{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T18:16:37Z","timestamp":1783707397638,"version":"3.55.0"},"reference-count":83,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1371\/journal.pone.0353609","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T17:48:45Z","timestamp":1783705725000},"page":"e0353609","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Leadership, teamwork and work outcomes in healthcare: A test of a model"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0503-3234","authenticated-orcid":true,"given":"Elaine R.","family":"Neiva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1893-8120","authenticated-orcid":true,"given":"Ricardo S. 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