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Surgeons' Leadership Style and Team Behavior in the Hybrid Operating Room: Prospective Cohort Study.
- Gilles Soenens, Benoit Marchand, Bart Doyen, Teodor Grantcharov, Isabelle Van Herzeele, and Peter Vlerick.
- Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium.
- Ann. Surg. 2023 Jul 1; 278 (1): e5e12e5-e12.
ObjectiveThis 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.BackgroundLeadership 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.MethodsA 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.ResultsTwenty-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.ConclusionsConsistent 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.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
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