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巧对于安全医学的实践至关重要，特别是对于几秒钟的田野提供者而言，这可能意味着生与死之间的差异。每个人所拥有的文化规范，信念和假设都可以影响领导者的领导者行为和行为的解释，以应对他人的行为和行为。目的：这项赠款的目的是：i）表征居民对通过国家急诊医学（EM）和妇产科（OB/GYN）居民医生的领导和临床情况和机制的看法以及性别影响领导力和团队合作的； ii）让国家领导者参与模拟，领导，团队合作和医学培训，以开发基于模拟的专家模型领导力培训，以利用优势并弥补男性和女性领导人面临的挑战，以提高有效的领导力并促进患者的安全；和iii）进行大型以多中心的随机对照（RCT）试验，以评估对自我感知和客观领导能力的量身定制领导力培训的有效性以及 团队表现。方法：我们建议对学术医疗中心的所有EM和OB/GYN居民进行全国调查，以了解性别如何影响领导力和团队合作（目标I），在国家领导力，团队合作和临床专家（AIM II）（AIM II）（AIM II）（AIM II）进行基于模拟的，对性别敏感的培训（AIM II），并通过EM/OB/OB/OB/GYN居民进行培训（AIM II）（AIM II）（AIM II）（通过培训），该培训是通过EM和OB/GYN居民进行的（在选定的物理学上进行的培训）（ iii）。意义：领导是有效团队合作的重要组成部分。在医院环境中，有效的领导力和团队合作可以提高患者的安全性。使用模拟创建量身定制的领导培训，考虑到有关性别和领导力的社会偏见，将创造出更好的领导者，并最终创造更安全的患者医疗保健经验。