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Médecine du travail du personnel hospitalier

What stress coping strategies are surgeons relying upon during surgery?

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.

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