{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T22:30:14Z","timestamp":1793917814844,"version":"4.8.0"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Emergency Nursing"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.ienj.2026.101906","type":"journal-article","created":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T06:36:20Z","timestamp":1788676580000},"page":"101906","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Adaptive clinical command and operational resilience in maritime mass casualty incidents: A qualitative study"],"prefix":"10.1016","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4234-566X","authenticated-orcid":false,"given":"Kemngern","family":"Chanida","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5516-8132","authenticated-orcid":false,"given":"Soontorn","family":"Thassanee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4428-7680","authenticated-orcid":false,"given":"Sarathep","family":"Prakit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ienj.2026.101906_bb0005","article-title":"Climate change, mass casualty incidents, and emergency response in the Arctic","author":"Malik","year":"2024","journal-title":"Environ Res Lett"},{"issue":"2","key":"10.1016\/j.ienj.2026.101906_bb0010","doi-asserted-by":"crossref","DOI":"10.3390\/app15020782","article-title":"Characterization and modelling of potential seaborne disasters in the ANA region","volume":"15","author":"Labib","year":"2025","journal-title":"Appl Sci"},{"key":"10.1016\/j.ienj.2026.101906_bb0015","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1093\/milmed\/usaa147","article-title":"Prolonged stabilization during a mass casualty incident at sea in the era of distributed maritime operations","volume":"185","author":"Day","year":"2020","journal-title":"Mil Med"},{"key":"10.1016\/j.ienj.2026.101906_bb0020","doi-asserted-by":"crossref","DOI":"10.1016\/j.omega.2024.103231","article-title":"Pre-occurrence location-allocation-configuration of maritime emergency resources considering shipborne unmanned aerial vehicle (UAV)","volume":"131","author":"Hu","year":"2025","journal-title":"Omega"},{"key":"10.1016\/j.ienj.2026.101906_bb0025","series-title":"Cooperation and engagement in the Asia-Pacific region","first-page":"357","article-title":"Understanding the challenge: Mass rescue operations at sea","author":"Button","year":"2018"},{"issue":"2","key":"10.1016\/j.ienj.2026.101906_bb0030","doi-asserted-by":"crossref","first-page":"86","DOI":"10.5505\/jems.2020.63308","article-title":"Quantitative analysis of dynamic risk factors for shipping operations","volume":"8","author":"G\u00f6ksu","year":"2020","journal-title":"J ETA Marit Sci"},{"key":"10.1016\/j.ienj.2026.101906_bb0035","series-title":"Insights into maritime complex systems: Part 2: Managing complexity [internet]","author":"American Bureau of Shipping","year":"2023"},{"key":"10.1016\/j.ienj.2026.101906_bb0040","series-title":"Complex maritime emergency management: Planning handbook for the Australian emergency management and maritime sectors","author":"Australian Maritime Safety Authority","year":"2022"},{"key":"10.1016\/j.ienj.2026.101906_bb0045","doi-asserted-by":"crossref","DOI":"10.1016\/j.oceaneng.2023.115048","article-title":"Research in marine accidents: a bibliometric analysis, systematic review and future directions","volume":"284","author":"Cao","year":"2023","journal-title":"Ocean Eng"},{"key":"10.1016\/j.ienj.2026.101906_bb0050","doi-asserted-by":"crossref","DOI":"10.1016\/j.oceaneng.2023.114426","article-title":"Collaborative search and rescue based on swarm of H-MASSs using consensus theory","volume":"278","author":"Li","year":"2023","journal-title":"Ocean Eng"},{"issue":"5","key":"10.1016\/j.ienj.2026.101906_bb0055","doi-asserted-by":"crossref","first-page":"135","DOI":"10.3390\/bdcc9050135","article-title":"Applying big data for maritime accident risk assessment: insights, predictive insights and challenges","volume":"9","author":"Zampeta","year":"2025","journal-title":"Big Data Cogn Comput"},{"issue":"4","key":"10.1016\/j.ienj.2026.101906_bb0060","doi-asserted-by":"crossref","first-page":"31","DOI":"10.62821\/lp10403","article-title":"Impact of AIS manipulation on shipping safety and strategic countermeasures","volume":"10","author":"Melnyk","year":"2024","journal-title":"Lex Portus"},{"key":"10.1016\/j.ienj.2026.101906_bb0065","series-title":"Area-based management of shipping","first-page":"1","article-title":"Introduction","author":"Chircop","year":"2024"},{"key":"10.1016\/j.ienj.2026.101906_bb0070","series-title":"StatPearls [Internet]","article-title":"EMS incident command system","author":"Furin","year":"2026"},{"key":"10.1016\/j.ienj.2026.101906_bb0075","article-title":"Distributed maritime operations and the medical challenge: how a medical common operating picture can help bridge the gap","author":"Cole","year":"2024","journal-title":"Mil Med"},{"issue":"6","key":"10.1016\/j.ienj.2026.101906_bb0080","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1136\/jramc-2018-001138","article-title":"Operation