Measurement Properties and Implementation of a Checklist to Assess Leadership Skills during Interdisciplinary Rounds in the Intensive Care Unit
The implementation of interdisciplinary teams in the intensive care unit (ICU) has focused attention on leadership behavior. A daily recurrent situation in ICUs in which both leadership behavior and interdisciplinary teamwork are integrated concerns the interdisciplinary rounds (IDRs). Although IDRs...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2015/951924 |
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| _version_ | 1849413900820283392 |
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| author | Elsbeth C. M. Ten Have Raoul E. Nap Jaap E. Tulleken |
| author_facet | Elsbeth C. M. Ten Have Raoul E. Nap Jaap E. Tulleken |
| author_sort | Elsbeth C. M. Ten Have |
| collection | DOAJ |
| description | The implementation of interdisciplinary teams in the intensive care unit (ICU) has focused attention on leadership behavior. A daily recurrent situation in ICUs in which both leadership behavior and interdisciplinary teamwork are integrated concerns the interdisciplinary rounds (IDRs). Although IDRs are recommended to provide optimal interdisciplinary and patient-centered care, there are no checklists available for leading physicians. We tested the measurement properties and implementation of a checklist to assess the quality of leadership skills in interdisciplinary rounds. The measurement properties of the checklist, which included 10 essential quality indicators, were tested for interrater reliability and internal consistency and by factor analysis. The interrater reliability among 3 raters was good (κ, 0.85) and the internal consistency was acceptable (α, 0.74). Factor analysis showed all factor loadings on 1 domain (>0.65). The checklist was further implemented during videotaped IDRs which were led by senior physicians and in which 99 patients were discussed. Implementation of the checklist showed a wide range of “no” and “yes” scores among the senior physicians. These results may underline the need for such a checklist to ensure tasks are synchronized within the team. |
| format | Article |
| id | doaj-art-6b2853292ceb46d7ad65ba67ce0a6f9f |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-6b2853292ceb46d7ad65ba67ce0a6f9f2025-08-20T03:34:00ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/951924951924Measurement Properties and Implementation of a Checklist to Assess Leadership Skills during Interdisciplinary Rounds in the Intensive Care UnitElsbeth C. M. Ten Have0Raoul E. Nap1Jaap E. Tulleken2Directorate of Medical Affairs, Quality and Safety, University Medical Center Groningen, University of Groningen, P.O. Box 30,001, 9700 LB Groningen, NetherlandsDirectorate of Medical Affairs, Quality and Safety, University Medical Center Groningen, University of Groningen, P.O. Box 30,001, 9700 LB Groningen, NetherlandsDepartment of Critical Care, University Medical Center Groningen, University of Groningen, P.O. Box 30,001, 9700 LB Groningen, NetherlandsThe implementation of interdisciplinary teams in the intensive care unit (ICU) has focused attention on leadership behavior. A daily recurrent situation in ICUs in which both leadership behavior and interdisciplinary teamwork are integrated concerns the interdisciplinary rounds (IDRs). Although IDRs are recommended to provide optimal interdisciplinary and patient-centered care, there are no checklists available for leading physicians. We tested the measurement properties and implementation of a checklist to assess the quality of leadership skills in interdisciplinary rounds. The measurement properties of the checklist, which included 10 essential quality indicators, were tested for interrater reliability and internal consistency and by factor analysis. The interrater reliability among 3 raters was good (κ, 0.85) and the internal consistency was acceptable (α, 0.74). Factor analysis showed all factor loadings on 1 domain (>0.65). The checklist was further implemented during videotaped IDRs which were led by senior physicians and in which 99 patients were discussed. Implementation of the checklist showed a wide range of “no” and “yes” scores among the senior physicians. These results may underline the need for such a checklist to ensure tasks are synchronized within the team.http://dx.doi.org/10.1155/2015/951924 |
| spellingShingle | Elsbeth C. M. Ten Have Raoul E. Nap Jaap E. Tulleken Measurement Properties and Implementation of a Checklist to Assess Leadership Skills during Interdisciplinary Rounds in the Intensive Care Unit The Scientific World Journal |
| title | Measurement Properties and Implementation of a Checklist to Assess Leadership Skills during Interdisciplinary Rounds in the Intensive Care Unit |
| title_full | Measurement Properties and Implementation of a Checklist to Assess Leadership Skills during Interdisciplinary Rounds in the Intensive Care Unit |
| title_fullStr | Measurement Properties and Implementation of a Checklist to Assess Leadership Skills during Interdisciplinary Rounds in the Intensive Care Unit |
| title_full_unstemmed | Measurement Properties and Implementation of a Checklist to Assess Leadership Skills during Interdisciplinary Rounds in the Intensive Care Unit |
| title_short | Measurement Properties and Implementation of a Checklist to Assess Leadership Skills during Interdisciplinary Rounds in the Intensive Care Unit |
| title_sort | measurement properties and implementation of a checklist to assess leadership skills during interdisciplinary rounds in the intensive care unit |
| url | http://dx.doi.org/10.1155/2015/951924 |
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