Journal ArticleDOI
The effects of stress on surgical performance
Cordula M. Wetzel,Roger Kneebone,Maria Woloshynowych,Debra Nestel,Krishna Moorthy,Jane Kidd,Ara Darzi +6 more
TLDR
A framework for categorizing surgical stress is presented and suggests key elements for effective coping strategies and a framework for identifying senior surgeons with sophisticated strategies for controlling each situation is presented.Abstract:
Background
Although the general literature on stress and performance is extensive, little is known about specific effects of stress in surgical practice. This qualitative study explored key surgical stressors, their impact on performance, and coping strategies used by surgeons.
Methods
Individual in-depth semistructured interviews with surgeons were analyzed by 2 researchers independently. Key themes were discussed within the research team.
Results
Sixteen interviews were performed, including interviews with consultants (n = 9) and surgeons in training (n = 7). A wide range of intraoperative stressors was identified. Although stress had both positive and negative effects, undue levels of stress impaired judgment, decision making, and communication. Although junior surgeons showed uncertainty about their ability to cope, senior surgeons had developed sophisticated strategies for controlling each situation.
Conclusions
Although stress poses significant risks, coping strategies are not taught explicitly during surgical training. This article presents a framework for categorizing surgical stress and suggests key elements for effective coping strategies.read more
Citations
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Journal ArticleDOI
The impact of stress on surgical performance: a systematic review of the literature.
Sonal Arora,Nick Sevdalis,Debra Nestel,Debra Nestel,Maria Woloshynowych,Ara Darzi,Roger Kneebone +6 more
TL;DR: Surgeons are subject to many intra-operative stressors that can impair their performance, and current evidence is characterized by marked heterogeneity of research designs and variable study quality.
Journal ArticleDOI
The effects of acute stress on performance: implications for health professions education.
TL;DR: Elevated stress levels can impede performance on tasks that require divided attention, working memory, retrieval of information from memory, and decision making, and medical educators might want to consider avenues for training learners in stress management.
Journal ArticleDOI
Burnout and Stress Among US Surgery Residents: Psychological Distress and Resilience.
Carter C. Lebares,Ekaterina V. Guvva,Nancy L. Ascher,Patricia S. O'Sullivan,Hobart W. Harris,Elissa S. Epel +5 more
TL;DR: Higher dispositional mindfulness was associated with lower risk of burnout, severe stress, and distress symptoms, supporting the potential of mindfulness training to promote resilience during surgery residency.
Journal ArticleDOI
Development and Validation of a Surgical Workload Measure: The Surgery Task Load Index (SURG-TLX)
TL;DR: Support is provided for the validity of the SURG-TLX instrument and the importance of considering how different stressors may load surgeons is highlighted, and modifications to the scale to enhance clinical utility are suggested.
Journal ArticleDOI
Ensuring patient safety through effective leadership behaviour: A literature review
TL;DR: It is shown that effective leaders play a pivotal role in promoting team performance and safety and is characterized by clear and unambiguous behaviour which is adaptable to situational demands and shared between team members.
References
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Book
Basics of qualitative research : techniques and procedures for developing grounded theory
TL;DR: Theoretical Foundations and Practical Considerations for Getting Started and Techniques for Achieving Theoretical Integration are presented.
Book
Basics of qualitative research : techniques and procedures for developing grounded theory
TL;DR: In this paper, the authors present strategies for qualitative data analysis, including context, process and theoretical integration, and provide a criterion for evaluation of these strategies and answers to student questions and answers.
Journal ArticleDOI
Basics of Qualitative Research
Journal ArticleDOI
Error, stress, and teamwork in medicine and aviation: cross sectional surveys
TL;DR: Medical staff reported that error is important but difficult to discuss and not handled well in their hospital and barriers to discussing error are more important since medical staff seem to deny the effect of stress and fatigue on performance.
Journal ArticleDOI
On error management: lessons from aviation
TL;DR: Although operating theatres are not cockpits, medicine could learn from aviation and aviation has developed standardised methods of investigating, documenting, and disseminating errors and their lessons.