Table 2

Proposed categorisation of intraoperative leadership behaviours

CategoryBehaviours
Maintaining standards
  • Sets and maintains standards (Catchpole et al, 200842; Yule et al, 2006, 200839 48)

  • Adheres to best practice (Sevdalis et al, 200840; Undre et al, 200741)

  • Demonstrates high standards of clinical practice and care (Yule et al, 2006, 200839 48)

Managing tasks
  • Plans and manages workload (Catchpole et al, 200842)

  • Manages time (Sevdalis et al, 200840; Undre et al, 200741)

Making decisions
  • Makes decisions promptly, communicates decisions firmly, explains decisions fully, provides reasons and answers questions. Listens to advice, considers it and then makes a decision (Flin et al, 2006)45

Managing resources
  • Utilises resources (Sevdalis et al, 200840; Undre et al, 200741)

  • Sees the whole picture and understands how different sources of expertise fit together (Edmonson, 2003)47

Directing and enabling
  • Provides direction (Healey et al, 2004)43

  • Leads the team and provides direction (Yule et al, 2006, 2008)39 48

  • Exercizes authority and assertiveness (Catchpole et al, 200842; Sevdalis et al, 200840; Undre et al, 200741; Healey et al, 200443)

  • Copes with pressure (Yule et al, 2006, 2008)39 48

Guiding and supporting
  • Consults with subordinates when important decisions are to be made (Flin et al, 2006)45

  • Puts problem before the group and invites discussion before accepting majority viewpoint as decision (Flin et al, 2006)45

  • Involves, reflects on suggestions, coaches, inspires, motivates (Catchpole et al 2008)42

  • Coaches (Edmonson, 2003)47

  • Supports team members (Healey et al, 200443; Yule et al, 2006, 2008)39 48

  • Is considerate about the needs of individual team members (Yule et al, 2006, 2008)39 48

Communicating and coordinating
  • Creates shared meaning about the situations the team faces (Edmonson, 2003)47

  • Provides clarification and feedback (Edmonson, 200347; Sevdalis et al, 2008)40

  • Seeks input and addresses barriers (Edmonson, 2003)47

  • Coordinates action when members might not know what to do (Edmonson, 2003)47

  • Is accessible and receptive to ideas and questions (Edmonson, 2003)47