Surgeons’ Leadership Style and Team Behavior in the Hybrid Operating Room: Prospective Cohort Study
This study aimed to assess the relationship between surgeons' leadership style and team behavior in the hybrid operating room through video coding. Secondly, possible fluctuations possible fluctuations in leadership styles and team behavior during operative phases were studied. Leadership is re...
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| Veröffentlicht in: | Annals of surgery 2023-07, Vol.278 (1), p.e5-e12 |
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| container_title | Annals of surgery |
| container_volume | 278 |
| creator | Soenens, Gilles Marchand, Benoit Doyen, Bart Grantcharov, Teodor Van Herzeele, Isabelle Vlerick, Peter |
| description | This study aimed to assess the relationship between surgeons' leadership style and team behavior in the hybrid operating room through video coding. Secondly, possible fluctuations possible fluctuations in leadership styles and team behavior during operative phases were studied.
Leadership is recognized as a key component to successful team functioning in high-risk industries. The 'full range of leadership' theory is commonly used to evaluate leadership, marking transformational, transactional, and passive. Few studies have examined the effects of these leadership styles on team behavior in surgery and/or their fluctuations during surgery.
A single-center study included patients planned for routine endovascular procedures. A medical data capture system was used to allow post hoc video coding through Behavior Anchored Rating Scales. Multilevel statistical analysis was performed to assess possible correlations between leadership style and 3 team behavior indicators (speaking up, knowledge sharing, and collaboration) on an operative phase level.
Twenty-two cases were analyzed (47 hours recording). Transformational leadership is positively related to the extent to which team members work together (γ=0.20, P |
| doi_str_mv | 10.1097/SLA.0000000000005645 |
| format | Article |
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Leadership is recognized as a key component to successful team functioning in high-risk industries. The 'full range of leadership' theory is commonly used to evaluate leadership, marking transformational, transactional, and passive. Few studies have examined the effects of these leadership styles on team behavior in surgery and/or their fluctuations during surgery.
A single-center study included patients planned for routine endovascular procedures. A medical data capture system was used to allow post hoc video coding through Behavior Anchored Rating Scales. Multilevel statistical analysis was performed to assess possible correlations between leadership style and 3 team behavior indicators (speaking up, knowledge sharing, and collaboration) on an operative phase level.
Twenty-two cases were analyzed (47 hours recording). Transformational leadership is positively related to the extent to which team members work together (γ=0.20, P <0.001), share knowledge (γ=0.45, P <0.001), and speak up (γ=0.64, P <0.001). Passive leadership is significantly positively correlated with speaking up (γ=0.29, P =0.004). Leadership style and team behavior clearly fluctuate during a procedure, with similar patterns across different types of endovascular procedures.
Consistent with other professional fields, surgeons' transformational leadership enhances team behavior, especially during the most complex operative phases. This suggests that encouraging surgeons to learn and actively implement a transformational leadership style is meaningful to enhance patient safety and team performance.</description><identifier>ISSN: 0003-4932</identifier><identifier>EISSN: 1528-1140</identifier><identifier>DOI: 10.1097/SLA.0000000000005645</identifier><identifier>PMID: 35904023</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Humans ; Leadership ; Operating Rooms ; Patient Safety ; Prospective Studies ; Surgeons</subject><ispartof>Annals of surgery, 2023-07, Vol.278 (1), p.e5-e12</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3015-9494f1bb2a7270c7e140a3c348d938c56d38af5e9073b87a905a11b85e2de75d3</cites><orcidid>0000-0002-9573-7632 ; 0000-0003-2102-838 ; 0000-0002-3424-5618 ; 0000-0001-9624-1025 ; 0000-0002-1754-7390 ; 0000-0003-2102-838X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35904023$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soenens, Gilles</creatorcontrib><creatorcontrib>Marchand, Benoit</creatorcontrib><creatorcontrib>Doyen, Bart</creatorcontrib><creatorcontrib>Grantcharov, Teodor</creatorcontrib><creatorcontrib>Van Herzeele, Isabelle</creatorcontrib><creatorcontrib>Vlerick, Peter</creatorcontrib><title>Surgeons’ Leadership Style and Team Behavior in the Hybrid Operating Room: Prospective Cohort Study</title><title>Annals of surgery</title><addtitle>Ann Surg</addtitle><description>This study aimed to assess the relationship between surgeons' leadership style and team behavior in the hybrid operating room through video coding. Secondly, possible fluctuations possible fluctuations in leadership styles and team behavior during operative phases were studied.
Leadership is recognized as a key component to successful team functioning in high-risk industries. The 'full range of leadership' theory is commonly used to evaluate leadership, marking transformational, transactional, and passive. Few studies have examined the effects of these leadership styles on team behavior in surgery and/or their fluctuations during surgery.
A single-center study included patients planned for routine endovascular procedures. A medical data capture system was used to allow post hoc video coding through Behavior Anchored Rating Scales. Multilevel statistical analysis was performed to assess possible correlations between leadership style and 3 team behavior indicators (speaking up, knowledge sharing, and collaboration) on an operative phase level.
Twenty-two cases were analyzed (47 hours recording). Transformational leadership is positively related to the extent to which team members work together (γ=0.20, P <0.001), share knowledge (γ=0.45, P <0.001), and speak up (γ=0.64, P <0.001). Passive leadership is significantly positively correlated with speaking up (γ=0.29, P =0.004). Leadership style and team behavior clearly fluctuate during a procedure, with similar patterns across different types of endovascular procedures.
