL AID IN THE MEDICAL INDUSTRY OF UKRAINE

In this article, the authors focus on several key problems that arise in the process of management and communication in crisis situations related to the provision of emergency medical care. The article examines approaches to managing crisis situations in the sphere of health care of Ukraine in conditions of increased uncertainty and instability. The authors emphasize the importance of effective communication between medical institutions, government structures and the public to ensure prompt response to emergency situations. The article examines various aspects of public crisis management, including planning, organization of resources, and coordination of actions during the provision of emergency medical care. The article analyzes the tools of public management, which allow to minimize various consequences of incoherence of actions between state institutions and medical institutions. Special attention is paid to the importance of prompt decision-making and establishment of communication links between state bodies, medical workers and the population. The possibilities of applying international experience in the field of anti-crisis management and its adaptation to Ukrainian realities are also discussed. The conclusions of the article emphasize the need to reform the health care system in the direction of strengthening its resilience to crises, improving communication mechanisms, and implementing innovative management solutions to increase the effectiveness of providing emergency medical care in emergency situations. The article emphasizes the need for quick decision-making, building effective communication chains between medical staff, patients and other stakeholders. Special attention is paid to the challenges associated with the lack of resources, the limited capabilities of the health care system in the context of crises and the role of leadership in implementing changes. The article also offers recommendations for improving communication processes and management approaches that will contribute to increasing the effectiveness of medical care during emergency situations, particularly in wartime.

62 Outcomes from a randomized controlled trial of a brief virtual group intervention for adolescents with mild to moderate suicidal ideation and their caregivers: The BRAVA study

Abstract Background Building Resilience and Attachment in Vulnerable Adolescents (BRAVA) is a brief virtual group intervention designed for adolescents with mild to moderate suicidal ideation (SI) and their caregivers. The goal of BRAVA is to reduce SI in adolescents and increase family connection. The intervention consists of six independent, 90 minute modules that are delivered in a group setting on a weekly basis. Independent modules allow for rolling admission thereby reducing wait time to start the intervention. The modules include components of Dialectical Behaviour Therapy. Attachment Based Family Therapy, Cognitive Behavioral Therapy, Collaborative Problem Solving and psychoeducation. Adolescents and their parents attend separate groups. Adolescents focus on emotional regulation, coping skills, managing crisis situations and caregivers focus on connecting with their teen, validation and crisis management Objectives This randomized controlled trial (RCT) assessed the efficacy of BRAVA in reducing symptoms of SI, depression and anxiety in adolescents, and improving life stress and competency in caregivers. Design/Methods Ninety-nine eligible youth (13-17.5 years) presenting with mild to moderate SI (rated 1 on the suicide item of HEADS-ED MH screening tool) and their caregivers were recruited from hospital and community services. Families were randomized to BRAVA (n=50) or the control group (n=49). The control group intervention consisted of weekly text messages and the opportunity to join the BRAVA group post-exit assessment). Outcome measures were administered at intake and exit for adolescents (Suicidal Ideation Questionnaire-Junior, SIQ-JR; Revised Children’s Anxiety and Depression Scale, RCADS) and caregivers (Perceived Stress Scale, PSS; Parent Sense of Competency Scale, PSOC). Outcomes were analyzed using repeated measures of multivariable analysis of variance (MANOVA). Results Preliminary analyses showed no significant differences between groups at intake for any demographic or clinical variables. Most adolescents and caregivers completed their exit assessment (nBRAVA=37; nControl=39). Adolescents and caregivers attended a median of six and five groups, respectively. Comparing to the control group, BRAVA was superior in reducing SI (p = 0.05) and depression (p = 0.005) in adolescents and caregiver life stress (p = 0.026). Preliminary MANOVA of adolescent outcomes were significant for time [p <0.01, Effect size (ES) = 0.98] and between groups (p = 0.03, ES = 0.11). Caregiver outcomes were significant for time (p=0.051, ES=0.70). Conclusion This study demonstrates that a brief virtual group intervention can have a significant impact on adolescent SI and depression compared to an enhanced treatment as usual control group. In addition, BRAVA can reduce caregiver perceived stress, helping them view their lives as less unpredictable, uncontrollable and overloaded.

