外科医生的压力会对他们在手术室中的非技术技能产生负面影响。
Surgeon stress negatively affects their non-technical skills in the operating room.
机构信息
Department of Surgery, Indiana University School of Medicine, 545 Barnhill Dr, EH 111, Indianapolis, IN, 46202, USA.
Department of Counseling Psychology, Indiana University School of Education, 201 N Rose Ave, ED, 4000, Bloomington, IN, 47405, USA.
出版信息
Am J Surg. 2021 Dec;222(6):1154-1157. doi: 10.1016/j.amjsurg.2021.01.035. Epub 2021 Jan 30.
BACKGROUND
Poor surgeons' non-technical skills (NTS) and excessive stress and workload are known contributors to surgical errors. Our aim was to examine the relationship between surgeons' stress and workload, and their observed NTS intraoperatively.
METHODS
Surgeon's NTS were rated in the operating room (OR) by trained observers. Surgeon stress, workload, familiarity with the OR team, prior experience, and case difficulty were captured. Relationships between variables were assessed.
RESULTS
Fifteen surgeons participated in our study. Agreement among raters was high for NTS observations (ICC range = 0.56-0.96). Stress was negatively correlated with situation awareness, and workload was negatively correlated with decision making. Less familiarity among the team was correlated with higher stress.
CONCLUSIONS
Surgeons' stress and workload negatively affected their NTS in the OR. Further, unfamiliarity with the surgical team contributed to surgeon's stress. Methods to reduce surgeons' stress and workload such as mental skills training should be considered.
背景
较差的外科医生非技术技能（NTS）和过度的压力与工作负荷是导致手术失误的已知因素。我们旨在研究外科医生的压力与工作负荷，以及他们在手术室内观察到的 NTS 之间的关系。
方法
由经过培训的观察者在手术室（OR）中对外科医生的 NTS 进行评分。记录外科医生的压力、工作负荷、对 OR 团队的熟悉程度、先前经验和手术难度。评估变量之间的关系。
结果
15 名外科医生参与了我们的研究。观察者对 NTS 观察的一致性很高（ICC 范围为 0.56-0.96）。压力与情境意识呈负相关，工作负荷与决策制定呈负相关。团队之间的熟悉程度较低与更高的压力相关。
结论
外科医生的压力和工作负荷对他们在手术室中的 NTS 产生负面影响。此外，对手术团队的不熟悉导致了外科医生的压力。应考虑采用减轻外科医生压力和工作负荷的方法，例如心理技能培训。
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