Simulation to address gender-based differences in leadership, teamwork, and safety

通过模拟解决领导力、团队合作和安全方面的性别差异

• 批准号: 8930123
• 负责人: JEANNE-MARIE GUISE
• 金额: $ 24.57万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-30 至 2017-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8930123
• 关键词: Simulation; address; gender; based; differences

DESCRIPTION (provided by applicant): Leadership and clinical decision-making skills are critical in the practice of safe medicine, particularly for providers in fields where seconds can mean the difference between life and death. Cultural norms, beliefs and assumptions that each person holds can influence leadership performance as well as individual team members' interpretations of leaders' actions and behaviors in response to others. Aims: This grant aims to: I) Characterize residents' perceptions of leadership and the clinical situations and mechanisms by which gender affects leadership and teamwork through a national survey of Emergency Medicine (EM) and Obstetrics & Gynecology (Ob/Gyn) resident physicians; II) Engage national leaders in simulation, leadership, teamwork, and medical training to develop simulation-based expert model leadership training that leverages strengths and compensates for challenges faced by male and female leaders to improve effective leadership and promote patient safety; and III) Conduct a large multi-centered randomized controlled (RCT) trial to evaluate the effectiveness of tailored leadership training on self-perceived and objective leadership skills and team performance. Methods: We propose to conduct a national survey of all EM and Ob/Gyn residents at academic medical centers to understand how gender affects leadership and teamwork (Aim I), develop a simulation-based, gender-sensitive training with the help of national leadership, teamwork, and clinical experts (Aim II), and conduct a RCT of that training with EM and Ob/Gyn resident physicians at selected sites across the country, evaluating the effectiveness of the training through simulation (Aim III). Significance: Leadership is an important element of effective teamwork. In the hospital setting, effective leadership and teamwork leads to greater patient safety. Using simulation to create tailored leadership training that takes into account societal biases about gender and leadership will create better leaders and ultimately create a safer patient healthcare experience.

描述（由申请人提供）：领导力和临床决策技能对于安全医疗实践至关重要，特别是对于几秒钟就意味着生与死的领域的提供者而言。每个人持有的文化规范、信念和假设都会影响领导绩效以及团队成员对领导者响应他人的行动和行为的解释。目的：这笔赠款的目的是： I) 通过对急诊医学 (EM) 和妇产科 (Ob/Gyn) 住院医师的全国调查，描述住院医师对领导力的看法以及性别影响领导力和团队合作的临床情况和机制； II) 让国家领导人参与模拟、领导力、团队合作和医疗培训，开发基于模拟的专家模型领导力培训，利用优势并弥补男性和女性领导人面临的挑战，以提高有效领导力并促进患者安全； III) 进行一项大型多中心随机对照 (RCT) 试验，以评估定制领导力培训对自我感知和客观领导技能的有效性，以及 团队绩效。方法：我们建议对学术医疗中心的所有 EM 和妇产科住院医师进行全国调查，以了解性别如何影响领导力和团队合作（目标 I），在国家领导层的帮助下开发基于模拟的、对性别敏感的培训、团队合作和临床专家（目标 II），并与全国选定地点的 EM 和妇产科住院医生一起开展培训的随机对照试验，通过模拟评估培训的有效性（目标 III）。意义：领导力是有效团队合作的一个重要因素。在医院环境中，有效的领导和团队合作可以提高患者的安全。使用模拟来创建量身定制的领导力培训，考虑到社会对性别和领导力的偏见，将培养出更好的领导者，并最终创造更安全的患者医疗保健体验。