
Surgeons’ leadership style and team behavior in the hybrid operating room : prospective cohort study
- Author
- Gilles Soenens (UGent) , Benoit Marchand, Bart Doyen, Teodor Grantcharov, Isabelle Van Herzeele (UGent) and Peter Vlerick (UGent)
- Organization
- Project
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- Learning from mistakes to improve patient safety and team functioning in the hybrid angiosuite
- Development of strategies to identify, analyze and prevent errors in the hybrid angiosuite - an inter-professional approach to enhance technical and non-technical performances and to improve patient safety: A pilot study
- Abstract
- Objective: 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. Background: 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. Methods: 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. Results: Twenty-two cases were analyzed (47 hours recording). Transformational leadership is positively related to the extent to which team members work together (gamma=0.20, P< 0.001), share knowledge (gamma=0.45, P< 0.001), and speak up (gamma=0.64, P< 0.001). Passive leadership is significantly positively correlated with speaking up (gamma=0.29, P=0.004). Leadership style and team behavior clearly fluctuate during a procedure, with similar patterns across different types of endovascular procedures. Conclusions: 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.
- Keywords
- Surgery, video recording, patient safety, leadership, endovascular procedures
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-8769202
- MLA
- Soenens, Gilles, et al. “Surgeons’ Leadership Style and Team Behavior in the Hybrid Operating Room : Prospective Cohort Study.” ANNALS OF SURGERY, vol. 278, no. 1, 2023, pp. E5–12, doi:10.1097/sla.0000000000005645.
- APA
- Soenens, G., Marchand, B., Doyen, B., Grantcharov, T., Van Herzeele, I., & Vlerick, P. (2023). Surgeons’ leadership style and team behavior in the hybrid operating room : prospective cohort study. ANNALS OF SURGERY, 278(1), E5–E12. https://doi.org/10.1097/sla.0000000000005645
- Chicago author-date
- Soenens, Gilles, Benoit Marchand, Bart Doyen, Teodor Grantcharov, Isabelle Van Herzeele, and Peter Vlerick. 2023. “Surgeons’ Leadership Style and Team Behavior in the Hybrid Operating Room : Prospective Cohort Study.” ANNALS OF SURGERY 278 (1): E5–12. https://doi.org/10.1097/sla.0000000000005645.
- Chicago author-date (all authors)
- Soenens, Gilles, Benoit Marchand, Bart Doyen, Teodor Grantcharov, Isabelle Van Herzeele, and Peter Vlerick. 2023. “Surgeons’ Leadership Style and Team Behavior in the Hybrid Operating Room : Prospective Cohort Study.” ANNALS OF SURGERY 278 (1): E5–E12. doi:10.1097/sla.0000000000005645.
- Vancouver
- 1.Soenens G, Marchand B, Doyen B, Grantcharov T, Van Herzeele I, Vlerick P. Surgeons’ leadership style and team behavior in the hybrid operating room : prospective cohort study. ANNALS OF SURGERY. 2023;278(1):E5–12.
- IEEE
- [1]G. Soenens, B. Marchand, B. Doyen, T. Grantcharov, I. Van Herzeele, and P. Vlerick, “Surgeons’ leadership style and team behavior in the hybrid operating room : prospective cohort study,” ANNALS OF SURGERY, vol. 278, no. 1, pp. E5–E12, 2023.
@article{8769202, abstract = {{Objective: 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. Background: 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. Methods: 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. Results: Twenty-two cases were analyzed (47 hours recording). Transformational leadership is positively related to the extent to which team members work together (gamma=0.20, P< 0.001), share knowledge (gamma=0.45, P< 0.001), and speak up (gamma=0.64, P< 0.001). Passive leadership is significantly positively correlated with speaking up (gamma=0.29, P=0.004). Leadership style and team behavior clearly fluctuate during a procedure, with similar patterns across different types of endovascular procedures. Conclusions: 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.}}, author = {{Soenens, Gilles and Marchand, Benoit and Doyen, Bart and Grantcharov, Teodor and Van Herzeele, Isabelle and Vlerick, Peter}}, issn = {{0003-4932}}, journal = {{ANNALS OF SURGERY}}, keywords = {{Surgery,video recording,patient safety,leadership,endovascular procedures}}, language = {{eng}}, number = {{1}}, pages = {{E5--E12}}, title = {{Surgeons’ leadership style and team behavior in the hybrid operating room : prospective cohort study}}, url = {{http://doi.org/10.1097/sla.0000000000005645}}, volume = {{278}}, year = {{2023}}, }
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