Consistent with other professional fields, surgeons' transformational leadership enhances team behavior, especially during the most complex operative phases. This suggests that encouraging surgeons to learn and actively implement a transformational leadership style is meaningful to enhance patient safety and team performance.</description><subject>Humans</subject><subject>Leadership</subject><subject>Operating Rooms</subject><subject>Patient Safety</subject><subject>Prospective Studies</subject><subject>Surgeons</subject><issn>0003-4932</issn><issn>1528-1140</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkNtO3DAQhi1UBMvhDVDly96E-hjb3NEVh0orgVi4jpx4lqQkcWonoL3ra_B6PEmNFmjFSKORR__8nvkQOqLkmBKjvi8Xp8fkv5C5kFtoRiXTGaWCfEGz1OWZMJztor0YfxFChSZqB-1yaYggjM8QLKdwD76PL3-e8QKsgxDrZsDLcd0Ctr3Dt2A7_ANq-9j4gJsejzXgy3UZGoevBgh2bPp7fON9d4Kvg48DVGPzCHjuax_GZDS59QHaXtk2wuFb3Ud352e388tscXXxc366yCpOqMyMMGJFy5JZxRSpFKQzLK-40M5wXcnccW1XEgxRvNTKGiItpaWWwBwo6fg--rbxHYL_PUEci66JFbSt7cFPsWC5yXXORa6SVGykVdo5BlgVQ2g6G9YFJcUr4CIBLj4DTmNf336Yyg7cx9A70X--T74dE8yHdnqCUNRg27He-OVSZyxpiUqPLCWT_C-jPIXx</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Soenens, Gilles</creator><creator>Marchand, Benoit</creator><creator>Doyen, Bart</creator><creator>Grantcharov, Teodor</creator><creator>Van Herzeele, Isabelle</creator><creator>Vlerick, Peter</creator><general>Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9573-7632</orcidid><orcidid>https://orcid.org/0000-0003-2102-838</orcidid><orcidid>https://orcid.org/0000-0002-3424-5618</orcidid><orcidid>https://orcid.org/0000-0001-9624-1025</orcidid><orcidid>https://orcid.org/0000-0002-1754-7390</orcidid><orcidid>https://orcid.org/0000-0003-2102-838X</orcidid></search><sort><creationdate>20230701</creationdate><title>Surgeons’ Leadership Style and Team Behavior in the Hybrid Operating Room: Prospective Cohort Study</title><author>Soenens, Gilles ; Marchand, Benoit ; Doyen, Bart ; Grantcharov, Teodor ; Van Herzeele, Isabelle ; Vlerick, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3015-9494f1bb2a7270c7e140a3c348d938c56d38af5e9073b87a905a11b85e2de75d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Humans</topic><topic>Leadership</topic><topic>Operating Rooms</topic><topic>Patient Safety</topic><topic>Prospective Studies</topic><topic>Surgeons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soenens, Gilles</creatorcontrib><creatorcontrib>Marchand, Benoit</creatorcontrib><creatorcontrib>Doyen, Bart</creatorcontrib><creatorcontrib>Grantcharov, Teodor</creatorcontrib><creatorcontrib>Van Herzeele, Isabelle</creatorcontrib><creatorcontrib>Vlerick, Peter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soenens, Gilles</au><au>Marchand, Benoit</au><au>Doyen, Bart</au><au>Grantcharov, Teodor</au><au>Van Herzeele, Isabelle</au><au>Vlerick, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgeons’ Leadership Style and Team Behavior in the Hybrid Operating Room: Prospective Cohort Study</atitle><jtitle>Annals of surgery</jtitle><addtitle>Ann Surg</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>278</volume><issue>1</issue><spage>e5</spage><epage>e12</epage><pages>e5-e12</pages><issn>0003-4932</issn><eissn>1528-1140</eissn><abstract>This study aimed to assess the relationship between surgeons' leadership style and team behavior in the hybrid operating room through video coding. Secondly, possible fluctuations possible fluctuations in leadership styles and team behavior during operative phases were studied.
Leadership is recognized as a key component to successful team functioning in high-risk industries. The 'full range of leadership' theory is commonly used to evaluate leadership, marking transformational, transactional, and passive. Few studies have examined the effects of these leadership styles on team behavior in surgery and/or their fluctuations during surgery.
A single-center study included patients planned for routine endovascular procedures. A medical data capture system was used to allow post hoc video coding through Behavior Anchored Rating Scales. Multilevel statistical analysis was performed to assess possible correlations between leadership style and 3 team behavior indicators (speaking up, knowledge sharing, and collaboration) on an operative phase level.
Twenty-two cases were analyzed (47 hours recording). Transformational leadership is positively related to the extent to which team members work together (γ=0.20, P <0.001), share knowledge (γ=0.45, P <0.001), and speak up (γ=0.64, P <0.001). Passive leadership is significantly positively correlated with speaking up (γ=0.29, P =0.004). Leadership style and team behavior clearly fluctuate during a procedure, with similar patterns across different types of endovascular procedures.
Consistent with other professional fields, surgeons' transformational leadership enhances team behavior, especially during the most complex operative phases. This suggests that encouraging surgeons to learn and actively implement a transformational leadership style is meaningful to enhance patient safety and team performance.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>35904023</pmid><doi>10.1097/SLA.0000000000005645</doi><orcidid>https://orcid.org/0000-0002-9573-7632</orcidid><orcidid>https://orcid.org/0000-0003-2102-838</orcidid><orcidid>https://orcid.org/0000-0002-3424-5618</orcidid><orcidid>https://orcid.org/0000-0001-9624-1025</orcidid><orcidid>https://orcid.org/0000-0002-1754-7390</orcidid><orcidid>https://orcid.org/0000-0003-2102-838X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Humans Leadership Operating Rooms Patient Safety Prospective Studies Surgeons |
| title | Surgeons’ Leadership Style and Team Behavior in the Hybrid Operating Room: Prospective Cohort Study |
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