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6.
Br J Anaesth ; 124(3): e148-e154, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32000976

RESUMEN

Modern healthcare is delivered by interprofessional teams, and good leadership of these teams is integral to safe patient care. Good leadership in the operating theatre has traditionally been considered as authoritative, confident and directive, and stereotypically associated with men. We argue that this may not be the best model for team-based patient care and promote the concept of inclusive leadership as a valid alternative. Inclusive leadership encourages all team members to contribute to decision-making, thus engendering more team cohesion, information sharing and speaking up, and ultimately enhancing team effectiveness. However, the relational behaviours associated with inclusive leadership are stereotypically associated with women and may not in fact be recognised as leadership. In this article we provide evidence on the advantages of inclusive leadership over authoritative leadership and explore gender stereotypes and obstacles that limit the recognition of inclusive leadership. We propose that operating teams rise above gender stereotypes of leadership. Inclusive leadership can elicit maximum performance of every team member, thus realising the full potential of interprofessional healthcare teams to provide the best care for patients.


Asunto(s)
Liderazgo , Quirófanos , Grupo de Atención al Paciente , Estereotipo , Humanos , Incertidumbre
7.
Br J Anaesth ; 124(3): e160-e170, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32005515

RESUMEN

BACKGROUND: Women make up an increasing proportion of the physician workforce in anaesthesia, but they are consistently under-represented in leadership and governance. METHODS: We performed an internet-based survey to investigate career opportunities in leadership and research amongst anaesthesiologists. We also explored gender bias attributable to workplace attitudes and economic factors. The survey instrument was piloted, translated into seven languages, and uploaded to the SurveyMonkey® platform. We aimed to collect between 7800 and 13 700 responses from at least 100 countries. Participant consent and ethical approval were obtained. A quantitative analysis was done with χ2 and Cramer's V as a measure of strength of associations. We used an inductive approach and a thematic content analysis for qualitative data on current barriers to leadership and research. RESULTS: The 11 746 respondents, 51.3% women and 48.7% men, represented 148 countries; 35 respondents identified their gender as non-binary. Women were less driven to achieve leadership positions (P<0.001; Cramer's V: 0.11). Being a woman was reported as a disadvantage for leadership and research (P<0.001 for both; Cramer's V: 0.47 and 0.34, respectively). Women were also more likely to be mistreated in the workplace (odds ratio: 10.6; 95% confidence interval: 9.4-11.9; P<0.001), most commonly by surgeons. Several personal, departmental, institutional, and societal barriers in leadership and research were identified, and strategies to overcome them were suggested. Lower-income countries were associated with a significantly smaller gender gap (P<0.001). CONCLUSIONS: Whilst certain trends suggest improvements in the workplace, barriers to promotion of women in key leadership and research positions continue within anaesthesiology internationally.


Asunto(s)
Anestesiólogos , Actitud del Personal de Salud , Investigación Biomédica , Liderazgo , Sexismo , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad
8.
J Nurs Adm ; 50(3): 117-119, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32040051

RESUMEN

In 2019, American Organization for Nursing Leadership (AONL) instructed its 1st cohort of Nurse Executive Fellowship participants in response to a need in the field to support nurses new to executive positions. This aligns with the AONL mission to shape healthcare through innovative and expert nursing leadership.


Asunto(s)
Becas/organización & administración , Liderazgo , Enfermeras Administradoras/organización & administración , Humanos , Relaciones Interinstitucionales , Rol de la Enfermera , Innovación Organizacional , Sociedades de Enfermería/organización & administración , Estados Unidos
9.
J Nurs Adm ; 50(3): 128-134, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32049700

RESUMEN

Nurses need training and mentoring to lead evidence-based practice (EBP) improvements. An array of roles have been reported to have a positive impact on EBP adoption. A training program was created to assist point-of-care nurses and nurse leader partners in operationalizing the EBP Change Champion role to address priority quality indicators. The program, a case exemplar, and lessons learned are described with implications for leaders responsible for promoting EBP to improve quality care.


