The Effect of Complexity of Ambulance Missions on Shared Mental Models in Virtual Teams

Authors

  • Bjørn H. Johnsen Department of Psychosocial Science, University of Bergen, Christiesgt, 12, Bergen 5015, Norway
  • Guttorm Brattebø Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Haukelandsveien 22, Bergen 5021, Norway; Department of Clinical Medicine, University of Bergen, Haukeland University Hospital, Jonas Lies vei 87, Bergen 5021, Norway
  • Roar Espevik Swedish Defense University, Drottning Kristinas väg 37, Stockholm 114 28, Sweden; Centre for Crisis Psychology, University of Bergen, Møllendalsbakken 9, Bergen 5009, Norway
  • Sigurd W. Hystad Department of Psychosocial Science, University of Bergen, Christiesgt, 12, Bergen 5015, Norway
  • Øyvind Østerås Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Haukelandsveien 22, Bergen 5021, Norway
  • Live Vatsøy Department of Psychosocial Science, University of Bergen, Christiesgt, 12, Bergen 5015, Norway
  • Jarle Eid Centre for Crisis Psychology, University of Bergen, Møllendalsbakken 9, Bergen 5009, Norway

DOI:

https://doi.org/10.17140/EMOJ-8-164

Keywords:

Virtual medical first responder teams, Complexity, Shared mental models, Team processes, Coordinating mechanisms

Abstract

Background
Empirical research on shared mental models (SMM) in virtual environments are almost non-existent. Pre-hospital emergencies presents an opportunity to examine team processes in virtual teams because the dispatcher is geographically separated from the ambulance and at the same time plays a significant role in coordinating, organizing, obtaining, evaluating, and conveying relevant information to the deployed ambulance. The present study aimed at mapping team behavior and cognition in critical real-life emergency medical missions based on the concept of SMM.
Methods
By investigating the frequencies of coordinating mechanisms and team competencies based on voice recordings from real-life missions, differences in team behavior between low and high-complexity missions were investigated.
Results
Lower frequencies of team competencies and coordinating mechanisms were found in high compared to low-complexity missions. The results showed a different profile in communication between high and low-complexity missions with more frequent use of both coordinating mechanisms and team competencies in low-complexity missions. Furthermore, the profiles revealed that SMM and closed loop communication were the only coordinating mechanism used, and leadership and team orientation were the only competencies exercised.

Conclusion
It was concluded that the lack of visual input of a team member during team interaction could lead to team process loss due to a breakdown of the team into sub-units. Potential improvement of team behavior is discussed within the SMM framework.

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Published

2022-02-17

How to Cite

Bjørn H. Johnsen, Guttorm Brattebø, Roar Espevik, Sigurd W. Hystad, Øyvind Østerås, Live Vatsøy, & Jarle Eid. (2022). The Effect of Complexity of Ambulance Missions on Shared Mental Models in Virtual Teams. Emergency Medicine, 8(1), 7–13. https://doi.org/10.17140/EMOJ-8-164