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Leadership, teamwork and work outcomes in healthcare: A test of a model

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  • Elaine R Neiva
  • Ricardo S S Durães
  • Gardênia da Silva Abbad
  • Andreas Xyrichis

Abstract

Effective teamwork in healthcare improves patient outcomes, staff well-being, and service delivery. To enhance these benefits, NHS teams should implement targeted leadership training, routinely assess and clarify roles to reduce ambiguity, and encourage staff participation in decision-making to boost autonomy. Researchers analysed 2022 and 2023 NHS Staff Survey data using Structural Equation Modelling. Main findings: (1) Effective leadership boosts teamwork and, in turn, engagement and well-being; (2) Teamwork can raise role ambiguity and lessen autonomy, leading to stress; (3) Leadership is key to managing these issues. Thus, boosting autonomy and reducing ambiguity support better team performance and staff well-being. The study highlights the need for leadership programmes to strengthen team dynamics and reduce uncertainty.

Suggested Citation

  • Elaine R Neiva & Ricardo S S Durães & Gardênia da Silva Abbad & Andreas Xyrichis, 2026. "Leadership, teamwork and work outcomes in healthcare: A test of a model," PLOS ONE, Public Library of Science, vol. 21(7), pages 1-20, July.
    • Handle: RePEc:plo:pone00:0353609
    DOI: 10.1371/journal.pone.0353609
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