Department of Applied Psychology, Zurich University of Applied Sciences (ZHAW), Switzerland; Department of Psychology, University of Zurich, Switzerland.
Institute for Patient Safety, University Hospital Bonn, Germany.
Appl Ergon. 2024 Nov;121:104368. doi: 10.1016/j.apergo.2024.104368. Epub 2024 Aug 14.
Robot-assisted surgery (RAS) differs from traditional OR set-ups in several ways such as operation of technology and obstructed team communication that potentially affect surgical staff's stress experiences. The current study investigates the effects of key intraoperative job demands and resources on mental workload and perceived stress in RAS. We focused on the role of intraoperative teamwork as a resource that potentially reduces occupational stress. Combining standardized expert observations in the OR with healthcare providers' self-reports, the study involved two types of robot-assisted, urological interventions. The sample consisted of 73 observed surgeries and included 242 post-operative surveys on perceived stress and mental workload from surgeons and surgical nurses. Multilevel regression analyses reveal differential effects for stress and workload. Importantly, whereas better surgical teamwork was associated with lower stress, it was unrelated to workload. Our findings provide a nuanced picture of occupational stress in RAS, particularly regarding the role of intraoperative teamwork.
机器人辅助手术（RAS）在操作技术和团队沟通受阻等方面与传统手术室设置有所不同，这些因素可能会影响手术人员的压力体验。本研究旨在调查关键手术室内工作需求和资源对 RAS 下精神工作负荷和感知压力的影响。我们专注于术中团队协作作为一种潜在的减轻职业压力的资源的作用。本研究将手术室中的标准化专家观察与医疗保健提供者的自我报告相结合，涉及两种机器人辅助泌尿外科干预。样本包括 73 例观察手术和 242 例术后调查，涉及外科医生和外科护士对感知压力和精神工作负荷的调查。多水平回归分析揭示了压力和工作量的差异影响。重要的是，更好的手术团队协作与较低的压力相关，而与工作量无关。我们的研究结果提供了 RAS 职业压力的细致图片，特别是关于术中团队协作的作用。
