Interprofessional Simulation in Hospital Leadership Training: Its Role in Improving Participants' Self-Efficacy

Training health services administration (HSA) professionals is essential for the effective functioning of hospitals. Evidence suggests that training should emphasize social and decision-making competencies, as HSA professionals collaborate in an interprofessional environment. Simulation training (ST) for HSA in an interprofessional context is a promising approach. This study evaluated the effectiveness of such a training program on leadership self-efficacy, examined differences across professions and tested whether there was an interaction between profession and training effects.

This retrospective study was conducted at the simulation center of Metropole Savoie Hospital in France. The 3-day program was mandatory for all HSA professionals, and included customized simulation scenarios, interprofessional collaboration and integration of aviation sector for their expertise in leadership skills employed in crisis management. Self-efficacy was measured by a specifically constructed questionnaire administered at baseline (T0), post training (T1) and 4 months post-training (T2).

The ST program significantly increased leadership self-efficacy. Self-efficacy improved post-training (p. < 001, mean change = 31.67, 95% CI [28.06, 35.28], d = 1.75) and increased self-efficacy was maintained for 4 months (p < 0.001, η²p = 0.70, T0-T1 Δ = 32.05 [26.71-37.39], T0-T2 Δ = 2.43 [-7.77-2.90], η²p = 0.70). There was a significant main effect of profession with executive physicians reporting lower self-efficacy than other professionals combined (p < 0.001, mean difference = -22.56, 95% CI [14.83-30.30], η²p = 0.66). No significant interaction between profession and program was observed (p > 0.05).

ST shows promise for enhancing leadership skills in HSA, particularly in an interprofessional context. Executive physicians remain a key group for targeted training, as their lower self-efficacy suggests, they may benefit from interventions aimed at strengthening leadership skills. Advancing in this direction will reinforce the findings.