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Janssens S, Clipperton S, Simon R, Lowe B, Beckmann M, Marshall S. Clinicians' attitudes towards a co-leadership structure for maternity emergency teams: An interview study. J Interprof Care 2022:1-9. [PMID: 35687023 DOI: 10.1080/13561820.2022.2070607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 02/08/2022] [Accepted: 04/20/2022] [Indexed: 10/18/2022]
Abstract
Shared leadership improves team performance in many domains and is present in some interprofessional healthcare teams. Despite the dominant paradigm of a singular obstetrician leader in maternity emergencies, co-leadership, a specific form of shared leadership, has been identified as a potentially beneficial to clinical care. This qualitative interview study addresses the gaps in knowledge regarding clinician attitudes toward co-leadership and how a co-leadership structure might be implemented within a maternity care setting. Twenty-five clinicians (midwives, obstetricians and anaesthetists) working in the birthing units of two tertiary maternity units were interviewed and a conventional content analysis conducted. Clinicians viewed co-leadership as potentially beneficial to patient care through improved leadership performance and co-leader back up behavior. Implementation of co-leadership was thought to require a supportive organizational culture, agreed patient management protocols and the participation in simulation training. Enacting co-leadership required adaptable leadership sharing practices, effective communication, and high levels of trust between the co-leaders. These findings inform the future implementation strategies for co-leadership in interprofessional healthcare teams.
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Affiliation(s)
- Sarah Janssens
- Mothers Babies and Womens' Health Services, Mater Misericordiae Brisbane Ltd, Brisbane, Australia
- Department of Anaesthesia and Perioperative Medicine, Monash University, Melbourne, Australia
- School of Medicine, University of Queensland, Brisbane, Australia
| | | | - Robert Simon
- Department of Anesthesia and Critical Care, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - Belinda Lowe
- Department of Obstetrics and Gynaecology, Gold Coast University Hospital, Southport, Australia
- Faculty of Health Sciences and Medicine, Bond University, Southport, Australia
| | - Michael Beckmann
- Mothers Babies and Womens' Health Services, Mater Misericordiae Brisbane Ltd, Brisbane, Australia
- School of Medicine, University of Queensland, Brisbane, Australia
- Mater Research, University of Queensland, Brisbane, Australia
| | - Stuart Marshall
- Department of Anaesthesia and Perioperative Medicine, Monash University, Melbourne, Australia
- Department of Medical Education, University of Melbourne, Melbourne, Australia
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