КОНВЕРГЕНЦІЯ МАРКЕТИНГУ ТА ФІНАНСОВО-ЕКОНОМІЧНОЇ БЕЗПЕКИ В УМОВАХ ЦИФРОВОЇ ТРАНСФОРМАЦІЇ

The article examines the relationship between marketing and financial and economic security in the context of the development of information technologies, as their convergence is an integral part of modern business. Digital transformations significantly change the landscape of marketing and financial and economic security, in order to work successfully in new conditions, enterprises must invest in digital technologies, protect customer data and systems from cyber attacks and fraudulent actions, constantly adapt to new technologies and market conditions. In today's conditions, economy, rationality and maximum efficiency based on the use of modern information and multimedia technologies are a guarantee not only of quality management, but also of the company's overall competitiveness in the markets. Marketing plays a key role in ensuring the financial and economic security of the enterprise, i.e. constant monitoring of the market, analysis of competitors and study of customer needs allow timely detection of potential threats and development of effective strategies to neutralize them. Thanks to a deep understanding of customer needs and market dynamics, marketing contributes to the development of effective strategies that allow the enterprise to adapt to changes and maintain its competitiveness, optimize its costs, improve product quality and strengthen its position in the market. In the conditions of growing global competition, companies must understand the development trends of international markets, cultural characteristics and take into account legislative norms in their activities. In this case, marketing helps to adapt business to new conditions, and economic security provides protection from external threats. The rapid development of digital technologies is changing the rules of the game in the market, while marketing allows effective use of digital channels to interact with customers, and economic security provides protection against cyber threats and other risks related to digital technologies. Consumers increasingly expect a personalized approach and high quality products and services, so marketing helps to understand the needs of customers and develop appropriate offers, and financial and economic security ensures that these offers will be fulfilled with quality and time. New players are constantly entering the market, which complicates competition, so there is a need to stand out among competitors, determine the company's competitive advantages, build a positive image and effectively manage crisis situations. In this case, economic security protects against unfair competition, ensures business stability in conditions of uncertainty, helps protect company data from cyber attacks and fraudulent actions, and prevents financial losses. Therefore, ensuring financial and economic security during marketing operations is a complex task that requires a complex approach. The convergence of marketing and financial and economic security allows you to minimize risks, ensure sustainable business development and effective promotion of goods and services, and protect the reputation of the company and its assets. The interaction of marketing and economic security helps prevent crisis situations related to security breaches that can negatively affect the company's image, as well as avoid ineffective spending on marketing campaigns related to unsafe or unethical practices

Етапи та заходи антикризового управління на підприємстві

The instability of the global economic environment leads to the formation of crisis phenomena, which negatively affect the activities of enterprises and necessitate the implementation of crisis management. The purpose of the work is to study and develop the stages of conducting crisis management at the enterprise based on the identification of the type of crisis and its phases, which will enable the selection of the correct methods of combating and prevention measures. The essence of crisis management lies in systemic management of crisis situations to prevent, adapt to, and overcome their negative consequences. It solves the tasks of ensuring the stability, success of operation, and competitiveness of the enterprise in conditions of market instability by forecasting and analyzing crisis situations, evaluating external and internal threats that may lead to a crisis situation at the enterprise. The subject of crisis management by the enterprise is the factors that cause the crisis, while the object is the enterprise itself and its operational activities. The subjects of crisis management by the enterprise are all interested parties in overcoming the crisis, primarily the leadership of the enterprise. The research conducted in the article allowed to identify a certain algorithm of the sequence of crisis management at the enterprise, which includes ten consecutive stages – from diagnosing the current state of the enterprise and identifying threats to preventive monitoring of possible threats. Moreover, the sequence of stages of crisis measures depends on the type of crisis that has arisen in the external or internal environment of the enterprise. The authors concluded that enterprise management should demonstrate flexibility and the ability to quickly react to changes and, if necessary, use all tools and means of crisis management, which will help it better resist crisis situations and maintain the stability of the enterprise. To overcome manifesta- tions of macroeconomic and microeconomic crises at the enterprise, it is necessary to implement crisis measures, the list of which the enterprise will choose based on the type of crisis, its phase, scale of coverage, as well as a number of other factors.

