Team leadership in the intensive care unit: the perspective of specialists

Reader, Tom W., Flin, Rhona and Cuthbertson, Brian H. (2011) Team leadership in the intensive care unit: the perspective of specialists. Critical Care Medicine, 39 (7). pp. 1683-1691. ISSN 0090-3493

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Abstract

Objectives: To identify the behaviors senior physicians (e.g., specialists, staff attendings) report using to lead multidisciplinary teams in the intensive care unit. Design: Semistructured interviews focusing on team leadership, crisis management, and development of an environment that enable effective team performance in the intensive care unit. Setting: Seven general intensive care units based in National Health Service hospitals in the United Kingdom. Participants: Twenty-five senior intensive care medicine physicians. Measurements and Main Results: Responses to a semistructured interview were transcribed and subjected to “content” analysis. The interview analysis focused on references to the “functional” behaviors used by leaders to manage team performance and the “team development behaviors” used to build the conditions that enable effective team performance. Seven of the interviews were coded by a second psychologist to measure inter-rater reliability. Inter-rater reliability (Cohen's κ) was acceptable for both scales (κ = 0.72 and κ = 0.75). In total, 702 functional leadership behaviors (behaviors for information gathering, planning and decision-making, managing team members) were coded as being used to manage the intensive care unit, along with 216 team development behaviors (for providing team direction and establishing team norms). These behaviors were grouped together in a theoretically driven framework of intensive care unit team leadership. Conclusions: Intensive care unit senior physicians report using a variety of leadership behaviors to ensure high levels of team performance. The data described in this study provide insight into the team leadership behaviors used by intensive care unit team leaders and have implications for the development of team leadership training and assessment tools.

Item Type:	Article
Official URL:	http://journals.lww.com/ccmjournal/pages/default.a...
Additional Information:	© 2011 Lippincott Williams & Wilkins
Divisions:	Psychological and Behavioural Science
Subjects:	H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management R Medicine > RA Public aspects of medicine
Date Deposited:	21 Apr 2011 12:20
Last Modified:	09 Oct 2024 01:54
URI:	http://eprints.lse.ac.uk/id/eprint/35813

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