Journal article

The effects of stress and coping on surgical performance during simulations.

Cordula M Wetzel, Stephen A Black, George B Hanna, Thanos Athanasiou, Roger L Kneebone, Debra Nestel, John HN Wolfe, Maria Woloshynowych

Annals of Surgery | Published : 2010

Abstract

OBJECTIVE: This study investigates the effects of surgeons' stress levels and coping strategies on surgical performance during simulated operations. METHODS: Thirty surgeons carried out each a non-crisis and a crisis scenario of a simulated operation. Surgeons' stress levels were assessed by several measures: self-assessments and observer ratings of stress, heart rate, heart rate variability, and salivary cortisol. Coping strategies were explored qualitatively and quantified to a coping score. Experience in surgery was included as an additional predictor. Outcome measures consisted of technical surgical skills using Objective Structured Assessment of Technical Skill (OSATS), nontechnical sur..

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University of Melbourne Researchers