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Doctors’ functional leadership inpsychiatric healthcare teams: a reversible leadership logic
University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.ORCID iD: 0000-0002-6358-3528
2015 (English)In: Team Performance Management, ISSN 1352-7592, E-ISSN 1758-6860, ISSN 1362-7592, Vol. 21, no 3/4, 159-180 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this paper was to study how psychiatric doctors practise leadership in multidisciplinary healthcare teams. The paper seeks to answer the question: How do psychiatric doctors lead multidisciplinary teams during treatment conferences?

Design/methodology/approach: Six psychiatric teams were studied at a university hospital. Each team was observed over a period of 18 months, and data were collected during four years (2008-2011). Data were collected through interviews with doctors (n19) and observations (n30) of doctors’ work in multidisciplinary psychiatric teams.

Findings: Doctors in a multidisciplinary team use either self-imposed or involuntary leadership style. Oscillating between these two extremes was a strategy for handling the internal tensions of the team.

Research limitations/implications: The study was a case study, performed during treatment conferences at psychiatric wards in a university hospital. This limitation means that there is cause for some caution in generalising the results.

Practical implications: The results are useful for understanding leadership in multidisciplinary medical teams. By understanding the reversible logic of leadership, cooperation and knowledge sharing can be gained, which means that a situation of mere peaceful coexistence can be avoided. Understanding the importance of the informal contract makes it possible to switch leadership among team members. A reversible leadership with an informal contract makes the team less vulnerable. The team’s professionals can thus easily handle dif cult situations and internal tensions, facilitating leadership and management of multidisciplinary teams.

Originality/value: Doctors in multidisciplinary psychiatric teams use reversible leadership

logic.

Place, publisher, year, edition, pages
London: Emerald Group Publishing Limited, 2015. Vol. 21, no 3/4, 159-180 p.
Keyword [en]
Sweden, Teamwork, Doctor, Health and medical care, Reversible leadership logic, Team leader
National Category
Business Administration Public Administration Studies Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
SOCIAL SCIENCE, Business administration; SOCIAL SCIENCE, Public administration; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-7693DOI: 10.1108/TPM-12-2014-0061OAI: oai:DiVA.org:hv-7693DiVA: diva2:817253
Available from: 2015-06-04 Created: 2015-06-04 Last updated: 2017-12-04Bibliographically approved

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Berlin, Johan

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