Kritik Birimlerde Çalışan Hemşirelerde Merhamet Yorgunluğu, Empati Eğilimi ve Mesleki Doyum Arasındaki İlişkinin İncelenmesi

Objective: The stress levels of nurses working in critical units are very high because they have to manage crisis situations and encounter many deaths. Stress and fatigue experienced by nurses; while it leads to insensitivity to the needs of others and a decrease in empathy ability, over time it results in compassion fatigue and a decrease in job satisfaction. In this single-center descriptive survey study, it was aimed to investigate the levels of compassion fatigue, empathy tendency and job satisfaction in nurses working in critical units, and to examine the relationship between them. Methods: A survey study was planned with the participation of nurses working in critical units such as operating rooms, intensive care units and emergency rooms. “Introductory Information Form”, “Compassion Satisfaction Scale”, “Empathic Tendency Scale” and “Job Satisfaction Scale” were used as data collection tools. Results: As a result of this research in which 155 nurses participated; it was determined that there was a statistically significant relationship between the compassion fatigue scale, empathic tendency scale and job satisfaction scale (p<0.05). A negative relationship was determined between the “Compassion Satisfaction Scale” and the “Empathic Tendency Scale” (r= - 0.323; p<0.05), and the “Compassion Satisfaction” and “Job Satisfaction Scale” (r= -0.414 p<0.05). A significant positive relationship was found between the “Empathetic Tendency Scale” and the “Job Satisfaction Scale” (r= 0.446 p<0.05). Conclusion: Compassion fatigue caused by physiological and psychological wear and tear, which is common in nurses working in critical units, results in a decrease in empathy and job satisfaction over time. Stress and the feeling of professional burnout can be reduced by methods such as restricting and regulating working hours in relevant critical departments and improving physical and social conditions. Keywords: Nursing, critical units, compassion fatigue, job satisfaction, empathy tendency

Финансовый анализ вероятности банкротства корпорации

Financial condition is the most important characteristic of the economic activity of business entities. Therefor in domestic theory and practice there is a search for methods and models that make it possible to predict the bankruptcy of organizations with sufficient accuracy. The article discusses the methods used in the practice of economic entities of the Russian Federation for assessing the likelihood of bankruptcy. As an innovation, an innovative crisis management mechanism is proposed — an autogenic crisis and its practical tool based on stress testing of enterprises in the real sector of the economy. To effectively manage crisis situations, it is recommended to develop a Federal Auditing Standard with a unified set of indicators that allow assessing the likelihood of insolvency (bankruptcy) of the audited organizations. In addition to financial indicators, it is proposed to include in the set of such indicators reflecting the operational and investment activities of business entities.

Crisis management competencies needed in a hospital setting during the COVID-19 pandemic: A qualitative study of nurse leaders.

To describe the crisis management competencies needed in a hospital setting during the COVID-19 pandemic from the perspective of nurse leaders. The COVID-19 pandemic generated many challenges for nurse leaders in hospitals, and management competencies are highlighted. However, there is little evidence available about nurse leaders' perceptions of the crisis management competencies needed in such situations. A qualitative, descriptive, semi-structured interview study of nurse leaders (n = 20) was conducted between June and October 2021 in one Finnish central hospital. The data were analysed using inductive content analysis. The analysis yielded five main categories of crisis management competencies needed in a hospital setting during the pandemic: interactive communication competence, psychological resource management competence, systematic and proactive organising competence, active networking abilities and practices and change management approach in crisis management. Nurse leaders need new and different crisis management competencies in hospital organisations. The COVID-19 pandemic changed the working culture of nurse leaders, as they faced challenges that needed knowledge and skills beyond their previous management competence. Additional training for nurse leaders in crisis management is needed. This training should reflect the competencies identified as necessary in crisis situations so that nurse leaders will be able to manage crisis situations effectively in future. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used in reporting the findings. No patient or public contribution.