RUMAN and hurricane IRMA: planning, execution and recovery","volume":"165","author":"Nelstrop","year":"2019","journal-title":"J R Army Med Corps"},{"issue":"1","key":"10.1016\/j.ienj.2026.101906_bb0085","doi-asserted-by":"crossref","DOI":"10.3390\/merits5010002","article-title":"The role of adaptive leadership in times of crisis: a systematic review and conceptual framework","volume":"5","author":"Sott","year":"2025","journal-title":"Merits"},{"key":"10.1016\/j.ienj.2026.101906_bb0090","series-title":"Successful qualitative research: A practical guide for beginners","author":"Braun","year":"2013"},{"issue":"2","key":"10.1016\/j.ienj.2026.101906_bb0095","first-page":"107","article-title":"Emergency island medical care: I. October 2013 Izu Oshima landslide disaster","volume":"23","author":"Koyama","year":"2022","journal-title":"Tosho Kenkyu"},{"issue":"2","key":"10.1016\/j.ienj.2026.101906_bb0100","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1017\/dmp.2015.167","article-title":"Injury patterns after the landslide disaster in Oshima, Tokyo, Japan","volume":"10","author":"Homma","year":"2016","journal-title":"Disaster Med Public Health Prep"},{"issue":"6","key":"10.1016\/j.ienj.2026.101906_bb0105","first-page":"1","article-title":"Tonga national emergency medical team response to the 2022 Hunga Tonga\u2013Hunga Ha\u2019apai eruption and tsunami","volume":"14","author":"Sifa","year":"2023","journal-title":"West Pac Surveill Response J"},{"issue":"2","key":"10.1016\/j.ienj.2026.101906_bb0110","doi-asserted-by":"crossref","first-page":"e79","DOI":"10.1016\/j.bja.2021.10.024","article-title":"Embracing uncertainty in mass casualty incidents","volume":"128","author":"Tallach","year":"2022","journal-title":"Br J Anaesth"},{"issue":"10","key":"10.1016\/j.ienj.2026.101906_bb0115","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/01.NAJ.0000586204.31207.1f","article-title":"Implementing a fast-track team triage approach in response to hurricane Maria","volume":"119","author":"Parak","year":"2019","journal-title":"Am J Nurs"},{"key":"10.1016\/j.ienj.2026.101906_bb0120","series-title":"Improving emergency medical services for disaster preparedness: a systematic review of global practices","author":"Gen\u00e7","year":"2024"},{"key":"10.1016\/j.ienj.2026.101906_bb0125","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/j.bja.2023.12.035","article-title":"Teamwork matters: team situation awareness to build high-performing healthcare teams","volume":"132","author":"Weller","year":"2024","journal-title":"Br J Anaesth"},{"issue":"4","key":"10.1016\/j.ienj.2026.101906_bb0130","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1017\/S1049023X24000566","article-title":"Common challenges in the prehospital management of mass-casualty incidents: a systematic integrative review","volume":"39","author":"Hugelius","year":"2024","journal-title":"Prehosp Disaster Med"},{"issue":"10","key":"10.1016\/j.ienj.2026.101906_bb0135","doi-asserted-by":"crossref","DOI":"10.1002\/hsr2.1629","article-title":"Emergency medical services preparedness in mass casualty incidents: a qualitative study","volume":"6","author":"Saadatmand","year":"2023","journal-title":"Health Sci Rep"},{"key":"10.1016\/j.ienj.2026.101906_bb0140","series-title":"StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing","article-title":"EMS mass casualty management","author":"DeNolf","year":"2026"},{"issue":"2","key":"10.1016\/j.ienj.2026.101906_bb0145","doi-asserted-by":"crossref","first-page":"e2560176","DOI":"10.1001\/jamanetworkopen.2025.60176","article-title":"Updated core competencies for disaster medicine and public health","volume":"9","author":"Burke","year":"2026","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.ienj.2026.101906_bb0150","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2024-087268","article-title":"Healthcare professional perspective on barriers and facilitators of multidisciplinary team working in acute care setting: a systematic review and meta-synthesis","volume":"15","author":"Pradelli","year":"2025","journal-title":"BMJ Open"}],"container-title":["International Emergency Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1755599X26001655?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1755599X26001655?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T22:21:36Z","timestamp":1793917296000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1755599X26001655"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":30,"alternative-id":["S1755599X26001655"],"URL":"https:\/\/doi.org\/10.1016\/j.ienj.2026.101906","relation":{},"ISSN":["1755-599X"],"issn-type":[{"value":"1755-599X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Adaptive clinical command and operational resilience in maritime mass casualty incidents: A qualitative study","name":"articletitle","label":"Article Title"},{"value":"International Emergency Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ienj.2026.101906","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"101906"}}