Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Center for Medical Simulation, Charlestown, MA, USA.
Wagner School of Public Service, New York University, New York, NY, USA.
Br J Anaesth. 2020 Mar;124(3):e148-e154. doi: 10.1016/j.bja.2019.12.015. Epub 2020 Jan 27.
Modern healthcare is delivered by interprofessional teams, and good leadership of these teams is integral to safe patient care. Good leadership in the operating theatre has traditionally been considered as authoritative, confident and directive, and stereotypically associated with men. We argue that this may not be the best model for team-based patient care and promote the concept of inclusive leadership as a valid alternative. Inclusive leadership encourages all team members to contribute to decision-making, thus engendering more team cohesion, information sharing and speaking up, and ultimately enhancing team effectiveness. However, the relational behaviours associated with inclusive leadership are stereotypically associated with women and may not in fact be recognised as leadership. In this article we provide evidence on the advantages of inclusive leadership over authoritative leadership and explore gender stereotypes and obstacles that limit the recognition of inclusive leadership. We propose that operating teams rise above gender stereotypes of leadership. Inclusive leadership can elicit maximum performance of every team member, thus realising the full potential of interprofessional healthcare teams to provide the best care for patients.
现代医疗保健是由跨专业团队提供的,这些团队的良好领导对于安全的患者护理至关重要。传统上,手术室的良好领导被认为是权威、自信和指令性的,并且刻板地与男性相关联。我们认为,这可能不是基于团队的患者护理的最佳模式,并提倡包容型领导作为一种有效的替代模式。包容型领导鼓励所有团队成员参与决策制定,从而产生更多的团队凝聚力、信息共享和畅所欲言,并最终提高团队的效率。然而,与包容型领导相关的关系行为通常与女性相关联,实际上可能不会被视为领导行为。在本文中,我们提供了包容型领导相对于权威型领导的优势的证据,并探讨了限制包容型领导认可的性别刻板印象和障碍。我们提出手术室要超越领导力的性别刻板印象。包容型领导可以激发每个团队成员的最大表现,从而充分发挥跨专业医疗保健团队的潜力,为患者提供最佳护理。