title: Team leadership in the intensive care unit: the perspective of specialists.
abstract: OBJECTIVE
  To identify the behaviors senior physicians (e.g., specialists, staff attendings) report using to lead multidisciplinary teams in the intensive care unit.
  
  
  METHODS
  Semistructured interviews focusing on team leadership, crisis management, and development of an environment that enable effective team performance in the intensive care unit.
  
  
  METHODS
  Seven general intensive care units based in National Health Service hospitals in the United Kingdom.
  
  
  METHODS
  Twenty-five senior intensive care medicine physicians.
  
  
  RESULTS
  Responses to a semistructured interview were transcribed and subjected to "content" analysis. The interview analysis focused on references to the "functional" behaviors used by leaders to manage team performance and the "team development behaviors" used to build the conditions that enable effective team performance. Seven of the interviews were coded by a second psychologist to measure inter-rater reliability. Inter-rater reliability (Cohen's κ) was acceptable for both scales (κ = 0.72 and κ = 0.75). In total, 702 functional leadership behaviors (behaviors for information gathering, planning and decision-making, managing team members) were coded as being used to manage the intensive care unit, along with 216 team development behaviors (for providing team direction and establishing team norms). These behaviors were grouped together in a theoretically driven framework of intensive care unit team leadership.
  
  
  CONCLUSIONS
  Intensive care unit senior physicians report using a variety of leadership behaviors to ensure high levels of team performance. The data described in this study provide insight into the team leadership behaviors used by intensive care unit team leaders and have implications for the development of team leadership training and assessment tools.
authors: Institute of Social Psychology, London School of Economics, London, UK. t.w.reader@lse.ac.uk
authors: Tom W
authors: TW
authors: Reader
authors: Rhona
authors: R
authors: Flin
authors: Brian H
authors: BH
authors: Cuthbertson
mesh_terms: D003142:Communication; D003422:Critical Care / Q000458:organization & administration / Q000523:psychology*; D003657:Decision Making; D005260:Female; D006040:Goals; D006126:Group Processes; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D007407:Interviews as Topic; D007857:Leadership; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D010819:Physician's Role / Q000523:psychology