Abstract：
OBJECTIVE: Emergency medicine (EM) doctors are often required to manage a diverse set of complex challenges; navigating direct patient care, systemic issues and inter-professional interactions. Leadership is well recognised as crucial in optimising both the delivery and the quality of patient care. There is a clear need to gain greater understanding of the reality of EM leadership through exploring doctors\' experience and perception of leadership in EM, yet there is a paucity of research focusing on this area. The objective of the present study was to explore the research question: \'What are the experiences and perceptions of leadership by EM doctors?\'
METHODS: This single-site qualitative study was undertaken using semi-structured in-depth individual interviews to collect data. Interviews were audio recorded, transcribed and de-identified. Reflexive thematic analysis was performed by the research team with the aid of DelveTool software.
RESULTS: Our sample included nine participants incorporating consultants and registrars. Three major themes were identified: (i) situational tensions, (ii) relational tensions and (iii) leadership style tensions. Each of these was further explored with subthemes discussed separately.
CONCLUSIONS: Leadership within the ED is complex and multifaceted, with doctors required to navigate many competing tensions. The present study highlighted key areas for future leadership development, including situational awareness, emotional intelligence and a fluid approach to leadership styles. The present study provides an important step towards enhancing the development of targeted leadership training for EM doctors.
METHODS: This single-site qualitative study was undertaken using semi-structured in-depth individual interviews to collect data. Interviews were audio recorded, transcribed and de-identified. Reflexive thematic analysis was performed by the research team with the aid of DelveTool software.
RESULTS: Our sample included nine participants incorporating consultants and registrars. Three major themes were identified: (i) situational tensions, (ii) relational tensions and (iii) leadership style tensions. Each of these was further explored with subthemes discussed separately.
CONCLUSIONS: Leadership within the ED is complex and multifaceted, with doctors required to navigate many competing tensions. The present study highlighted key areas for future leadership development, including situational awareness, emotional intelligence and a fluid approach to leadership styles. The present study provides an important step towards enhancing the development of targeted leadership training for EM doctors.
摘要：
目标：急诊医学（EM）医生通常需要应对一系列复杂的挑战；导航直接患者护理，系统性问题和专业间的互动。领导力被公认为在优化患者护理的交付和质量方面至关重要。有一个明确的需要，以获得更多的了解EM领导的现实，通过探索医生的经验和感知的领导在EM，然而，针对这一领域的研究却很少。本研究的目的是探索研究问题：“EM医生对领导的经验和看法是什么？”
方法：这项单站点定性研究是使用半结构化的深入个人访谈收集数据进行的。采访是录音，转录和去识别。自反性主题分析由研究团队在DelveTool软件的帮助下进行。
结果：我们的样本包括9名包含顾问和注册人员的参与者。确定了三个主要主题：（i）局势紧张，(二)关系紧张和(三)领导风格紧张。进一步探讨了其中的每一项，并分别讨论了子主题。
结论：ED内部的领导是复杂和多方面的，医生需要驾驭许多相互竞争的紧张局势。本研究强调了未来领导力发展的关键领域，包括态势感知，情绪智力和流畅的领导风格方法。本研究为加强EM医生有针对性的领导力培训的发展提供了重要的一步。
方法：这项单站点定性研究是使用半结构化的深入个人访谈收集数据进行的。采访是录音，转录和去识别。自反性主题分析由研究团队在DelveTool软件的帮助下进行。
结果：我们的样本包括9名包含顾问和注册人员的参与者。确定了三个主要主题：（i）局势紧张，(二)关系紧张和(三)领导风格紧张。进一步探讨了其中的每一项，并分别讨论了子主题。
结论：ED内部的领导是复杂和多方面的，医生需要驾驭许多相互竞争的紧张局势。本研究强调了未来领导力发展的关键领域，包括态势感知，情绪智力和流畅的领导风格方法。本研究为加强EM医生有针对性的领导力培训的发展提供了重要的一步。
