The American Journal of Surgery
Volume 191, Issue 1 , Pages 5-10 , January 2006

The effects of stress on surgical performance

Presented at the 2005 Annual Meeting of the Association for Surgical Education, New York, New York, March 30–April 1, 2005

  • Cordula M. Wetzel, Dipl.-Psych.

      Affiliations

    • Department of Biosurgery and Surgical Technology, Imperial College, London, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44-(0)20-7886-1786; fax: +44-(0)20-7886-1810
  • ,
  • Roger L. Kneebone, Ph.D., M.R.C.G.P. (F.R.C.S., F.R.C.S.Ed.)

      Affiliations

    • Department of Biosurgery and Surgical Technology, Imperial College, London, UK
  • ,
  • Maria Woloshynowych, B.Sc., Ph.D.

      Affiliations

    • Department of Biosurgery and Surgical Technology, Imperial College, London, UK
  • ,
  • Debra Nestel, B.A., Ph.D.

      Affiliations

    • Department of Neuroscience and Psychological Medicine, Imperial College, London, UK
  • ,
  • Krishna Moorthy, M.D. (F.R.C.S.)
  • ,
  • Jane Kidd, Ph.D.

      Affiliations

    • Division of Medical Education, Warwick Medical School, University of Warwick, Warwick, UK
  • ,
  • Ara Darzi, M.D., K.B.E. (F.R.C.S., F.R.C.S.I., F.A.C.S., F.Med.Sci.)

Received 8 April 2005 ,Revised 15 August 2005

References 

  1. Sexton JB , Helmreich RL . Analyzing cockpit communications (the links between language, performance, error, and workload) . Human Performance in Extreme Environments . 2000;5:63–68
  2. Sexton JB , Thomas EJ , Helmreich RL . Error, stress, and teamwork in medicine and aviation (cross sectional surveys) . BMJ . 2000;320:745–749
  3. Wallenius C . Military observers’ reactions and performance when facing danger . Mil Psychol . 2004;16:211
  4. Hammermeister J , Burton D . Stress, appraisal, and coping revisited (examining the antecedents of competitive state anxiety with endurance athletes) . Sport Psychol . 2001;15:66–90
  5. Helmreich RL , Wilhelm JA , Klinect JR , et al.   Culture, error, and crew resource management . In:  Salas E ,  Bowers CA editor. Improving Teamwork in Organizations (Applications of Resource Management Training) . Mahwah, NJ: Lawrence Erlbaum Associates; 2001;p. 305–331
  6. Driskell JE , Salas E . Overcoming the effects of stress on military performance (human factors, training, and selection strategies) . In:  Gal R ,  Mangelsdorff A editor. Handbook of Military Psychology . Oxford: John Wiley & Sons; 1991;p. 183–193
  7. Crocker PR , Alderman RB , Smith FM . Cognitive-affective stress management training with high performance youth volleyball players (effects on affect, cognition, and performance) . J Sport Exercise Psychol . 1988;10:448–460
  8. Darzi A , Mackay S . Assessment of surgical competence . Qual Health Care . 2001;10(Suppl 2):ii64–ii69
  9. Hall JC , Ellis C , Hamdorf J . Surgeons and cognitive processes . Br J Surg . 2003;90:10–16
  10. de Quervain DJ , Roozendaal B , Nitsch RM , et al.   Acute cortisone administration impairs retrieval of long-term declarative memory in humans . Nat Neurosci . 2000;3:313–314
  11. Kirschbaum C , Wolf OT , May M , et al.   Stress- and treatment-induced elevations of cortisol levels associated with impaired declarative memory in healthy adults . Life Sci . 1996;58:1475–1483
  12. Wolf OT . HPA axix and memory . Best Pract Res Clin Endocrinol Metab . 2003;17:287–299
  13. Dobson R . Heart surgery halted because of staff exhaustion . BMJ . 2004;328:604
  14. Ogilvie BC . Stress in the life of surgeons . Instr Course Lect . 1983;32:18–32
  15. Sargent MC , Sotile W , Sotile MO , et al.   Stress and coping among orthopaedic surgery residents and faculty . J Bone Joint Surg Am . 2004;86:1579–1586
  16. Bunch WH , Dvonch VM , Storr CL , et al.   The stresses of the surgical residency . J Surg Res . 1992;53:268–271
  17. Green A , Duthie HL , Young HL , et al.   Stress in surgeons . Br J Surg . 1990;77:1154–1158
  18. Veldenz HC , Scott KK , Dennis JW , et al.   Impaired residents (identification and intervention) . Curr Surg . 2003;60:214–217
  19. Bohm B , Rotting N , Schwenk W , et al.   A prospective randomized trial on heart rate variability of the surgical team during laparoscopic and conventional sigmoid resection . Arch Surg . 2001;136:305–310
  20. Czyzewska E , Kiczka K , Czarnecki A , et al.   The surgeon’s mental load during decision making at various stages of operations . Eur J Appl Physiol Occup Physiol . 1983;51:441–446
  21. Jensen A , Milner R , Fisher C , et al.   Short-term sleep deficits do not adversely affect acquisition of laparoscopic skills in a laboratory setting . Surg Endosc . 2004;18:948–953
  22. Eastridge BJ , Hamilton EC , O’Keefe GE , et al.   Effect of sleep deprivation on the performance of simulated laparoscopic surgical skill . Am J Surg . 2003;186:169–174
  23. Bohm B , Rotting N , Schwenk W , et al.   A prospective randomized trial on heart rate variability of the surgical team during laparoscopic and conventional sigmoid resection . Arch Surg . 2001;136:305–310
  24. Yamamoto A , Hara T , Kikuchi K , et al.   Intraoperative stress experienced by surgeons and assistants . Ophthalmic Surg Lasers . 1999;30:27–30
  25. Kikuchi K , Okuyama K , Yamamoto A , et al.   Intraoperative stress for surgeons and assistants . J Ophthalmic Nurs Technol . 1995;14:68–70 72–3
  26. Strauss A , Corbin J . Basics of Qualitative Research (Techniques and Procedures for Developing Grounded Theory) . 2nd ed.. Thousand Oaks, CA: Sage Publications; 1998;
  27. Chrzanowska J . Interviewing Groups and Individuals in Qualitative Market Research . London: Sage; 2002;
  28. Helmreich RL . On error management (lessons from aviation) . BMJ . 2000;320:781–785
  29. Yule S . Critical thinking (non-technical skills in surgery) . Surgeons News . 2005;3:75–76
  30. Flin R , Yule S , Paterson-Brown S , Maran N . A behavioural marker system to rate surgeons’ non-technical skills . Miami, FL: Presented at: the International Meeting on Medical Simulation; 2005; January
  31. Meichenbaum D , Novaco R . Stress inoculation (a preventative approach) . Issues Mental Health Nurs . 1985;7:419–435
  32. Cosway R , Endler NS , Sadler AJ , et al.   The Coping Inventory for Stressful Situations (factorial structure and associations with personality traits and psychological health) . J Appl Biobehav Res . 2000;5:121–143
  33. Folkman S , Lazarus RS . The Ways of Coping Questionnaire . Palo Alto, CA: Consulting Psychologists Press; 1988;

PII: S0002-9610(05)00732-4

doi: 10.1016/j.amjsurg.2005.08.034

The American Journal of Surgery
Volume 191, Issue 1 , Pages 5-10 , January 2006