What is it about?

This article is about how people make decisions using both intuition and weighing options. It introduces important ethical issues to consider that are usually overshadowed by practical concerns and political concerns. Most importantly it addresses people's feelings: how do people act in the middle of crises because they are scared or worried about family or just overwhelmed. These 3 issues are a lot to think about when really bad things are happening. An organizing framework is described to help leaders/people figure out what they need to do to protect themselves, their families and their communities in a bad situation.

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Why is it important?

People make decisions all the time. Most of the time they do not need to know how they make decisions. However, when serious trouble comes, people may disagree about what is most important and what to do to stay safe. Because situations can get tense, folks who disagree may stop listening and start yelling at each other. This paper encourages people in crises to recognize where their ideas and commitments come form so they can find common ground.

Perspectives

I hope this article can help people work together when things are really scary. Working together requires that people listen to others who may see the world differently than they do. Leaders who can describe what they were thinking when they made decisions may be able to improve the next time if things do not go well the first time. Dysfunctional organizations make a mess of things just like dysfunctional families do. The mess can be worse in crises. People can be hurt and lives lost because of erratic communication, bad judgement and rigid thinking. Waste of time and resources do not serve people in crises well.

Dr Harvey Kayman
University of California Berkeley

Read the Original

This page is a summary of: A Framework for Training Public Health Practitioners in Crisis Decision-Making, Disaster Medicine and Public Health Preparedness, November 2015, Cambridge University Press,
DOI: 10.1017/dmp.2015.149.
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