Evidence map›Paper›PMID 38773532›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2024

Attributes of leadership skill development in high-performance pre-hospital medical teams: results of an international multi-service prospective study.

J A Deodatus, M A Kratz, M Steller, N Veeger, B Dercksen, R M Lyon, M Rehn, L Rognås, C Coniglio, B Sheridan and 3 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

J A DeodatusDepartment of Acute Care, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
M A KratzEmergency Medical Services, Centre for Prehospital Emergency Care, Department of Emergency, Anaesthesia and Pain Medicine, FinnHEMS 30 & 40, Tampere University, Tampere, Finland.
M StellerDepartment of Acute Care, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
N VeegerDepartment of Epidemiology, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.
B DercksenMobile Medical Team (MMT), Lifeliner 4, Eelde, the Netherlands.
R M LyonAir Ambulance Kent Surrey Sussex & Department of Health Sciences, University of Surrey, Redhill, UK.
M RehnAir Ambulance Department, Division of Prehospital Services, Oslo University Hospital, Oslo, Norway.
L RognåsThe Danish Air Ambulance, Brendstrupgårdsvej 7, 2. Th, 8200, Aarhus N, Denmark.
C ConiglioDepartment of Anesthesia, Intensive Care and Pre-Hospital Emergency Medical Services, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy.
B SheridanDepartment of Anaesthesia and Hunter Retrieval Service, John Hunter Hospital, Lookout Rd, New Lambton Heights, NSW, 2305, Australia.
C TschautscherDepartment of Emergency Medicine, School of Medicine and Public Health, UW Health Med Flight and Berbee Walsh University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792, USA.
D J LockeyLondon's Air Ambulance and Bart's Health NHS Trust, Royal London Hospital, London, E1 1FR, UK.
E Ter AvestDepartment of Acute Care, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. e.ter.avest@umcg.nl.ORCID http://orcid.org/0000-0002-1462-6130

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsTeam leadership skills of physicians working in high-performing medical teams are directly related to outcome. It is currently unclear how these skills can best be developed. Therefore, in this multi-national cross-sectional prospective study, we explored the development of these skills in relation to physician-, organization- and training characteristics of Helicopter Emergency Medicine Service (HEMS) physicians from services in Europe, the United States of America and Australia.

methodsPhysicians were asked to complete a survey regarding their HEMS service, training, and background as well as a full Leader Behavior Description Questionnaire (LBDQ). Primary outcomes were the 12 leadership subdomain scores as described in the LBDQ. Secondary outcome measures were the association of LBDQ subdomain scores with specific physician-, organization- or training characteristics and self-reported ways to improve leadership skills in HEMS physicians.

resultsIn total, 120 HEMS physicians completed the questionnaire. Overall, leadership LBDQ subdomain scores were high (10 out of 12 subdomains exceeded 70% of the maximum score). Whereas physician characteristics such as experience or base-specialty were unrelated to leadership qualities, both organization- and training characteristics were important determinants of leadership skill development. Attention to leadership skills during service induction, ongoing leadership training, having standards in place to ensure (regular) scenario training and holding structured mission debriefs each correlated with multiple LBDQ subdomain scores.

conclusionsOngoing training of leadership skills should be stimulated and facilitated by organizations as it contributes to higher levels of proficiency, which may translate into a positive effect on patient outcomes.

trial registrationNot applicable.

Indexed as

LeadershipAdultAir AmbulancesClinical CompetenceCross-Sectional StudiesEmergency Medical ServicesEmergency MedicineEuropeFemaleHumansMaleMiddle AgedPatient Care TeamProspective StudiesSurveys and QuestionnairesUnited StatesHelicopter emergency medicineLeadershipNon-technical skillsTraining

Identifiers

PMID38773532
PMCPMC11107030

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.