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Conditions and strategies affecting interagency collaboration in the development of critical incident stress management programs

Parsley, Lea Ann

Abstract Details

2003, Doctor of Philosophy, Ohio State University, Nursing.
The objective of this study was to identify the conditions (i.e. inhibiting and facilitating factors) and strategies which affect the ability to progress from the inceptive efforts in the development of a multi-agency critical incident stress management (CISM) program through that of an established program. A qualitative cross case study design was used to examine 16 CISM programs across the state of Ohio. Data were gathered via a focus group interview and 23 telephone key informant interviews. Polivka’s (1995) model of interagency collaboration provided a theoretical framework to analyze the data. Data were initially analyzed inductively using content analysis to identify consistent themes across the cases and then analyzed deductively according to the interagency collaboration model. Key findings indicated that program developers capitalized on the occurrence of critical incidents in the area and the subsequent acknowledged need for stress management services to initiate program development. Successful programs required assessment of the community to determine available resources and perceived support for a CISM program prior to initiating program development. Educating community stakeholders to create trust and consensus regarding CISM as a priority for first responders ultimately increased program support. Program developers also found that utilizing existing networks to initiate contact and obtain resources assisted in overcoming a lack of experience with collaborative efforts and a lack of program funding. Prior research has documented the significance of awareness, or knowledge of other agencies and their personnel and services, as a facilitating factor to interagency collaboration. The need for resources is also a documented factor in facilitating relationship building. However, the significance of this study is the identification of strategies utilized by program members to create or enhance these facilitating factors. Findings suggest that interventions should be focused on evaluating the community environment to increase awareness of community agencies, personnel and resources, as well as on educating stakeholders to increase consensus and support for program development. Based on these findings, revisions to Polivka’s interagency model included broadening the concept of awareness and the addition of strategy components to better explain the interagency collaboration process.
Barbara Polivka (Advisor)
213 p.

Recommended Citations

Citations

  • Parsley, L. A. (2003). Conditions and strategies affecting interagency collaboration in the development of critical incident stress management programs [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1054315565

    APA Style (7th edition)

  • Parsley, Lea. Conditions and strategies affecting interagency collaboration in the development of critical incident stress management programs. 2003. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1054315565.

    MLA Style (8th edition)

  • Parsley, Lea. "Conditions and strategies affecting interagency collaboration in the development of critical incident stress management programs." Doctoral dissertation, Ohio State University, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=osu1054315565

    Chicago Manual of Style (17th edition)