Emergency Department, Austin Health, Melbourne, Victoria, Australia.
School of Business, Law and Entrepreneurship, Swinburne University of Technology, Melbourne, Victoria, Australia.
Emerg Med Australas. 2022 Feb;34(1):127-129. doi: 10.1111/1742-6723.13880. Epub 2021 Oct 11.
Emergency medicine (EM) leadership is often conceptualised as either administrative leadership within the structure (e.g. head-of-committee leader) or operational/functional leadership within a group (e.g. resuscitation-scenario team leader). While these bases of identity are practically useful, they often do not take into account the intricate, underlying challenges to one's leader identity presented by the dynamic, fluid and transient context of EM leadership. In particular, emergency physicians face various leader identity challenges such as nonreciprocal leadership claims and grants at the interpersonal level, identity confusion with multiple roles at the intrapersonal level, tribalism at the team level and antithesis of identity workspace at the organisational level. The present paper proposes a reframing of EM leadership as a socially constructed identity process, whereby emergent leaders learn at the individual level to address identity challenges as they negotiate the nuances of leader-follower interactions. Similarly, at an organisational level, there is an opportunity for formal and emergent leaders to create psychologically safe identity workspaces. The co-creation of EM leadership by leaders and followers would help emergent leaders navigate their leader identity, allowing them to simultaneously inspire confidence and exert influence as future-fit health professionals and leaders.
急诊医学（EM）领导力通常被概念化为结构内的行政领导（例如委员会负责人领导）或群体内的运营/职能领导（例如复苏情景团队负责人）。虽然这些身份基础在实践中很有用，但它们通常没有考虑到 EM 领导力动态、流动和短暂背景下对领导者身份的复杂、潜在挑战。特别是，急诊医师面临各种领导者身份挑战，例如人际层面上的非互惠领导主张和授权、个人层面上的多重角色身份混淆、团队层面上的部落主义以及组织层面上的身份工作空间对立。本文提出将急诊医学领导力重新定义为一个社会构建的身份过程，在此过程中，新兴领导者在个人层面上学习应对身份挑战，同时协商领导者-追随者互动的细微差别。同样，在组织层面上，正式和新兴领导者有机会创造心理安全的身份工作空间。领导者和追随者共同创造急诊医学领导力将有助于新兴领导者驾驭他们的领导身份，使他们能够作为未来适应的医疗保健专业人员和领导者同时激发信心并施加影响。
