The Nature of Neonatal Experience during Pandemic COVID-19

Abstract

Life abruptly becomes chaotic. This is much like crossing a threshold into a room where we don't belong. The chaotic situation entrains energy and resources, forming a trajectory to cascading failure. The HRO accepts this trajectory and members of the HRO engage in events even as they do not know how to bring it to an end. This is the liminal period, across the threshold and away from our routines. While it appears daunting, if not dangerous, this approach builds on experiences we have had throughout life. HRO methods uniquely shape the engagement that moves through and out of a liminal period. HRO is a trajectory of engagement that fuses now with the experience of then into simultaneous inquiry and redescription. In these states of engagement, the HRO supports using all our mind.

High-Reliability Organizing (HRO), Decision Making, the OODA Loop, and COVID-19

“…We gain that experience through interaction with the problem, the situation, and the environment (50). Perhaps it is the function of decision-making and sensemaking to allow us to maneuver through these changing events.…”

Disaster Series: Elements of a Disaster

“…The liminal zone challenges our leadership and us. We cannot rely on plans or our experience (24). In a disaster, we find that we must engage circumstances whether we stay or leave, but we don't yet know what works (24).…”

“…The liminal experience shapes the individual due to the environment (24). The more severe the environment of the disaster, the more profound the effect on the individual.…”

High-Reliability Organizing (HRO) and Abrupt Change from COVID 19: Failure of Scientific Rationality and Classical Logic

“…The structured, academic presentation of theory and logic does not match the experience of Neonatologists, particularly in relation to their years of experience. Perhaps we do not sense the because of the shifting baseline of experience and what we perceive as normal (12). We draw upon anecdotes from early in our fants who will now live and think of all the lives gained.…”