To support learning, evaluations of crisis management efforts must be effective and lead to actionable recommendations that are implemented. However, little is known regarding what approaches are currently employed to evaluate crisis management efforts, the degree of implementation of recommendations, or if certain approaches are associated with a higher degree of implementation. This study explored these areas by analysing 24 evaluation reports from a Swedish regional public healthcare organisation and examining the implementation status of the presented recommendations.

The analysis of the evaluation reports showed that evaluations can be improved in terms of methodology and presentation, for example, by providing arguments for methodological choices and more clearly stating the purpose of evaluations.

A focus group categorised all 202 recommendations from the analysed evaluation reports to assess their implementation. The results showed that 28 % of the recommendations had been implemented with a clear connection to a specific evaluation, while 45 % were implemented with an unclear connection. Only 12 % were categorised as unimplemented, and 15 % were categorised as unknown. This suggests that evaluations of crisis management efforts have an impact. However, questions regarding their direct impact remain, given that most recommendations were categorised as implemented with unclear connections to specific evaluations.

Combining the results from the analysis of the evaluation reports with the categorisations by the focus group showed that including stakeholders in evaluations and providing arguments for why recommendations should be implemented can increase the direct impact of evaluations of crisis management efforts.

Autonomous systems are inherently designed to be self-sufficient onlyunder particular circumstances, for specific activities. the environmentneeds to be tailored to align with these design boundaries, ensuringthat technical systems operate as intended. this paper proposes thatinsights from resilience engineering can enhance the self-sufficiency ofso-called autonomous systems, consequently bolstering their adaptivecapacity in unforeseen or unpredicted scenarios. two cases of autono-mous systems are examined to illustrate how this enhancement can beachieved. the conclusion drawn is that the resilience envelope of a sys-tem can be augmented by enabling the system to adapt to multipledesign cases, by defining and prioritizing the core values of the system,and by designing the system to possess a framework for situationsrather than being confined to a singular situational frame. the implica-tions for the design of human-machine systems are also discussed.

This paper examines the affordances of a component in a seri-ous game, specifically how one material design choice affectedthe interactions and opportunities for agency and learning. Thegame examined is a megagame, a large-scale (20-100 participants)social learning environment combining board-gaming with role-playing. The megagame poses participants the challenge of creatinga sustainable society, and focuses on developing participants’ un-derstanding of how different stakeholders in a regional energysystem and society are interconnected. Negotiation over conflictinggoals was a primary activity in the game, and agreements wereformalized through paper contracts. Contracts were designed toact as boundary objects between player teams, and defined theirfinancial exchanges. This exploratory study finds evidence in theinteractions between participants that the paper contract systemfacilitated opportunities for participants to develop understandingabout the interdependencies between teams and resources, andto exert agency over their role in these relations. Players activelymaintained and prioritized the correspondence between copies ofcontracts as a means of regulating both the game’s economic sys-tem in the game and their mutual intersubjectivity. Overall, thestudy highlights the importance enabling participants to experiencehow joint actions cumulatively produce future consequences, andhow opportunities for agency and negotiation educate about theongoing global polycrises of energy, climate and social tension.

entering an era where humans and synthetic agents are supposed to collaborate and cooperate, adequate models of human intent are cru-cial for coordinated teamwork. Unfortunately, although there is a need for such models, the concept of intent is ambiguous and approaches to model intent from a human-centric perspective are scarce. Building upon theoretical and methodological foundations, this study aims to address these gaps by presenting a conceptualisation of intent along-side an approach. specifically, leveraging the six levels of cognitive control outlined in the Joint control Framework, a provisional model of human intent alongside a defined and operationalised concept is presented. Building on these foundations, a novel approach is pro-posed. Utilising seven scenario-based interviews, the value of these contributions is demonstrated through an example case in the context of Manned-Unmanned teaming. it is concluded that intent should be understood as a multi-faceted concept shaped by situated constraints, where intent is formed through a commitment to choices by context-sit-uation and means-end reasoning. it is also concluded that the approach is useful, particularly since it can glean insights from choices considered and committed, both being essential in the design of synthetic team-mates’ capability to adapt to their human partner’s agency.

With advances in artificial intelligence, machine learning, and cognitive modelling, unmanned aircraft are expected to actas human-like wingmen in the near future. For fluent and effective manned–unmanned teaming, synthetic wingmen must beable to account for and adapt to their partners’ intent with little or no communication. To enable such abilities, it becomescrucial to identify the requirements that makes intent explainable to synthetic wingmen, necessitating approaches to describeand analyse intent from a human-centric perspective. To address this issue, this paper reports on findings from using WorkDomain Analysis to design and analyse models of situated intent with six levels of cognitive control (frames, effects, values,generic, implementations, and physical). Through a literature review and seven subject matter expert interviews, a synthesizedmodel was designed to represent fighter pilots’ intent in a manned–unmanned teaming scenario. Using the synthesized modelas the context, a transfer of control and a link loss situation were further described and analysed. Experiences show that WorkDomain Analysis can provide a practical and applicable means to model situated intent, particularly since designed modelscan be re-utilised to model intent in similar situations. Furthermore, the model analyses show the importance of accountingfor fighter pilots’ adopted frames since small variations of the framing of the situations can propagate throughout the modelresulting in conflicting or inconsistent intent. The paper concludes that synthetic wingmen must be able to reason about all six levels of cognitive control, requiring a more holistic approach to make intent explainable.

