{"id":1718,"date":"2019-05-24T08:51:16","date_gmt":"2019-05-24T08:51:16","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/ighi\/?p=1718"},"modified":"2019-05-24T08:51:16","modified_gmt":"2019-05-24T08:51:16","slug":"why-sharing-leadership-in-healthcare-matters","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/ighi\/2019\/05\/24\/why-sharing-leadership-in-healthcare-matters\/","title":{"rendered":"Why sharing leadership in healthcare matters"},"content":{"rendered":"

\"Hands<\/p>\n

By Dr Lisa Aufegger<\/a>, Research Associate<\/em><\/p>\n

Alongside the inherent challenges of the job itself, working in acute healthcare teams comes with another layer of complexity.<\/p>\n

On a regular basis, staff will interact with highly specialised professionals from across different disciplines<\/a>. This means that team members such as anaesthetists, nurses and surgeons need a high level of shared understanding, not only in relation to their main objective but their roles and responsibilities, too.<\/p>\n

Shared leadership (SL) \u2013 where leadership working relationships are distributed and team members\u2019 unique roles defined \u2013 has been proposed as a way to foster effective team performance in such situations. And it\u2019s the focus of my latest research<\/a>. <\/p>\n

Does shared leadership deserve the hype?<\/h2>\n

Since its first mention in the psychology and management literature in the mid-1990s, SL has been shown<\/a> to have a range of positive impacts. These include boosting team effectiveness, efficiency and satisfaction, and greater collaboration<\/a> and coordination, among many other benefits. Ultimately, this means SL can reduce the likelihood of conflict<\/a>, both between team members and with tasks and processes themselves.<\/p>\n

Surgical settings such as in critical care and trauma resuscitation are multi-professional by nature. This means that SL and accountability may be<\/a> a critical element in driving improvement<\/a> in safety and quality, and fostering the culture and commitment required to ensure safer care.<\/p>\n

But so far, there\u2019s little scientific evidence on the real benefits of SL in acute healthcare service and delivery. That\u2019s why our group at IGHI\u2019s Patient Safety Translational Research Centre<\/a> (PSTRC) conducted a recent systematic assessment to explore this area. We wanted to identify and critically assess patterns and behaviours of leadership that are specifically related to SL in acute healthcare settings, and evaluate to what extent SL may benefit and accomplish safer care in acute patient treatment and healthcare delivery.<\/p>\n

What behaviours support shared leadership?<\/h2>\n

We found that SL is first and foremost developed, shaped and sustained by a team environment<\/a> that has a shared \u2018mental model\u2019 (see below). This thinking is made possible through 3 key characteristics: social support between team members, shared situational awareness, and the psychological safety to be empowered to, for instance, speak up.<\/p>\n

Teams with a shared mental model have a collective knowledge structure, formed through the understanding of team members\u2019 thinking, which leads to enhanced information processing and planning. It also enables<\/a> people to better anticipate and respond to the actions and needs of their team members. These thought processes, generating shared ideas, were observed in several key ways including information exchange, defined leadership and responsibilities, and strategic coordination.<\/p>\n

Social support<\/em> creates an environment where team members feel valued<\/a> and appreciated, work more cooperatively and develop a sense of shared responsibility for team outcomes. And individuals with situational awareness<\/em><\/a> have a greater comprehension of circumstances by perceiving their environment, understanding the significance of situations and forecasting what could happen in the future. Both of these assets were identified by mutual concerns for colleagues\u2019 wellbeing and their ability to cope with the pressure, among various other factors.<\/p>\n

Finally, psychological safety<\/em> refers to a team member\u2019s ability to \u201cspeak up\u201d \u2013 comment, critique or feedback on something. Alongside situational awareness, this has been shown to boost work quality and benefit patient safety.<\/p>\n

To what extent can this model make care safer?<\/h2>\n

Our early findings suggest that high-performing groups in acute care display more SL behaviour, and that SL contributed to an increase in team satisfaction. This is in line with previous findings<\/a> in small group research, demonstrating strong links between SL and the quality of measurable and subjective performance, such as coordination activities, goal commitment and overall team satisfaction. But studies on SL and safer care are scarce, and more research is needed in the field of patient treatment and delivery.<\/p>\n

Shared leadership: backing up the benefits<\/h2>\n

We found that overall, healthcare providers believe it\u2019s important to use cooperative attitude and SL to improve the quality of care delivery processes, and that this is crucial to contribute to effective teamwork. SL reduces stress and conflict between team members, and helps them better identify their peers\u2019 capabilities<\/a>. This creates a distinct competitive advantage.<\/p>\n

We still need more research in this area. But these findings suggest that it\u2019s worthwhile to educate healthcare professionals with varying seniority about teamwork and SL, through the lens of shared identity and shared context<\/a>. This helps to maximise<\/a> the use of expert skills and knowledge, while minimising the differences between team members.<\/p>\n

If you\u2019d like to read more about our review, and the benefits and challenges of implementing SL strategies in acute care, you can find it here<\/a>.<\/p>\n

Dr Lisa Aufegger<\/a> is a Research Associate in IGHI\u2019s Patient Safety Translational Research Centre.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

By Dr Lisa Aufegger, Research Associate Alongside the inherent challenges of the job itself, working in acute healthcare teams comes with another layer of complexity. On a regular basis, staff will interact with highly specialised professionals from across different disciplines. This means that team members such as anaesthetists, nurses and surgeons need a high level […]<\/p>\n","protected":false},"author":1308,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[212105],"tags":[],"class_list":["post-1718","post","type-post","status-publish","format-standard","hentry","category-health-policy"],"yoast_head":"\nWhy sharing leadership in healthcare matters - Institute of Global Health Innovation<\/title>\n<meta name=\"description\" content=\"IGHI's Dr Lisa Aufegger discusses her latest patient safety research on the benefits of shared leadership in acute healthcare systems.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.imperial.ac.uk\/ighi\/2019\/05\/24\/why-sharing-leadership-in-healthcare-matters\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why sharing leadership in healthcare matters - 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