Observational studyBMJ open2026
Leadership delegation, team efficacy and resilience in critical care: a simulation-based study.
Observational study in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
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Who cites it
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Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo quantitatively assess leadership delegation in expert critical care teams during simulated emergency scenarios, and to explore its association with team efficacy and resilience.
designMulticentre, prospective observational study using high-fidelity simulation. Three critical care scenarios of increased difficulty were developed, each incorporating carefully calibrated expected and disruptive events.
settingFive university-affiliated simulation centres in France.
participants30 interprofessional teams (150 participants), each composed of a senior physician, resident, nurse, healthcare assistant and medical student, all having worked together clinically.
main outcome measuresOccurrence and characteristics of leadership delegation following events; team performance as evaluated by external experts; self-reported team member satisfaction, engagement and cohesion; statistical associations using sparse Partial Least Squares and unsupervised clustering.
conclusionsDelegation in emergency teams was associated with team resilience rather than with clinical performance. Disruptive events led to leadership coming from other team members than the leaders.
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