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Proceedings of the 3rd European Conference on Intellectual Capital

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Ulrica Petterss<strong>on</strong> and James Nyce<br />

in <str<strong>on</strong>g>the</str<strong>on</strong>g> present system is muddy at best. According to Dekker (2009a) <str<strong>on</strong>g>the</str<strong>on</strong>g>re must be clarity in ‘who<br />

draws <str<strong>on</strong>g>the</str<strong>on</strong>g> line’, and <str<strong>on</strong>g>the</str<strong>on</strong>g>re has to be a balance between <str<strong>on</strong>g>the</str<strong>on</strong>g> individual and <str<strong>on</strong>g>the</str<strong>on</strong>g> organizati<strong>on</strong>al<br />

resp<strong>on</strong>sibility. It may be necessary for SwAF to make <str<strong>on</strong>g>the</str<strong>on</strong>g> link between punishment and end or desired<br />

result clearer to all involved. There are two traditi<strong>on</strong>al <str<strong>on</strong>g>the</str<strong>on</strong>g>ories as to why reprimands and punishment<br />

are used; absolute and relative. Absolute punishment, e.g. retributi<strong>on</strong>, is given purposely to cause<br />

suffering, while relative punishment intends to prevent unwanted behaviour through intimidati<strong>on</strong>. A<br />

‘just culture’ perspective does not support this criminalizati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> human error. To punish people for<br />

human error will not decrease errors, just <str<strong>on</strong>g>the</str<strong>on</strong>g> number <str<strong>on</strong>g>of</str<strong>on</strong>g> errors reported (Reas<strong>on</strong> 1997, Dekker<br />

2009a).<br />

3. Discussi<strong>on</strong><br />

Today, <str<strong>on</strong>g>the</str<strong>on</strong>g> SwAF, like most armed forces, faces new and additi<strong>on</strong>al resp<strong>on</strong>sibilities. The majority <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

<str<strong>on</strong>g>the</str<strong>on</strong>g>m involve operati<strong>on</strong>s in new and sometimes unfamiliar envir<strong>on</strong>ments and cultures around <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

globe (Smith 2007). This necessitates that learning organisati<strong>on</strong>s become more effective, which<br />

means that <str<strong>on</strong>g>the</str<strong>on</strong>g> forces have to identify and implement improvements more rapidly than before. Such<br />

change cycles require a more efficient, equitable less<strong>on</strong>s learned process (Eden 2009, NATO SG<br />

2008). For such a process to work, it must be implemented in an organizati<strong>on</strong>al culture where learning<br />

is accepted and supported. This is an organizati<strong>on</strong> that does not search for scapegoats and <strong>on</strong>e<br />

where incidents are normalized (Dekker 2009a, Dekker 2009b). There is a need in particular for <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

military, where costs do not just include capital but also human injuries and lives, to develop “…a<br />

culture where errors and deviati<strong>on</strong> are regarded not as humans’ failures, but as opportunities to<br />

improve <str<strong>on</strong>g>the</str<strong>on</strong>g> system….” (Lucian and Leape 1994, p. 1857).<br />

Because hierarchy, resp<strong>on</strong>sibility, and status are equated with rank and competence in <str<strong>on</strong>g>the</str<strong>on</strong>g> military<br />

and because this is not going to ‘disappear’, <str<strong>on</strong>g>the</str<strong>on</strong>g> problem is how to get ‘bad news’ heard and acted<br />

up<strong>on</strong>. One soluti<strong>on</strong> would be to have <str<strong>on</strong>g>the</str<strong>on</strong>g> SwAF’s reporting structures redesigned in <str<strong>on</strong>g>the</str<strong>on</strong>g> directi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> a<br />

‘just culture’ where both <str<strong>on</strong>g>the</str<strong>on</strong>g> noti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> resp<strong>on</strong>sibility and report are reinvented. Perhaps <str<strong>on</strong>g>the</str<strong>on</strong>g> closest<br />

analogy in <str<strong>on</strong>g>the</str<strong>on</strong>g> research literature to SwAF’s traditi<strong>on</strong>al practices and belief regarding resp<strong>on</strong>sibility is<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> critical incident technique (Flanegan 1954). Here, as in most military organizati<strong>on</strong>s, both<br />

resp<strong>on</strong>sibility and after acti<strong>on</strong> reporting rest <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> individual. Even in <str<strong>on</strong>g>the</str<strong>on</strong>g> SwAF operati<strong>on</strong>s outside<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> country this still tends to be <str<strong>on</strong>g>the</str<strong>on</strong>g> case. In <str<strong>on</strong>g>the</str<strong>on</strong>g> present reporting system, SwAF staff that expose<br />

