Journal article
The imperial stress assessment tool (ISAT): A feasible, reliable and valid approach to measuring stress in the operating room
S Arora, T Tierney, N Sevdalis, R Aggarwal, D Nestel, M Woloshynowych, A Darzi, R Kneebone
World Journal of Surgery | SPRINGER | Published : 2010
Abstract
Background: Stress can impair surgical performance and may compromise patient safety. This prospective, cross-sectional study describes the feasibility, reliability, and validity of the Imperial Stress Assessment Tool (ISAT) as an approach to measuring stress during surgery. Methods: A total of 54 procedures were observed with 11 surgeons (4 attendings, 4 senior residents and 3 junior residents) in a large university teaching hospital in London, UK. Data collection involved physiological measures of operating surgeons [heart rate (HR) and salivary cortisol] and self-report questionnaires (State Trait Anxiety Inventory, or STAI). Results: In all, 23 of 54 procedures were stressful, as identif..
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Funding Acknowledgements
This study was funded by the BUPA Foundation. The funding bodies had no involvement in the design and conduct of the study; the collection, management, analysis, and interpretation of the data; or the preparation, review, or approval of the manuscript.