ВИКОРИСТАННЯ МЕТОДІВ БРЕНД- І PR-МЕНЕДЖМЕНТУ В РЕГІОНАЛЬНОМУ ТУРОПЕРЕЙТИНГУ

The article examines modern methods of brand and PR management and their application in the context of regional tour operating. Brand management is an important tool for increasing the recognition and attractiveness of a tourist product. This includes creating a unique image that distinguishes a certain tourist destination or service from competitors. A successful brand helps to create an emotional connection with the target audience, which contributes to the growth of loyalty and long-term relationships with customers. PR management in tour operating is aimed at managing public opinion and forming a positive image of the region as a tourist destination. This is achieved through active interaction with the mass media, holding press conferences, participation in tourist exhibitions, organization of information tours for journalists and bloggers. An important aspect is also the management of crisis situations and the minimization of the negative impact of unforeseen events on the reputation of the region. Regional tour operating focused on a specific geographic area has its own specific challenges and advantages. One of the main tasks is the formation of a holistic image of the region, which includes cultural, historical and natural features. An important role is played by cooperation with local authorities, enterprises and public organizations, which allows for the creation of complex tourist products. Effective use of brand and PR strategies helps to attract more tourists, increase the competitiveness of the region and increase income from tourism. It is also important to take into account current trends and innovations in marketing, such as the use of digital platforms, social networks and influencers. The article analyzes specific examples of the successful application of brand and PR management in different regions of the world, which allows to determine the best practices and adapt them to the conditions of domestic tour operating. Particular attention is paid to methods of measuring the effectiveness of brand and PR campaigns, which allows us to assess their impact on the development of regional tourism. In addition, the prospects for the development of brand and PR management in the conditions of globalization and digital transformation are considered. Attention is paid to the role of technologies in the creation of interactive content, virtual tours and other innovative approaches that make the tourist product more attractive to the modern consumer. In general, the article emphasizes the importance of an integrated approach to the use of brand and PR management methods in regional tour operating, which is a key success factor in conditions of high competition in the tourism market.

Інформаційна економіка в системі заходів повоєнного відновлення України

The aim of the article is to determine the role and significance of the information economy in the process of reсovery of Ukraine after the war. Nowadays, information has a significant impact on the modern economy through decision-making, organization of production, allocation of resources and consumption. The article discusses practical examples of the use of information technologies and digital tools, as well as illustrates the impact of these technologies on the rapid and effective recovery of the country’s economy after the war’s end. The article highlights such aspects as the use of information systems to coordinate recovery processes, promoting investment opportunities, supporting small and medium-sized enterprises, developing innovations and startups in the recovery industry sectors, and improving management and resource efficiency. The carried out research allowed to correlate the concept of information economy with the above categories, which made it possible to identify the interdependence or subordination of the digital economy to these aspects. Currently, the issue of the information economy is studied at an inappropriately low level due to the complexity of the topic, which covers a wide range of aspects – from technology and socio-cultural influences to economic policy. It is proved that increasing the level of research on the information economy can contribute to improving the level of economic recovery of the country. It is defined that the rapid pace of technological progress is constantly changing the economic landscape and requires constant updating of knowledge and research methods. Therefore, it is very important to use all available resources that can help in the post-war recovery of the country: reconstruction and revival of infrastructure, the work of humanitarian organizations, attracting investments, managing crisis situations, creating new businesses, etc.

Tržišni odnosi s javnošću u tekstilnoj industriji

This research paper explains the importance of public relations and its role of public relations in textile organization. Public relations are the art and social science of that link inside and outside the organization together. PR in the textile industry plays a crucial role in building and maintaining a positive company image. The aim of this paper is to highlight the role and importance of public relations in creating a strong brand through effective communication with the public, customers, and partners. Additionally, PR strategies help in managing crisis situations and preserving the company's reputation. Effective PR can increase brand recognition, leading to higher sales and customer loyalty. Nowadays, as consumers become more aware of social responsibility, PR can contribute to promoting sustainable and ethical practices within the textile industry.

An Overview of Hematologic Emergencies in Sickle Cell Anemia

Sickle cell anemia (SCA) is a hematological disorder characterized by a form of hemoglobin called HbS. This results in the formation of rigid crescent-shaped red blood cells and various complications, including emergencies related to the blood. This literature review provides an overview of these emergencies, focusing on their signs, diagnostic methods, and current treatment approaches. The main feature of SCA, hemolysis, contributes to vaso-oclusive crises, where small blood vessels become blocked and cause tissue damage due to reduced blood flow. Early identification through parameters and advanced imaging techniques like magnetic resonance imaging plays a role in effective management. Acute chest syndrome, an emergency involving blocked lung blood vessels, requires recognition and aggressive treatment that includes oxygen therapy, pain relief measures, and transfusions if necessary. The increased risk of stroke in individuals with SCA necessitates detection using doppler ultrasonography, especially in pediatric patients who may benefit from long-term transfusion therapy for prevention purposes. Comprehensive care for SCA patients goes beyond managing crisis situations and includes vaccinations, genetic counseling services well, and patient education. Exciting advancements in SCA management, such as gene therapy, offer options for the future. The review highlights the importance of taking an approach to address emergencies in SCA, which involves leveraging clinical expertise conducting laboratory investigations, and exploring innovative therapies. As researchers delve deeper into the intricacies of this condition, the path to care keeps advancing in a direction. This progress brings optimism for outcomes and an improved quality of life.

