Hurricane Katrina created wide-spread destruction on August 29, 2005 that significantly impacted the entire New Orleans community, including health care organizations and patients residing in those institutions. The devastation caused an unprecedented impact on the human and formal organizational systems and infrastructures. This natural disaster created a state of crisis. Individuals within the impacted organizations were required to respond during this crisis, executing crisis management and crisis leadership strategies. Formal organizational leaders were essential during the crisis. There was a failure of some of the formal leadership during the crisis and leaders began to emerge at the grassroots level. The purpose of this study was to explore the multiplicative factors (personal and professional) that facilitated the emergence of leaders during a natural disaster which resulted in a crisis situation in an acute health care facility and explore the organizational systems context that promoted the emergence of leaders during a natural disaster crisis situation in an acute health care facility. This study utilized a qualitative research design with narrative analysis. The setting was an acute care health care facility in southeast Louisiana. A purposive sample of 14 formal and informal leaders was selected using an identified organizational "gatekeeper." Eight themes emerged from the participant interviews – crisis management plan, infrastructure collapse, emergent crisis leader, crisis leader characteristics, crisis management, teamwork, communication, and post-crisis support and debriefing.
|Subjects||Management; Health care management|
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