@article{ref1,
title="Who is my leader? A case study from a hospital disaster scenario in a less developed country",
journal="Australasian emergency nursing journal",
year="2013",
author="Ranse, Jamie and Filmer, Leighton B.",
volume="16",
number="4",
pages="170-174",
abstract="INTRODUCTION: A paucity of literature exists pertaining to the role of leaders during the health response to disasters. The minimal published literature regarding disaster leadership suggests that health leadership in a disaster should adopt an approach similar to that of professions such as law enforcement, military and freighting. AIM: This paper aims to describe observations pertaining to disaster leadership during a mock disaster scenario. BACKGROUND: This case study is set in Surkhet, Nepal, a small city prone to disasters such as earthquakes and floods. This case presents a mock disaster scenario of an earthquake set at a nongovernment health facility. METHODS: Observations were made of the performance of responders in establishing triage, treatment and command centers. RESULTS: Institutional leaders among the responders struggled to apply the disaster plans in the face of spontaneous disaster leadership. CONCLUSIONS: Both the recognised leadership of an organisation, and those who in a disaster may step up as disaster leaders need to be confident in implementing the disaster contingency plans. Leadership in disasters must have a clear distinction between incident controller and 'clinical leader' roles. DISCUSSION AND RECOMMENDATIONS: This paper provides recommendations that may have applicability to leadership in real world disasters.<p /> <p>Language: en</p>",
language="en",
issn="1574-6267",
doi="10.1016/j.aenj.2013.08.004",
url="http://dx.doi.org/10.1016/j.aenj.2013.08.004"
}