Respiratory Care Services, Duke University Medical Center, Durham, North Carolina; and the Division of Pediatric Critical Care Medicine, Duke University Medical Center, Durham, North Carolina.
Thomas Jefferson University, College of Health Professions, Philadelphia, Pennsylvania.
Respir Care. 2023 Oct;68(10):1347-1355. doi: 10.4187/respcare.10920. Epub 2023 Jun 6.
Leadership is critical to high-functioning teams; however, data are lacking for what defines successful respiratory therapist (RT) leadership. Leaders need a wide range of skills to be successful, although the exact characteristics, behaviors, and accomplishments of successful RT leaders are unknown. We performed a survey of respiratory care leaders to evaluate different aspects of RT leadership.
We developed a survey of RT leaders to examine respiratory care leadership in a variety of professional settings. Different aspects of leadership and the relationships between perceptions of leadership and well-being were assessed. Data analysis was descriptive.
We received 124 responses, with a response rate of 37%. Respondents had a median 22 y of RT experience, and 69% were in leadership positions. The most-important skills identified for potential leaders were critical thinking (90%) and people skills (88%). Self-initiated projects (82%), intradepartmental education (71%), and precepting (63%) were noted accomplishments. Reasons for exclusion from leadership included poor work ethic (94%), dishonesty (92%), difficulty getting along with others (89%), unreliable (90%), and not being a team player (86%). Most respondents (77%) agreed American Association for Respiratory Care membership be a requirement for leadership; however, 31% required membership. Integrity (71%) was noted consistently as a characteristic of successful leaders. There was no consensus for behaviors of successful versus unsuccessful leaders or what defines successful leadership. Ninety-five percent of leaders had received some leadership training. Respondents reported that well-being is affected by leadership, departmental culture, peers, and leaders with burnout; 34% of respondents felt people with burnout received good support at their institution, whereas 61% felt maintaining well-being is left to individuals.
Critical thinking and people skills were the most-important skills for potential leaders. Limited consensus existed on characteristics, behaviors, and defined success of leaders. Most respondents agreed leadership influences well-being.
领导力对于高效能团队至关重要；然而，缺乏成功呼吸治疗师（RT）领导力的定义数据。领导者需要广泛的技能才能成功，尽管成功的 RT 领导者的确切特征、行为和成就尚不清楚。我们对呼吸治疗师的领导者进行了调查，以评估不同方面的 RT 领导力。
我们制定了一份针对 RT 领导者的调查，以评估各种专业环境中的呼吸照护领导力。评估了领导力的不同方面以及对领导力和幸福感的看法之间的关系。数据分析是描述性的。
我们收到了 124 份回复，回复率为 37%。受访者的平均 RT 经验为 22 年，69%处于领导岗位。潜在领导者最重要的技能是批判性思维（90%）和人际交往能力（88%）。自我启动的项目（82%）、部门内教育（71%）和指导（63%）是被认为的成就。排除在领导之外的原因包括职业道德差（94%）、不诚实（92%）、与他人相处困难（89%）、不可靠（90%）和不合作（86%）。大多数受访者（77%）同意美国呼吸治疗协会会员资格是领导力的要求；然而，31%要求会员资格。诚信（71%）始终被认为是成功领导者的特征。对于成功与不成功领导者的行为或成功领导的定义没有共识。95%的领导者接受过一些领导力培训。受访者报告称，领导能力、部门文化、同事和倦怠的领导者会影响幸福感；34%的受访者认为机构中倦怠的人得到了很好的支持，而 61%的人认为保持幸福感取决于个人。
批判性思维和人际交往能力是潜在领导者最重要的技能。对于领导者的特征、行为和定义的成功，存在有限的共识。大多数受访者同意领导能力会影响幸福感。
