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The purpose of the paper is to explore the universality of a qualitatively (grounded theory) developed model of leadership in complex and/or stressful rescue operations.

The model was operationalised and tested on leaders (n=385) from the ambulance service, the police force, and the rescue services in Sweden. A questionnaire was operationalised from the codes and categories of the previously developed model.

The study showed that the most important factors in explaining the outcome of complex rescue operations were organisational climate before the incident, positive stress reactions, and personal knowledge of the co‐actors during the episode. Cases where the leader appraised that the situation could not be resolved with the available resources were characterised by less favourable ratings, irrespective of whether humans were perceived as being threatened or not. The strength of this controllability aspect was interpreted in terms of a professional action‐oriented identity.

The results were affected by a high dropout rate and the fact that there were comparatively few large‐scale rescue operations.

The results may be valuable in both training and exercises with rescue operation commanders.

The paper presents a validation of a new, integrative, theoretical process model of leadership in complex, stressful rescue operations.

To develop a theoretical understanding of leadership in stressful, complex rescue operations.

A grounded theory approach was used. Twenty rescue operation commanders from four complex rescue operations in Sweden were interviewed.

A model was developed which suggests that leadership in stressful, complex rescue operations can be understood as a causal process consisting of three broad time‐related categories. The pre‐operation everyday working conditions affect the leadership during rescue operations, which in turn affects the post‐operation everyday working conditions, etc. Everyday working conditions include training and exercises, previous mission experiences, personal knowledge of co‐actors, and organisational climate. The leadership during a complex rescue operation is affected by the leader's appraisal of the balance between what is at stake, human lives in particular, and the manageability of the situation. Patterns of stress reactions among rescue commanders and their leadership behaviour and managerial routines, were identified. Three problem areas were noted: role shifts during long‐lasting operations, staff work, and practical routines. The post‐operation conditions include the leader's evaluation of the outcome, organisational climate, and post‐event stress reactions.

Small sample, lack of representativeness, and lack of illumination of possible gender‐related aspects.

The model may be valuable in training and exercises with rescue operation commanders.

A new integrative, theoretical process model of leadership in complex, stressful rescue operations.