What stress coping strategies are surgeons relying upon during surgery?

Publié le 04 septembre 2015 • Catégorie(s) : Conditions de travail et santé psychologique • Mot(s) clef(s) : médecins

Auteur    Nicholas E. Anton
Auteur    Paul N. Montero
Auteur    Lisa D. Howley
Auteur    Charles Brown
Auteur    Dimitrios Stefanidis
Publication    American Journal of Surgery
ISSN    1879-1883
Date    May 23, 2015
Résumé    BACKGROUND: The objective of this study was to determine sources of intraoperative stress, impact on surgical outcomes, coping strategies, and surgeon interest in stress management training. METHODS: An anonymous survey was electronically distributed to surgeons at a tertiary care hospital. Respondents were asked to rate the perceived impact of 9 stressors on operative performance, identify stress coping strategies, list witnessed stress-related complications, and opine on the perceived need for stress management training. RESULTS: Seventy-two responses were received (76% relative risk). Complex or rarely performed cases and poor assistance were associated with the highest stress, while personal life distractions were associated with the least. Importantly, 40% of surgeons indicated that they had witnessed an intraoperative complication directly related to surgeon stress. Respondents (82%) believed that formal stress management training is needed. CONCLUSIONS: Several stressors affect surgical performance and contribute to complications. Surgeons use a variety of stress coping strategies. Formal stress management training is needed.