Emergency Department, University Hospital Geelong, Geelong, Victoria, Australia.
School of Medicine, IMPACT, Institute for Innovation in Physical and Mental Health and Clinical Translation, Deakin University, Geelong, Victoria, Australia.
Emerg Med Australas. 2024 Dec;36(6):868-875. doi: 10.1111/1742-6723.14466. Epub 2024 Jul 10.
Emergency medicine (EM) doctors are often required to manage a diverse set of complex challenges; navigating direct patient care, systemic issues and inter-professional interactions. Leadership is well recognised as crucial in optimising both the delivery and the quality of patient care. There is a clear need to gain greater understanding of the reality of EM leadership through exploring doctors' experience and perception of leadership in EM, yet there is a paucity of research focusing on this area. The objective of the present study was to explore the research question: 'What are the experiences and perceptions of leadership by EM doctors?'
This single-site qualitative study was undertaken using semi-structured in-depth individual interviews to collect data. Interviews were audio recorded, transcribed and de-identified. Reflexive thematic analysis was performed by the research team with the aid of DelveTool software.
Our sample included nine participants incorporating consultants and registrars. Three major themes were identified: (i) situational tensions, (ii) relational tensions and (iii) leadership style tensions. Each of these was further explored with subthemes discussed separately.
Leadership within the ED is complex and multifaceted, with doctors required to navigate many competing tensions. The present study highlighted key areas for future leadership development, including situational awareness, emotional intelligence and a fluid approach to leadership styles. The present study provides an important step towards enhancing the development of targeted leadership training for EM doctors.
急诊医学（EM）医生经常需要处理各种复杂的挑战；驾驭直接的患者护理、系统问题和跨专业的互动。领导力在优化患者护理的提供和质量方面被公认为至关重要。通过探索医生在急诊医学中的领导经验和看法，我们显然需要更深入地了解急诊医学领导力的现实情况，但针对这一领域的研究却很少。本研究的目的是探讨研究问题：“急诊医学医生的领导经验和看法是什么？”
这是一项单站点的定性研究，采用半结构化深入的个人访谈来收集数据。访谈进行了录音、转录和去识别处理。研究团队使用 DelveTool 软件进行了反思性主题分析。
我们的样本包括 9 名参与者，包括顾问和住院医师。确定了三个主要主题：（i）情境紧张，（ii）关系紧张，（iii）领导风格紧张。每个主题都进一步探讨了分别讨论的子主题。
ED 中的领导力是复杂和多方面的，医生需要驾驭许多相互竞争的紧张局势。本研究强调了未来领导力发展的关键领域，包括情境意识、情绪智力和灵活的领导风格方法。本研究为增强针对急诊医学医生的有针对性的领导力培训迈出了重要的一步。
