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Self-Assessed Leadership Influence in Trauma Programs.

Jolene Kittle1, Bing Si, Bo Li

  • 1Author Affiliations: Decker College of Nursing and Health Sciences, State University of New York at Binghamton, Binghamton, New York (Dr Kittle, Ms Lewis, Dr Sutherland); and School of Computing and Augmented Intelligence, Arizona State University, Tempe, Arizona (Dr Si, Mr Li).

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|January 8, 2026
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Summary
This summary is machine-generated.

Trauma program professionals, particularly nurses, report low self-assessed leadership influence, indicating a need for enhanced training and support for autonomous decision-making and accountability in trauma care.

Keywords:
NursesSelf-assessed leadership influenceTrauma programs

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Area of Science:

  • Healthcare Leadership
  • Trauma Program Management
  • Nursing Professional Development

Background:

  • Leadership influence is critical for trauma centers, yet current research lacks insight into professionals' self-perceptions of this influence.
  • Trauma program members are essential for driving change and ensuring quality care across the continuum.

Purpose of the Study:

  • To describe self-assessed leadership influence among trauma program professionals.
  • To identify factors associated with varying levels of self-assessed leadership influence.

Main Methods:

  • Quantitative, descriptive, cross-sectional study design.
  • Survey administered to Society of Trauma Nurses members, including the Leadership Influence Self-Assessment instrument.
  • Two-step cluster procedure used to categorize participants into high and low influence groups.

Main Results:

  • 153 participants included; 61% (n=93) in the low self-assessed leadership influence group, 39% (n=60) in the high group.
  • Integrity subscale item 'Are you making proactive, currently informed decisions?' was most important for group separation.
  • Majority of participants were female (86%), mean age 48, with 97% background in nursing roles.

Conclusions:

  • Trauma program nurses possess a vast scope of critical importance but perceive limited accountability, autonomous decision-making, and financial resource access.
  • Findings highlight a need for targeted training to empower nurses in leadership roles aligned with their capabilities and opportunities.
  • Enhancing leadership influence is crucial for optimizing trauma care outcomes and professional growth.