Resilience has in recent decades been introduced as a term describing a new perspective within the domains of disaster management and safety management. Several theoretical interpretations and definitions of the essence of resilience have been proposed, but less work has described how to operationalise resilience and implement the concept within organisations. This case study describes the implementation of a set of general resilience management guidelines for critical infrastructure within a Swedish Regional Medical Command and Control Team. The case study demonstrates how domain-independent guidelines can be contextualised and introduced at an operational level, through a comprehensive capability development programme. It also demonstrates how a set of conceptual and reflective tools consisting of educational, training and exercise sessions of increasing complexity and realism can be used to move from high-level guidelines to practice. The experience from the case study demonstrates the value of combining (1) developmental learning of practitioners’ cognitive skills through resilience-oriented reflection and interaction with dynamic complex open-ended problems; (2) contextualisation of generic guidelines as a basis for operational methodological support in the operational environment; and (3) the use of simulation-based training as part of a capability development programme with increasing complexity and realism across mixed educational, training and exercise sessions. As an actual example of a resilience implementation effort in a disaster medicine management organisation, the study contributes to the body of knowledge regarding how to implement the concept of resilience in operational practice.

中文翻译：

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灾害医学从业者的运营复原力：通过培训、模拟和反思来发展能力

近几十年来，复原力作为一个术语被引入，描述了灾害管理和安全管理领域的新视角。已经提出了对弹性本质的几种理论解释和定义，但很少有工作描述如何在组织内实施弹性和实施该概念。本案例研究描述了在瑞典区域医疗指挥和控制团队内为关键基础设施实施一套通用弹性管理指南。该案例研究展示了如何通过综合能力发展计划在操作层面将独立于领域的指南置于情境中并加以引入。它还展示了一套概念性和反思性工具如何由教育、越来越复杂和现实的培训和练习课程可用于从高级指南转向实践。案例研究的经验证明了 (1) 通过以适应力为导向的反思和与动态复杂开放式问题的互动，从业者认知技能的发展性学习相结合的价值；(2) 通用指南的情境化，作为运行环境中运行方法支持的基础；(3) 使用基于模拟的培训作为能力发展计划的一部分，在混合教育、培训和演习课程中日益复杂和现实。作为灾难​​医学管理组织中恢复力实施工作的实际示例，