Julian Barling1, Amy Akers1, Darren Beiko2. 1. Smith School of Business, Queen's University, Kingston, Ontario, Canada. 2. Department of Urology, Queen's University, Kingston, Ontario, Canada. Electronic address: beiko@queensu.ca.
Abstract
BACKGROUND: The effects of surgeons' leadership on team performance are not well understood. The purpose of this study was to examine the simultaneous effects of transformational, passive, abusive supervision and over-controlling leadership behaviors by surgeons on surgical team performance. METHODS: Trained observers attended 150 randomly selected operations at a tertiary care teaching hospital. Observers recorded instances of the four leadership behaviors enacted by the surgeon. Postoperatively, team members completed validated questionnaires rating team cohesion and collective efficacy. Multiple regression analyses were computed. Data were analyzed using the complex modeling function in MPlus. RESULTS: Surgeons' abusive supervision was negatively associated with psychological safety (unstandardized B = -0.352, p < 0.01). Both surgeons' abusive supervision (unstandardized B = -0.237, p < 0.01), and over-controlling leadership (unstandardized B = -0.230, p < 0.05) were negatively associated with collective efficacy. CONCLUSIONS: This study is the first to assess the simultaneous effects of surgeons' positive and negative leadership behaviors on intraoperative team performance. Significant effects only surfaced for negative leadership behaviors; transformational leadership did not positively influence team performance.
BACKGROUND: The effects of surgeons' leadership on team performance are not well understood. The purpose of this study was to examine the simultaneous effects of transformational, passive, abusive supervision and over-controlling leadership behaviors by surgeons on surgical team performance. METHODS: Trained observers attended 150 randomly selected operations at a tertiary care teaching hospital. Observers recorded instances of the four leadership behaviors enacted by the surgeon. Postoperatively, team members completed validated questionnaires rating team cohesion and collective efficacy. Multiple regression analyses were computed. Data were analyzed using the complex modeling function in MPlus. RESULTS: Surgeons' abusive supervision was negatively associated with psychological safety (unstandardized B = -0.352, p < 0.01). Both surgeons' abusive supervision (unstandardized B = -0.237, p < 0.01), and over-controlling leadership (unstandardized B = -0.230, p < 0.05) were negatively associated with collective efficacy. CONCLUSIONS: This study is the first to assess the simultaneous effects of surgeons' positive and negative leadership behaviors on intraoperative team performance. Significant effects only surfaced for negative leadership behaviors; transformational leadership did not positively influence team performance.
Authors: Vincenzo Restivo; Giuseppa Minutolo; Alberto Battaglini; Alberto Carli; Michele Capraro; Maddalena Gaeta; Anna Odone; Cecilia Trucchi; Carlo Favaretti; Francesco Vitale; Alessandra Casuccio Journal: Int J Environ Res Public Health Date: 2022-09-02 Impact factor: 4.614