ЗОВНІШНЯ ПОЛІТИКА ДЖ. КЕННЕДІ: ОСОБИСТІСНИЙ ЧИННИК У СПІВПРАЦІ ПРЕЗИДЕНТА ТА ДЕРЖСЕКРЕТАРЯ Д. РАСКА

The proposed article is devoted to the figure of Secretary of State Dean Rusk during the presidency of John F. Kennedy in 1961–1963, with special attention to the interpersonal relationship between him and the president. The purpose of the work is to emphasize the importance of studying the interaction between the president and the secretary of state, which often plays a key role in the formulation and implementation of the foreign policy of the United States of America. The ability of the president and his secretary of state to listen to each other and communicate effectively can determine success or failure in implementing foreign policy initiatives and managing crisis situations. The research methodology is based on a critical analysis of scientific literature, as well as on the application of problem-chronological and systemic approaches. The basic principles of the article are the principle of historicism, objectivity and scientificity. Comparative, historical-systemic, historical-genetic methods are used for scientific understanding of the proposed problem. The scientific novelty of the article consists in drawing the attention of researchers to the figure of Dean Rusk, as well as in offering a different point of view on Dean Rusk’s place in the relationship with President J. Kennedy. Contrary to the prevailing view of Dean Rusk’s insecurity, mysteriousness, and modesty as the key to his failure as the president’s foreign policy advisor, we argue that these aspects became «victorious» in interaction with the president, acting as a certain «balancing factor» of J. Kennedy’s activism. Conclusions. The relationship between John F. Kennedy and Dean Rusk was complicated and occasionally strained. J. Kennedy and D. Rusk had different views on foreign policy issues. J. Kennedy often avoided the opinions of D. Rusk, did not always fully trust him, or did not consider his opinion reliable. Wanting to be the main initiator of the foreign policy of the United States of America. The crises that the US faced in the early 1960s were partly the result of the politics of interpersonal attitudes: both Dean Rusk and J. Kennedy were individuals who did not correspond to the essence of America in the late 1950s and early 1960s (in the context of a globalized understanding of foreign policy), however, it is unlikely that Kennedy would have been able to find a better candidate for the position of Secretary of State than Dean Rusk (in the context of interpersonal relations).

State of the Art of Radar Images Recognition of Surface Ships by Means of Space Monitoring

The issue of synthesizing and analyzing algorithms of processing radar images of spatially distributed targets, obtained through space monitoring tools, remains one of the most significant both theoretically and practically. This is particularly crucial for ensuring maritime safety, monitoring illegal fishing activities, and managing crisis situations such as natural disasters and migration flows. One of the most common applications of this problem is the recognition of surface ships, to which this review is devoted. The review is performed using foreign materials. Thus, the proposed review, which includes a detailed analysis of contemporary methods addressing the mentioned challenges, proposed by a wide range of authors over the past decades, will be valuable for developers and researchers in the field of space observation of marine surface conditions.

