Managing intraoperative stress: what do surgeons want from a crisis training program?
Managing intraoperative stress: what do surgeons want from a crisis training program?
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DOI：
10.1016/j.amjsurg.2008.02.009
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发表时间：
2009-04-01
影响因子：
3
通讯作者：
Kneebone, Roger
中科院分区：
文献类型：
--
作者：
Arora, Sonal;Sevdalis, Nick;Kneebone, Roger
背景技术背景：目前的手术培训为外科医生提供了很少的机会来识别和管理术中应力，以免影响性能和危及患者安全。我们探讨了结构化的压力训练的感知需要，并提出了一个干预设计，可能是可以接受的和appropriate.METHODS：15个半结构化的面试确定在手术室的压力源，特点的应对策略，并探讨了外科医生的培训干预的意见。访谈采用标准的定性方法进行分析。结果：压力源和应对策略证实了以前的工作中确定的。干预的关键组成部分应包括认识到自己和他人的压力：经历压力的影响，提供有效的应对策略的性能：提供反馈：并提供机会，实践什么已经教在一个安全的，基于模拟的environment.CONCLUSIONS：有必要为结构化的培训，在术中压力的管理。外科医生将欢迎基于模拟的干预，以提高性能和患者安全。(C)2009爱思唯尔公司All rights reserved.
BACKGROUND: Current surgical training provides little opportunity for surgeons to recognize and manage intraoperative stress before it affects performance and compromises patient safety. We explored the perceived need for structured stress training and propose an intervention design that may be acceptable and appropriate.METHODS: Fifteen semistructured interviews identified stressors in the operating room, characterized coping strategies, and explored surgeons' views about a training intervention. Interviews were analyzed using standard qualitative methods.RESULTS: Stressors and coping strategies confirmed those identified in previous work. Key components of an intervention should include recognizing stress in oneself and in others: experiencing the impact of stress on performances providing effective coping strategies: offering feedback: and providing opportunities to practice what has been taught in a safe, simulation-based environment.CONCLUSIONS: There is a need for Structured training in management of intraoperative stress. Surgeons would welcome a simulation-based intervention to enhance performance and patient safety. (C) 2009 Elsevier Inc. All rights reserved.