shortcomings <strong>on</strong>ly face negative c<strong>on</strong>sequences and seldom receive any compensati<strong>on</strong>, reward or<br />

appreciati<strong>on</strong>. This means, toge<str<strong>on</strong>g>the</str<strong>on</strong>g>r with <str<strong>on</strong>g>the</str<strong>on</strong>g> link that presently exists between acti<strong>on</strong> and discipline in<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> present system, <str<strong>on</strong>g>the</str<strong>on</strong>g> organizati<strong>on</strong> does not provide <str<strong>on</strong>g>the</str<strong>on</strong>g> kind <str<strong>on</strong>g>of</str<strong>on</strong>g> platform that a learning organizati<strong>on</strong><br />

requires. To improve <str<strong>on</strong>g>the</str<strong>on</strong>g> organizati<strong>on</strong>’s reporting system, <str<strong>on</strong>g>the</str<strong>on</strong>g> SwAF ought to import norms, values<br />

and behaviour associated with ‘just culture’. This would mean that <str<strong>on</strong>g>the</str<strong>on</strong>g> disciplinary system would have<br />

to be redesigned and all <str<strong>on</strong>g>the</str<strong>on</strong>g> parties involved in <str<strong>on</strong>g>the</str<strong>on</strong>g> reporting system better protected (Carlemalm<br />

2009).<br />

A ‘just culture’ is not something that can be applied from outside, say by c<strong>on</strong>sultants, or normatively<br />

by fiat. In fact, <str<strong>on</strong>g>the</str<strong>on</strong>g> management in <str<strong>on</strong>g>the</str<strong>on</strong>g> SwAF must understand that <str<strong>on</strong>g>the</str<strong>on</strong>g> basis for a transformati<strong>on</strong> into<br />

a ‘just culture’ should begin within <str<strong>on</strong>g>the</str<strong>on</strong>g>ir own organizati<strong>on</strong>, by understanding its history, traditi<strong>on</strong>s and<br />

beliefs. First <str<strong>on</strong>g>the</str<strong>on</strong>g>n, it is possible to influence and make changes in those important pillars in order to<br />

attain a transformati<strong>on</strong>. The SwAF ought to learn and accept that incident must not be a failure; an<br />

incident should be looked up<strong>on</strong> as a great opportunity to learn. The organizati<strong>on</strong> should avoid all sorts<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> penalties after an incident; <str<strong>on</strong>g>the</str<strong>on</strong>g>re is no scapegoat to hunt down! On <str<strong>on</strong>g>the</str<strong>on</strong>g> c<strong>on</strong>trary, it should in<br />

advance be crystal clear who will act up<strong>on</strong> an incident- it must not be a superior, part <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

organizati<strong>on</strong> line. The civilians, soldiers and <str<strong>on</strong>g>of</str<strong>on</strong>g>ficers should know <str<strong>on</strong>g>the</str<strong>on</strong>g>ir rights (and resp<strong>on</strong>sibilities). A<br />

debriefing program ought to be implemented in <str<strong>on</strong>g>the</str<strong>on</strong>g> SwAF, to normalize incidents and to support <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

organizati<strong>on</strong>’s members after an incident (Dekker 2009a, 2009b). Implementing an efficient reporting<br />

system in <str<strong>on</strong>g>the</str<strong>on</strong>g> SwAF is not just about realizing a new technical system, it is much more about all<br />

members’ beliefs and ambiti<strong>on</strong> to be a part <str<strong>on</strong>g>of</str<strong>on</strong>g> and c<strong>on</strong>tribute to <str<strong>on</strong>g>the</str<strong>on</strong>g> organizati<strong>on</strong>’s progress and future.<br />

No doubt, lack <str<strong>on</strong>g>of</str<strong>on</strong>g> trust and c<strong>on</strong>fidence in <str<strong>on</strong>g>the</str<strong>on</strong>g> own organisati<strong>on</strong> will seal people’s lips. One should bear<br />

in mind, trust is extremely hard to build and tremendously easy to break (Dekker 2007)!<br />

4. C<strong>on</strong>clusi<strong>on</strong><br />

If <str<strong>on</strong>g>the</str<strong>on</strong>g> reporting system could be reinvented so as to integrate SwAF’s core values and assumpti<strong>on</strong>s<br />

regarding <str<strong>on</strong>g>of</str<strong>on</strong>g>ficers, and with what we now know about ‘just culture’ in complex organizati<strong>on</strong>s, this<br />

would help SwAF adapt to today’s fast changing operati<strong>on</strong>al envir<strong>on</strong>ments. It would also enable <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

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