Asunto(s)
Práctica Clínica Basada en la Evidencia/educación , Liderazgo , Personal de Enfermería en Hospital/educación , Calidad de la Atención de Salud/normas , Conocimientos, Actitudes y Práctica en Salud , Humanos , Evaluación de Programas y Proyectos de Salud
10.
J Nurs Adm ; 50(3): 120-121, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32068620

RESUMEN

Innovations in patient care, nursing, and the practice environment are the hallmark of Magnet organizations. Establishing new ways of achieving high-quality care is the result of transformational leadership, empowering structures and processes, and exemplary professional practice in nursing. From coast to coast, clinical nurses take advantage of these opportunities to change care for the better, improve the patient experience, and drive the science of nursing forward. American Nurses Credentialing Center's National Magnet Nurse of the Year Awards recognize and reward this work. Five outstanding clinical nurses are honored, 1 in each of the Magnet Model components: transformational leadership; structural empowerment; exemplary professional practice; new knowledge, innovations, and improvements; and empirical outcomes. This month's Magnet Perspectives column spotlights the 2019 award winners and their achievements and examines how Magnet environments support and encourage their success.


Asunto(s)
Distinciones y Premios , Liderazgo , Servicio de Enfermería en Hospital/normas , Personal de Enfermería en Hospital/normas , Pautas de la Práctica en Enfermería/normas , Calidad de la Atención de Salud/normas , Humanos , Cultura Organizacional , Estados Unidos
11.
J Nurs Adm ; 50(3): 142-151, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32068623

RESUMEN

Nurse executives must embody the principles of transformational leadership to meet the leadership imperative of achieving high-quality outcomes in this ever-changing healthcare environment. This article describes the 4 domains of transformational leadership and provides pragmatic examples a nurse executive used to impact culture, outcomes, and the journey to Magnet designation. The strategies were utilized to support enculturation of Magnet principles by engaging clinical nurses, nursing leadership, and colleagues. Helping clinical nurses understand the alignment of their existing practice and values to the Magnet standards was ultimately a successful strategy.


Asunto(s)
Relaciones Interprofesionales , Liderazgo , Enfermeras Administradoras/organización & administración , Personal de Enfermería en Hospital/organización & administración , Toma de Decisiones en la Organización , Humanos , Satisfacción en el Trabajo , Cultura Organizacional , Estados Unidos
12.
Zhonghua Wai Ke Za Zhi ; 58(2): 81-84, 2020 Feb 01.
Artículo en Chino | MEDLINE | ID: mdl-32074803

RESUMEN

The rapid development of professional technology not only brings great benefits to patients, but also reveals the problem of non-technical skills. Technical competence is not enough to avoid the occurrence of adverse medical events or to get optimal post-operative outcomes. The development of technology is endless, we are desperately in need of non-technical skills, such as situation awareness, decision making, communication and teamwork, leadership. The only way we could achieve in the assistance of the perfect surgical operation with the combination of excellent surgical techniques and solid non-technical skills, and therefore relieve the patients as much as possible.


Asunto(s)
Relaciones Interprofesionales , Cirujanos , Comunicación , Toma de Decisiones , Humanos , Liderazgo , Grupo de Atención al Paciente , Cirujanos/psicología
13.
Int Nurs Rev ; 67(1): 7-10, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32083727

RESUMEN

Global healthcare expenditure is increasing, along with the numbers of older patients with multiple comorbidities, while the numbers of health workers are hugely decreasing, and many nursing and midwifery vacancies remain unfilled. With the World Health Organization declaring 2020 the Year of the Nurse and Midwife, and commencing the Nursing Now campaign with partners including the International Council of Nurses and the International Confederation of Midwives, has allowed these professions to unite, encourage advocacy and the call for global investment in nursing and midwifery. These actions will permit these professions to address universal health coverage, global inconsistencies of professional practice, and recruitment and retention. The Nightingale Challenge seeks to place early career nurses and midwives at the forefront of transformation, calling on employers worldwide to invest and provide nursing leadership development, and to become a key part of the solution to address the issues of providing universal health coverage, promoting gender equality and supporting economic growth. This will help place them at the heart of tackling 21st century health challenges.


