Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Collaboration among emergency first responders at major incidents – an explorative focus group study

Rantala, Andreas LU orcid ; Conradsson, Anna ; Adamsson, Jonathan ; Forsell, Lena LU orcid and Wihlborg, Jonas (2026) In Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 34.
Abstract
Background
In the event of a major incident, collaboration between the ambulance service, fire brigade and police is common. Effective collaboration requires teamwork, with communication between the three organisations being crucial. Leadership functions should be integrated in a way that leverages organisation-specific capabilities, enabling interprofessional collaboration where diverse professional roles complement each other. The aim of this study is to explore the experiences of collaboration among emergency first responders during major incidents.

Methods
Data were collected through four focus group interviews involving ambulance nurses, firefighters and police officers, each with a minimum of one year of operational... (More)
Background
In the event of a major incident, collaboration between the ambulance service, fire brigade and police is common. Effective collaboration requires teamwork, with communication between the three organisations being crucial. Leadership functions should be integrated in a way that leverages organisation-specific capabilities, enabling interprofessional collaboration where diverse professional roles complement each other. The aim of this study is to explore the experiences of collaboration among emergency first responders during major incidents.

Methods
Data were collected through four focus group interviews involving ambulance nurses, firefighters and police officers, each with a minimum of one year of operational experience. The data were analysed using content analysis inspired by Krueger and Casey.

Results
Three categories emerged from the analysis; Coordinated communication as a foundation for collaboration, Structured interprofessional collaboration through leadership and shared understanding and Relational conditions for sustained interprofessional collaboration. Each category comprises two subcategories that reflect the participants’ experiences.

Conclusion
The findings highlight that collaboration among emergency first responders during major incidents is shaped by coordinated communication, structured leadership and mutual understanding of organisational roles. Communication challenges, leadership demands and safety considerations in complex incidents were described as influencing collaboration. Joint training and interprofessional interaction may support preparedness and strengthen collaboration across emergency service organisations. (Less)
Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
volume
34
article number
75
publisher
BioMed Central (BMC)
external identifiers
  • pmid:41923176
ISSN
1757-7241
DOI
10.1186/s13049-026-01606-4
language
English
LU publication?
yes
id
a1af91d5-05f1-414b-924a-003de1fe17e7
date added to LUP
2026-04-02 16:15:35
date last changed
2026-04-15 12:58:29
@article{a1af91d5-05f1-414b-924a-003de1fe17e7,
  abstract     = {{Background<br/>In the event of a major incident, collaboration between the ambulance service, fire brigade and police is common. Effective collaboration requires teamwork, with communication between the three organisations being crucial. Leadership functions should be integrated in a way that leverages organisation-specific capabilities, enabling interprofessional collaboration where diverse professional roles complement each other. The aim of this study is to explore the experiences of collaboration among emergency first responders during major incidents.<br/><br/>Methods<br/>Data were collected through four focus group interviews involving ambulance nurses, firefighters and police officers, each with a minimum of one year of operational experience. The data were analysed using content analysis inspired by Krueger and Casey.<br/><br/>Results<br/>Three categories emerged from the analysis; Coordinated communication as a foundation for collaboration, Structured interprofessional collaboration through leadership and shared understanding and Relational conditions for sustained interprofessional collaboration. Each category comprises two subcategories that reflect the participants’ experiences.<br/><br/>Conclusion<br/>The findings highlight that collaboration among emergency first responders during major incidents is shaped by coordinated communication, structured leadership and mutual understanding of organisational roles. Communication challenges, leadership demands and safety considerations in complex incidents were described as influencing collaboration. Joint training and interprofessional interaction may support preparedness and strengthen collaboration across emergency service organisations.}},
  author       = {{Rantala, Andreas and Conradsson, Anna and Adamsson, Jonathan and Forsell, Lena and Wihlborg, Jonas}},
  issn         = {{1757-7241}},
  language     = {{eng}},
  month        = {{04}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine}},
  title        = {{Collaboration among emergency first responders at major incidents – an explorative focus group study}},
  url          = {{http://dx.doi.org/10.1186/s13049-026-01606-4}},
  doi          = {{10.1186/s13049-026-01606-4}},
  volume       = {{34}},
  year         = {{2026}},
}