COMPARATIVE ANALYSIS OF COMMUNICATION TECHNOLOGIES FOR CLOUD-BASED FLOOD RISK PREDICTIVE MODELING IN URBAN AREAS

The increasing occurrence and severity of natural disasters worldwide have emphasized the pressing want for sophisticated technology to enhance catastrophe management and response efforts. The Internet of Things (IoT) has gained significant interest for its ability to potentially transform early warning systems and improve predictive modeling in places prone to disasters. This research article explores the comparison of several communication technologies in the context of a cloud-based predictive modeling system designed for flood risk assessment. The evaluation of cost-effectiveness and performance indicators of various communication systems is centered on a case study. The chosen technologies include Bluetooth, WiFi, LoRa, Zigbee, NB-IoT, and 4G Cellular, each exemplifying distinct methodologies for IoT-enabled communication in crisis management situations. This case study takes place in an area that is prone to flooding. The goal is to use sensor nodes with advanced communication technologies to gather and analyze real-time data. This data will be used to evaluate flood risks and quickly share warnings. This research attempt relies on a well constructed cost analysis framework. The framework provides a thorough overview of expenses associated with each communication method, encompassing hardware acquisition, installation, ongoing maintenance, and data transfer. The project seeks to give stakeholders with practical insights into the economic feasibility of implementing certain communication technologies in the context of flood risk assessment by carefully measuring these cost elements. Moreover, certain criteria for evaluating performance are carefully defined in order to analyze the effectiveness and dependability of any communication technology. Parameters such as range, data rate, power consumption, and overall dependability are analyzed to establish the operational effectiveness of the installed sensor networks. Through rigorous performance assessment, the study aims to reveal the fundamental strengths and limits of each communication technology, therefore aiding decision-makers in their quest to enhance disaster management infrastructure. The outcome of this study endeavor gives significant insights that transcend basic technology comparison. By shedding light on the nuanced interplay between cost considerations, technological capabilities, and performance metrics, the research equips disaster management authorities with the requisite knowledge to make informed decisions regarding the adoption and deployment of IoT-enabled communication technologies. Ultimately, the results of this research effort carry important implications for strengthening disaster resilience and shielding vulnerable populations from the ravages of natural disasters.

The Communication Crisis of Restoring the Reputation of Indonesian National Police Post the Murder of Brigadier Josua on Online Media.

Crisis communication is a strategy for managing crisis situations through the process of sending and receiving information during or after a crisis event with the aim of managing the situation, minimizing damage, and ensuring the safety of the people involved, or victims. The leadership of the National Police institution has an important role in carrying out crisis communications as a communicator in improving the organization's reputation. The scandal, which was not carried out institutionally, but involved the involvement of high-ranking police officials and a number of other police officers, caused the reputation of the police organization to experience the threat of a crisis of public distrust. Law enforcement agencies that are actually faced with violations of the law are demanded by both the families of victims and the public that police agencies prioritize transparency, accountability and justice in resolving cases. The three stages of the press conference as a form of conveying the National Police Chief's crisis communication were chosen for analysis, namely the press conference held on August 4, 9 and 25 2022. Based on the content analysis, it was concluded that the most highlighted messages were relevant messages, messages emphasizing credibility, and statements. ongoing process. Meanwhile, the Timely message and messages of empathy for victims were not highlighted in the National Police Chief's press conference to show that empathy is an important thing in the National Police Chief's crisis message.

“The COVID-19 pandemic and operational challenges, impacts, and lessons learned: a multi-methods study of U.S. prison systems”

BackgroundThe purpose of this study was to examine how the COVID-19 pandemic changed U.S. prison operations and influenced the daily work of prison staff.MethodsIn collaboration with the National Institute of Corrections, we administered a survey to 31 state correctional agencies in April 2021 and conducted five focus groups with 62 correctional staff.ResultsUsing a framework of bounded rationality, we find that daily operations were strained, particularly in the areas of staffing, implementing public health policy efforts, and sustaining correctional programming. While prison systems and staff were under-prepared to respond to the pandemic, they attempted to address complex problems with the limited resources they had.ConclusionsResults underscore a need in corrections for prioritizing further developments and reviews of collaborative policies and practices for managing crisis situations. Seeking avenues for leveraging technological innovations to improve operations and facilitate enhanced communication are especially warranted. Finally, meaningful reductions in the prison population, changes in physical infrastructure, and expansions of hiring and retention initiatives are critical for positioning prisons to manage future emergencies.