Asunto(s)
Liderazgo , Partería , Organización Mundial de la Salud , Femenino , Humanos , Consejo Internacional de Enfermeras , Partería/organización & administración , Enfermeras Obstetrices , Rol de la Enfermera , Embarazo
16.
Br J Anaesth ; 124(3): e59-e62, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-31973829

RESUMEN

The Women in Anaesthesia Research Symposium (Prato, Italy; 4 June, 2019), supported by the British Journal of Anaesthesia in collaboration with Monash University, was organised to discuss challenges facing women in anaesthesia clinical practice and research. We provide an overview of institutional or departmental measures that were proposed during the symposium that may empower women in anaesthesia today.


Asunto(s)
Anestesiología/organización & administración , Investigación Biomédica/organización & administración , Médicos Mujeres , Movilidad Laboral , Femenino , Humanos , Liderazgo , Sexismo/prevención & control , Acoso Sexual/prevención & control , Derechos de la Mujer
17.
Br J Anaesth ; 124(3): e63-e69, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31980155

RESUMEN

The under-representation of women in academic leadership roles, including in anaesthesiology, is a well-documented phenomenon that has persisted for decades despite more women attending medical school, participating in anaesthesiology residencies, and joining academic faculties. The percentage of female anaesthesiologists who hold senior academic ranks or leadership roles, such as chair, lags behind the percentage of female anaesthesiologists overall. Trends towards increasing the numbers of women serving in educational leadership roles, specifically residency programme directors, suggest that there are areas in which academic anaesthesiology has been, and can continue, improving gender imbalance. Continued institutional efforts to recruit women into anaesthesiology, reduce gender bias, and promote interventions that foster gender equity in hiring and promotion will continue to benefit women, academic anaesthesiology departments, and the healthcare system overall.


Asunto(s)
Anestesiología/tendencias , Internado y Residencia/tendencias , Médicos Mujeres/tendencias , Sexismo/tendencias , Centros Médicos Académicos/organización & administración , Centros Médicos Académicos/tendencias , Anestesiología/educación , Anestesiología/organización & administración , Selección de Profesión , Movilidad Laboral , Educación de Postgrado en Medicina/organización & administración , Educación de Postgrado en Medicina/tendencias , Femenino , Humanos , Internado y Residencia/organización & administración , Liderazgo , Médicos Mujeres/estadística & datos numéricos , Facultades de Medicina/organización & administración , Facultades de Medicina/tendencias , Sexismo/prevención & control , Estados Unidos
18.
Plast Reconstr Surg ; 145(2): 433e-437e, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31985662

RESUMEN

BACKGROUND: Women now constitute 40.5 percent of integrated plastic surgery residents; however, in 2007, women represented only 11.3 percent of the leadership positions in plastic surgery societies and journal editorial boards. The authors analyzed female representation in these societies and editorial boards over the past 10 years. METHODS: Names of board members from the major plastic surgery societies (American Society of Plastic Surgeons, The Plastic Surgery Foundation, and American Society for Aesthetic Plastic Surgery, among others) for the past 10 years and the major plastic journals (Plastic and Reconstructive Surgery, Annals of Plastic Surgery, and so on) from the past 5 years were extracted from their websites. The yearly percentage of female plastic surgery residents was obtained from Accreditation Council for Graduate Medical Education published data. The proportions of women in society leadership, editorial boards, and residency were compared with data analyses of time series trend and linear and Auto Regressive Integrated Moving Average time series modeling. RESULTS: Over the past 10 years, the percentage of female residents has grown steadily, from 21.84 percent to 37.31 percent. Similarly, female representation in society leadership has grown from 6.78 percent to 20.29 percent. Both growth coefficients were statistically significant and showed no statistical difference between the two. In contrast, editorial board leadership over the past 5 years showed statistically insignificant growth and showed a statistically significant difference when compared to the growth of the percentage of female residents and female representation in society leadership. CONCLUSION: Female representation in plastic surgery society leadership shows promising growth, whereas their representation on editorial boards showed significantly less growth, which may reflect the slower turnover on these boards.


