Abstract
Background
The effects of surgeons' leadership on team performance are not well understood. The
purpose of this study was to examine the simultaneous effects of transformational,
passive, abusive supervision and over-controlling leadership behaviors by surgeons
on surgical team performance.
Methods
Trained observers attended 150 randomly selected operations at a tertiary care teaching
hospital. Observers recorded instances of the four leadership behaviors enacted by
the surgeon. Postoperatively, team members completed validated questionnaires rating
team cohesion and collective efficacy. Multiple regression analyses were computed.
Data were analyzed using the complex modeling function in MPlus.
Results
Surgeons' abusive supervision was negatively associated with psychological safety
(unstandardized B = −0.352, p < 0.01). Both surgeons' abusive supervision (unstandardized B = −0.237, p < 0.01), and over-controlling leadership (unstandardized B = −0.230, p < 0.05) were negatively associated with collective efficacy.
Conclusions
This study is the first to assess the simultaneous effects of surgeons' positive and
negative leadership behaviors on intraoperative team performance. Significant effects
only surfaced for negative leadership behaviors; transformational leadership did not
positively influence team performance.
Keywords
Abbreviations:
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Article info
Publication history
Published online: July 18, 2017
Accepted:
July 3,
2017
Received in revised form:
June 21,
2017
Received:
November 4,
2016
Footnotes
☆Meeting Presentation: 1) Northeastern Section of the American Urological Association, Buffalo, NY, Sept. 2016; 2)World Congress on Endourology, Cape Town, South Africa, Nov. 2016.
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
