Coleadership in Maternity Teams, a Randomized, Counterbalanced, Crossover Trial in Simulation

Abstract

Objective This study aimed to measure the effect of a coleadership model on team performance compared with singular leadership model in simulated maternity emergencies. Methods A randomized, counterbalanced, crossover trial was performed at 2 tertiary maternity hospitals. Teams of obstetric physicians and nurse/midwives responded to 2 simulated maternity emergencies in either a singular or coleadership model. The primary outcome measure was teamwork rated with the Auckland Team Behavior tool. Secondary outcome measures included clinical performance (completion of critical tasks, time to critical intervention, documentation), self-rated teamwork (TEAM tool) and workload. Participants also ans..