Asunto(s)
Médicos Mujeres/estadística & datos numéricos , Cirugía Plástica/estadística & datos numéricos , Femenino , Humanos , Liderazgo , Masculino , Edición , Distribución por Sexo , Sociedades Médicas , Estados Unidos
19.
Plast Reconstr Surg ; 145(2): 576-584, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31985665

RESUMEN

BACKGROUND: Prior studies demonstrate that social media are used by plastic surgeons to educate and engage. The hashtag #PlasticSurgery has been studied previously and is embraced by American plastic surgeons and journals; however, no studies have examined its use or adoption across Europe. METHODS: A retrospective analysis of 800 tweets containing the words "plastic surgery" or the hashtag #PlasticSurgery in four of the most spoken European languages worldwide excluding English (Spanish, #CirugiaPlastica; French, #ChirurgiePlastique; Portuguese, #CirurgiaPlastica; and German, #PlastischeChirurgie) was performed. The following were assessed: identity of author, subject matter, use of the hashtag #PlasticSurgery in each language, whether posts by surgeons and academic institutions were self-promotional or educational, and whether a link to a journal article or a reference in PubMed was provided. RESULTS: Seventeen percent and 3 percent of analyzed tweets came from plastic surgeons or academic institutions, respectively; only 17.5 percent of them were for educational purpose. None of them had any digital link to a peer-reviewed article or a scientific journal. CONCLUSIONS: This study demonstrates the low participation of plastic surgeons and academic institutions in social media (especially for education) in four of the major world languages. Social media should be considered in Europe as an opportunity to increase leadership, improve education, and spread knowledge of plastic surgery by board-certified plastic surgeons.


Asunto(s)
Educación Médica/estadística & datos numéricos , Liderazgo , Cirugía Plástica/educación , Europa (Continente) , Humanos , Lenguaje , Estudios Retrospectivos , Medios de Comunicación Sociales/estadística & datos numéricos , Cirugía Plástica/estadística & datos numéricos , Terminología como Asunto
20.
Curr Sports Med Rep ; 19(1): 35-39, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31913922

RESUMEN

Exertion-related illness (ERI), despite aggressive efforts with both prevention and emergency action planning, continues to be a considerable threat to both athletes and warfighters. Numerous case reports and series have served to elucidate risk factors, which have in turn become the focus of prevention strategies. While this approach has assisted in mitigating athlete risk, recent institutional guidance has identified the need for greater protection of athletes by accountability of training programs and the recognition of periods of distinct athlete vulnerability. These recommendations, in addition to observations from lessons learned from the aforementioned cluster reports of ERI, have a strong call-out for the role of leadership as both a culprit for injury and a potential mechanism for prevention. This commentary introduces a leader-follower framework and explores this model in the evolution of ERI and offers recommendations as to how we move forward toward making progress in prevention.


Asunto(s)
Ejercicio , Liderazgo , Esfuerzo Físico , Comités Consultivos , Atletas , Muerte Súbita Cardíaca/etiología , Muerte Súbita Cardíaca/prevención & control , Golpe de Calor/etiología , Golpe de Calor/prevención & control , Humanos , Rabdomiólisis/etiología , Rabdomiólisis/prevención & control , Factores de Riesgo , Rasgo Drepanocítico
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