京都大学 / 0048 / 新制・課程博士 / 博士(情報学) / 甲第18408号 / 情博第523号 / 新制||情||92(附属図書館) / 31266 / 京都大学大学院情報学研究科社会情報学専攻 / (主査)教授 多々納 裕一, 教授 石田 亨, 准教授 畑山 満則 / 学位規則第4条第1項該当 / Doctor of Informatics / Kyoto University / DFAM

Introduktion: Prehospital sjukvårdsledning är ett koncept som används vid skadehändelser och är en ledningsstruktur med definierade roller och beredskapslägen. Sjukvårdsledare är ansvarig för att bedriva sjukvårdsinsatsers ledningsarbete på skadeplatser. Syfte: Att beskriva ambulanssjuksköterskors upplevelser av att vara sjukvårdsledare vid arbete på skadeplats. Metod: Studien har en kvalitativ design med induktiv ansats. Åtta ambulanssjuksköterskor i södra Norrland intervjuades via semistrukturerade intervjuer. Manifest innehållsanalys användes som analysmetod. Resultat: Analysen resulterade i fyra huvudkategorier: Att ta sig an en stor och oviss uppgift, att ha ett stort ansvar i en utmanade situation, att uppnå kontroll genom samverkan samt att utvecklas i sin roll som sjukvårdsledare. Majoriteten kände stress inför ankomst till en skadeplats samt att brist på information påverkade möjligheten att förbereda sig. Allvarliga skadehändelser kunde ge en känsla av hopplöshet. Sjukvårdsledarrollen är viktig och krävande och stärks av erfarenhet. Besluttagandet upplevdes utmanande samt innebar ett stort ansvar. Vikten av att ha kontroll genom strukturerad och organiserad ledning samt att kunna anpassa sig och samverka med andra aktörer som polis och räddningstjänst var något som betonades. Det fanns behov av att reflektera och dela lärdomar efter händelser för att utvecklas. Slutsats: Att vara sjukvårdsledare är en komplicerad och krävande roll för ambulanssjuksköterskor. De kan uppleva stress, oro och rädsla att misslyckas. Trots utmaningen är ambulanssjuksköterskor stolta över arbetet när de lyckas. Det behövs kontinuerlig och verklighetstrogen utbildning samt reflektion för att känna sig trygg som sjukvårdsledare.

The choice of the topic Readiness of members and civilian employees of the Prison Service of the Czech Republic to the emergency in the South Bohemian Region for my thesis was my independent decision. This choice was entirely deliberate, since this service is also incorporated into the Integrated Rescue System (IRS). However the active service of the Prison Service of the Czech Republic in case of emergency can be very specific. The Prison Service of the Czech Republic may be according to Act No. 239/2000 Coll., on the Integrated Rescue System, used to deal with emergencies. It is incorporated among the other IRS bodies. All these bodies can be deployed to deal with emergencies, but only on condition of a written contract for the assistance. Usable forces and resources of the body must be known. Based on these facts I defined following objectives of the thesis: ? analysis of readiness of members and civilian employees of the Prison Service of the Czech Republic to the emergency in the South Bohemian Region, ? detection of methods, possibilities and conditions of use of the Prison Service in this context, ? training materials design for members and civilian employees of the Prison Service of the Czech Republic. There were also these two hypotheses tested: ? members and civilian employees are adequately trained and are ready to deal with emergencies, ? the Prison Service of the Czech Republic can be fully utilized for an active service in the solution of emergencies. If we focus on the first goal of my work, I have prepared an anonymous questionnaire containing eight questions to adequately analyse readiness. These questionnaires were distributed to all members and civilian employees of PS in South Bohemian Region. I would be able to confirm or refute the first hypothesis on the basis of these results. I could evaluate executed analysis on the basis of the obtained information and comment on the first hypothesis. The maximum number of points in the questionnaire was set for 24. The average score was between 19 to 20 points. It can be concluded that members and civilian employees are adequately trained, and the first hypothesis was confirmed. To be able to evaluate the second hypothesis, I had to perform historical analysis and due to this analysis I concluded that the second hypothesis can be confirmed only partially. The hypothesis was related to the possibility of deploying members and employees of PS on the incident. The historical analysis shows that this body was deployed in the past, however its forces and resources were not represented by members or civilians, but crews of convicted persons. This way of utilization was repeated and it could be said that the deployment of work crews is successful, so I concluded that the second hypothesis was confirmed, but only partially. The Prison Service is fully usable for dealing with emergencies, but its forces and resources are constituted mainly of work crews of convicted persons. If we focus on the legislation determining the use, communication or coordination of this body with the municipal authorities, this is provided only by contract for the assistance. I tried to design a document, how such contract for the assistance could look like. The next chapter outlines the information that could be used as a guide for the decision into what area and what depth members and civilian employees should be trained. Members and civilian employees are annually trained in this matter by the appropriate employee of PS. All objectives of the thesis have been met and are completed by own opinion of the author.