Disaster Med Public Health Prep - (-) 1-16 [2022-04-01; online 2022-04-01]
The COVID-19 crisis response in Sweden was managed foremost by a collaboration of several national agencies. Normally their strategical and operational collaboration is limited, but the pandemic required new and unfamiliar collaborations. This study aimed to clarify the facilitators and barriers of perceived effective staff work within and between four national agencies. A qualitative study of 10 participants with leading roles within the four national agencies' crisis organization, recruited via snowball sampling. The interviews were conducted between August - November 2020 and analyzed using content analysis. Four categories emerged from the analysis: individual characteristics; intra-agency organization; interorganizational collaboration and governmental directives. Subcategories crystalized from the data were analyzed and divided into factors facilitating or to function as barriers for effective staff work. Individual factors such as attitude and approach were important for perceived effective staff work as well as clear mandates and structure of the organization. Barriers for perceived effective staff work includes lack of network, the complexity of the mission and organizational structures as well as lack of preparations and unclear mandates. Although flexibility and adaptability are necessary, they cannot always be planned, but be incorporated indirectly by selecting suitable individuals and optimizing organizational planning.