학술논문
Attributes of leadership skill development in high-performance pre-hospital medical teams: results of an international multi-service prospective study.
Document Type
Academic Journal
Author
Deodatus JA; Department of Acute Care, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.; Kratz MA; Emergency Medical Services, Centre for Prehospital Emergency Care, Department of Emergency, Anaesthesia and Pain Medicine, FinnHEMS 30 & 40, Tampere University, Tampere, Finland.; Steller M; Department of Acute Care, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.; Veeger N; Department of Epidemiology, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.; Dercksen B; Mobile Medical Team (MMT), Lifeliner 4, Eelde, the Netherlands.; Department of Anaesthesiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.; Lyon RM; Air Ambulance Kent Surrey Sussex & Department of Health Sciences, University of Surrey, Redhill, UK.; Rehn M; Air Ambulance Department, Division of Prehospital Services, Oslo University Hospital, Oslo, Norway.; Department of Research and Development, Norwegian Air Ambulance Foundation, Oslo, Norway.; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.; Rognås L; The Danish Air Ambulance, Brendstrupgårdsvej 7, 2. Th, 8200, Aarhus N, Denmark.; Coniglio C; Department of Anesthesia, Intensive Care and Pre-Hospital Emergency Medical Services, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy.; Sheridan B; Department of Anaesthesia and Hunter Retrieval Service, John Hunter Hospital, Lookout Rd, New Lambton Heights, NSW, 2305, Australia.; Tschautscher C; Department of Emergency Medicine, School of Medicine and Public Health, UW Health Med Flight and Berbee Walsh University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792, USA.; Lockey DJ; London's Air Ambulance and Bart's Health NHS Trust, Royal London Hospital, London, E1 1FR, UK.; Ter Avest E; Department of Acute Care, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. e.ter.avest@umcg.nl.; London's Air Ambulance and Bart's Health NHS Trust, Royal London Hospital, London, E1 1FR, UK. e.ter.avest@umcg.nl.
Source
Publisher: BioMed Central Country of Publication: England NLM ID: 101477511 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-7241 (Electronic) Linking ISSN: 17577241 NLM ISO Abbreviation: Scand J Trauma Resusc Emerg Med Subsets: MEDLINE
Subject
Language
English
Abstract
Backgrounds: Team leadership skills of physicians working in high-performing medical teams are directly related to outcome. It is currently unclear how these skills can best be developed. Therefore, in this multi-national cross-sectional prospective study, we explored the development of these skills in relation to physician-, organization- and training characteristics of Helicopter Emergency Medicine Service (HEMS) physicians from services in Europe, the United States of America and Australia.
Methods: Physicians were asked to complete a survey regarding their HEMS service, training, and background as well as a full Leader Behavior Description Questionnaire (LBDQ). Primary outcomes were the 12 leadership subdomain scores as described in the LBDQ. Secondary outcome measures were the association of LBDQ subdomain scores with specific physician-, organization- or training characteristics and self-reported ways to improve leadership skills in HEMS physicians.
Results: In total, 120 HEMS physicians completed the questionnaire. Overall, leadership LBDQ subdomain scores were high (10 out of 12 subdomains exceeded 70% of the maximum score). Whereas physician characteristics such as experience or base-specialty were unrelated to leadership qualities, both organization- and training characteristics were important determinants of leadership skill development. Attention to leadership skills during service induction, ongoing leadership training, having standards in place to ensure (regular) scenario training and holding structured mission debriefs each correlated with multiple LBDQ subdomain scores.
Conclusions: Ongoing training of leadership skills should be stimulated and facilitated by organizations as it contributes to higher levels of proficiency, which may translate into a positive effect on patient outcomes.
Trial Registration: Not applicable.
(© 2024. The Author(s).)
Methods: Physicians were asked to complete a survey regarding their HEMS service, training, and background as well as a full Leader Behavior Description Questionnaire (LBDQ). Primary outcomes were the 12 leadership subdomain scores as described in the LBDQ. Secondary outcome measures were the association of LBDQ subdomain scores with specific physician-, organization- or training characteristics and self-reported ways to improve leadership skills in HEMS physicians.
Results: In total, 120 HEMS physicians completed the questionnaire. Overall, leadership LBDQ subdomain scores were high (10 out of 12 subdomains exceeded 70% of the maximum score). Whereas physician characteristics such as experience or base-specialty were unrelated to leadership qualities, both organization- and training characteristics were important determinants of leadership skill development. Attention to leadership skills during service induction, ongoing leadership training, having standards in place to ensure (regular) scenario training and holding structured mission debriefs each correlated with multiple LBDQ subdomain scores.
Conclusions: Ongoing training of leadership skills should be stimulated and facilitated by organizations as it contributes to higher levels of proficiency, which may translate into a positive effect on patient outcomes.
Trial Registration: Not applicable.
(© 2024. The Author(s).)