Many organizations train and educate their staff to prepare for crisis. One approach is train-the-trainer (ToT;Training of trainers) concept. It is based on the idea that someone can be trained as a trainer, who in turn traintheir colleagues. The philosophy resembles a pyramid scheme that allows for a fast and efficient spread ofknowledge and skills. This study focused on perceptions of the ToT concept through interviews with ToT trainers.Two learning theories, organizational learning (4I) and experiential learning theory (ELT) were used toconceptualize the ToT-concept. It was found that the ToT-concept can be used as the method to conduct ELT toachieve organizational learning and knowledge (4I). Furthermore, the study also presents how participantsperceives ToT using thematic analysis. This resulted in four themes: Common understanding of ToT, Learn-by-doing, No grounding in ToT, and Difficult to ensure quality.

Introduction:

The Covid-19 pandemic strained most of the world’s health care organizations to, and sometimes beyond, their limits. To anticipate, coordinate, mobilize, and prioritize hospital resources, Sweden’s health care regions established regional medical command and control teams according to the medical major incident structure. This command structure was initially developed based on an all-hazards approach focused primarily on sudden mass casualty incidents with a relatively short time frame. Covid-19 management was active for several months with a most intense operations period during the spring of 2020. This study aimed at identifying competence needs by employing a co-creative approach with members of the staff involved in the pandemic management.

Method:

Data was collected and analyzed using a modified Delphi consensus method. The respondents were subject matter experts serving in the regional medical command and control teams during the COVID-19 pandemic. One workshop was held to gather opinions, which were included as statements in a consensus survey and answered by the participants after the first workshop. A second workshop was held to discuss statements that did not reach initial consensus in the survey and establish final consensus.

Results:

The consensus agreed statements were sorted into five themes, which constituted the collective agreement of medical command and control core abilities. The five core competence themes were: Situation report, Team organization, Co-operation, Competence management, and Analysis. The consensus agreed statements highlighted competencies needed for creating situation reports, organizing medical command and control teams, effective cross-organization co-operation, decision-making, and medical intelligence analysis.

Conclusion:

The core competencies of medical command and control identified in the present study can be used to further affirm current learning objectives and to formulate future learning objectives for education and exercises. The evaluation approach could potentially be used as a post-incident review to fine-tune an organization’s training plan.

Climate change is tightly coupled to the usage of energy in differentforms. Creating and using sustainable energy solutions is increasinglybeing recognized as the greatest challenge of our time. Theenergy crisis concerns everyone who consumes energy or servicesthat rely on energy to be performed, in practice almost everythingwe buy. However, the temporal and psychological distance to climatechange has led to a situation where the consequences of ourenergy usage often is considered a future problem or “someoneelse’s” problem. Current methods to increase awareness and understandingof climate change and the need to create sustainableenergy solutions are usually based on simulation or negotiationgames. Methods similar to crisis management exercises are uncommon.In this paper, we propose to use Megagames, large scale socialgames, as a method for increasing the awareness of the challengesrelated to creating sustainable energy solutions. Examples fromtwo Megagame test runs are provided and discussed.

Aviation is a highly inter-connected system. This means that a problem in one area maycause effects in other countries or parts of the Air Transport System (ATS). Examples range from localair traffic disruptions to the 2010 volcanic ash crisis. Agility, like resilience, refers to the ability to copewith dynamics and complexity in a flexible manner, by adjusting and adapting performance and theorganization of work to fit changing demands. The aim of this work is to help ATS organizationswith increasing their agility in the face of crises and challenges. To this end, this article presents theAgile Response Capability (ARC) guidance material. ARC was developed from a literature study anda number of case studies that combined past event analysis, interviews, focus groups, workshops,questionnaires, and exercise observation methodologies. ARC aims to help aviation organizations toset up, run, and evaluate exercises promoting agility to handle disturbances and crises, and to enablestructured pro-active and retrospective analysis of scenarios and actual events. The elements andsteps of the ARC approach are illustrated and exemplified with data from three case studies. TheARC methodology facilitates more agile and resilient ways of responding to the fundamental andnovel surprises that have become  almost commonplace in the past decade, and are likely to continueto do so.