FEATURES OF THE ADOPTION AND IMPLEMENTATION OF MANAGEMENT DECISIONS IN THE SYSTEM OF COUNTERING CRISIS SITUATIONS AT THE ENTERPRISE

The purpose of the article is to study the features of the adoption and implementation of managerial decisions in the system of counteracting crisis situations at enterprises. In the study, to study the features of making and implementing managerial decisions in the system of countering crisis situations at the enterprise, general scientific research methods were used, namely the method of theoretical and comparative analysis, induction and deduction, and the graphical method. It has been proved that the timely application of tools to prevent crisis situations and eliminate their consequences is a condition for achieving long-term stability and efficiency in the functioning of any socio-economic system, including enterprises of various forms and types of activity. Research aimed at developing such tools meets specific difficulties due to the complexity and versatility of the crisis as a phenomenon in the functioning of the company. This has led to discrepancies in the definition of crisis situations, which, in turn, leads to inaccurate diagnosis, and blurring of the mechanisms for preventing and overcoming crisis situations. Therefore, work on managing crisis situations for such socio-economic systems as enterprises should begin using a systematic approach. It has been established that crisis situations management at an enterprise is a set of measures for analyzing, monitoring, and eliminating the negative impact of crisis phenomena and consequences, designed to destabilize all elements of the socio-economic system. It has been determined that crisis situations management is a complex process that requires appropriate skills, means, capabilities, and other priority elements to achieve the maximum socio-economic effect, one of which should be effective counteraction to any manifestations of the formation of a crisis. The key threats in the crisis situations management system at the enterprise are identified.

Optimizing Virtual Health Technologies Through a Performance-based Readiness Model: Lessons From the Field Deployment of National Emergency Tele-Critical Care Network.

The advancement of the Army's National Emergency Tele-Critical Care Network (NETCCN) and planned evolution to an Intelligent Medical System rest on a digital transformation characterized by the application of analytic rigor anchored and machine learning.The goal is an enduring capability for telecritical care in support of the Nation's warfighters and, more broadly, for emergency response, crisis management, and mass casualty situations as the number and intensity of disasters increase nationwide. That said, technology alone is unlikely to solve the most pressing issues in operational medicine and combat casualty care. A total performance system (TPS) creates opportunities to address vulnerabilities and overcome barriers to success. As applied during the NETCCN project, the TPS captures the best performance-centric information and know-how, increasing the potential to save lives, improve readiness, and accomplish missions. The purpose of this project was to apply a performance-based readiness model to aid in the evaluation of Army telehealth technologies. Through various user-facing surveys, polls, and reporting techniques, the project aimed to measure the perceived value of telehealth technologies within a sample of the project team member population. By providing a detailed approach to the collection of lessons learned, researchers were able to determine the importance of information and methods versus a focus on technology alone. The use of an emoji-based feedback assessment indicated that most lessons learned were helpful to the project team. Through the NETCCN TPS, we have been able to address product-related measures, knowledge of product efficacy, project metrics, and many implementation considerations that can be further investigated by setting and engagement type. Through the Technology in Disaster Environments learning accelerator, it was possible to rapidly acquire, process, organize, and disseminate best practices and learnings in near real time, providing a critical feedback and improvement loop.

Crisis Management and Crisis Situation in the Organization

Crisis Management and Crisis Situation in the Organization

Staff training in physical interventions: a literature review.

Restrictive practices are used frequently by frontline staff in a variety of care contexts, including psychiatric hospitals, children's services, and support services for older adults and individuals with intellectual and developmental disabilities. Physical restraint has been associated with emotional harm, physical injury to staff and consumers, and has even resulted in death of individuals in care environments. Various interventions have been implemented within care settings with the intention of reducing instances of restraint. One of the most common interventions is staff training that includes some physical intervention skills to support staff to manage crisis situations. Despite physical intervention training being used widely in care services, there is little evidence to support the effectiveness and application of physical interventions. This review will examine the literature regarding outcomes of staff training in physical interventions across care sectors. A systematic search was conducted following PRISMA guidelines using Cochrane Database, Medline EBSCO, Medline OVID, PsychINFO, and the Web of Science. Main search keywords were staff training, physical intervention, physical restraint. The MMAT was utilised to provide an analytical framework for the included studies. Seventeen articles have been included in this literature review. The included studies take place in a range of care settings and comprise a wide range of outcomes and designs. The training programmes examined vary widely in their duration, course content, teaching methods, and extent to which physical skills are taught. Studies were of relatively poor quality. Many descriptions of training programmes did not clearly operationalise the knowledge and skills taught to staff. As such, it is difficult to compare course content across the studies. Few papers described physical interventions in sufficient detail. This review demonstrates that, although staff training is a 'first response' to managing health and safety in care settings, there is very little evidence to suggest that staff training in physical intervention skills leads to meaningful outcomes.