Adaptive leadership in trauma resuscitation teams: a grounded theory approach to video analysis

The detailed analysis of team interactions can be a source of insight into team processes and how teams interact with technology. Video recordings afford an exciting medium for such analysis. We describe a study of team leadership in the highly dynamic, high-stakes environment of trauma resuscitation. The study was conducted through video recording team activities in actual work settings and analysing the video data using a grounded theory approach. The primary research questions were: what are the functions of team leadership and how do they vary according to task situations? A corpus of 152 video segments from 18 trauma patient resuscitation cases was compiled to address these research questions. A catalog of team leadership functions was developed, along with a categorisation of the task situations in which team leadership occurred. The implications of this catalog and the mapping between leadership and task situations are discussed in relation to the findings from an interview study and a survey study on team leadership. The methodological advantages of a grounded theory approach for in-context video analysis for studying work are also discussed.

[1]  J. R. French,et al.  The bases of social power. , 1959 .

[2]  A. Strauss.  Basics Of Qualitative Research , 1992 .

[3]  Colin F. Mackenzie,et al.  Micro-theory methodology in critical incident analysis , 1998, SMC'98 Conference Proceedings. 1998 IEEE International Conference on Systems, Man, and Cybernetics (Cat. No.98CH36218).

[4]  K Tardiff,et al.  Evaluation of a videotape technique for measuring clinical psychiatric skills of medical students. , 1978, Journal of medical education.

[5]  Colin F. Mackenzie,et al.  Video Analysis for Performance Modeling in Real Environments: Methods and Lessons Learnt , 1999 .

[6]  Yan Xiao,et al.  Team leadership and coordination in trauma resuscitation , 2003 .

[7]  Yan Xiao,et al.  Video acquisition and audio system network (VAASNET) for analysis of workplace safety performance. , 2003, Biomedical instrumentation & technology.

[8]  M. M. Chemers.  An Integrative Theory of Leadership , 1997 .

[9]  V. Vroom,et al.  Leadership and decision-making , 1975 .

[10]  Bruce J. Avolio,et al.  Building highly developed teams: Focusing on shared leadership process, efficacy, trust, and performance. , 1996 .

[11]  A. Strauss,et al.  Basics of qualitative research: Grounded theory procedures and techniques. , 1993 .

[12]  A. Strauss,et al.  The discovery of grounded theory: strategies for qualitative research aldine de gruyter , 1968 .

[13]  S. Shackford,et al.  Video recording trauma resuscitations: an effective teaching technique. , 1988, The Journal of trauma.

[14]  E. Salas,et al.  Team decision making in complex environments. , 1993 .

[15]  Penelope M. Sanderson,et al.  Exploratory Sequential Data Analysis: Foundations , 1994, Hum. Comput. Interact..

[16]  K. Parry.  Grounded theory and social process: A new direction for leadership research , 1998 .

[17]  Robert W. Swezey,et al.  Teams: Their Training and Performance , 1992 .