Job stressors and resources in robot-assisted surgery : the role of intraoperative teamwork

Burtscher, Michael Josef; Koch, Amelie; Weigl, Matthias

Publication type:	Conference other
Type of review:	Peer review (abstract)
Title:	Job stressors and resources in robot-assisted surgery : the role of intraoperative teamwork
Authors:	Burtscher, Michael Josef Koch, Amelie Weigl, Matthias
et. al:	No
Conference details:	17th International Meeting on Behavioural Science Applied to Surgery and Acute Care (BSAS), Olten, Switzerland, 1-2 December 2023
Issue Date:	Dec-2023
Language:	English
Subjects:	Teamwork; Surgery; Stress; Resources
Subject (DDC):	155: Differential and developmental psychology 617: Surgery
Abstract:	Surgery is regarded as a high-reliability work setting, in which employees are prone to high levels of stress. A plethora of studies identified both job demands as well as job resources that affect staff intraoperative stress during surgery. Robot-assisted surgery differs from traditional surgical OR set-ups in several ways such as operation of technology and obstructed team communication that potentially affect stress experiences. Against this background, the aim of the current study was to investigate the effects of key intraoperative job demands and resources on mental workload and perceived stress in robot-assisted surgery. In particular, we focused on the role of intraoperative teamwork as a resource that potentially reduces stress among OR staff. This observational study combined expert observations in the OR with healthcare providers’ self-reports. Observations involved two different types of robot-assisted, urological interventions (radical prostatectomy, partial nephrectomy), which were both performed with the da Vinci® surgical robotic system. The sample consisted of 73 robot-assisted surgeries and included 242 measurements at the individual level from surgeons and surgical nurses. Workload and stress were measured by means of self-report questionnaires immediately after each procedure. Teamwork was assessed via behavioral observation with the Oxford NOTECHS II. Findings from two multi-level models reveal differential effects for mental workload and perceived stress. Mental workload and perceived stress ratings increased due to task complexity and length of the surgical procedure. Importantly, whereas better surgical teamwork was associated with lower perceived stress, it was unrelated to mental workload. By contrast, nurse teamwork was neither related to perceived stress nor to workload. Finally, in terms of further interprofessional differences, surgeons reported higher levels of both mental workload as well as perceived stress than nurses. Understanding the factors affecting staff intraoperative stress contributes to improved surgical performance, patient safety, and staff outcomes. Differentiating between professions (i.e., surgeons vs. nurses) and outcomes (i.e., mental workload vs. perceived stress), our findings provide a nuanced picture of intraoperative stress in robot-assisted surgery. Extending on previous research, we highlight role of intraoperative teamwork as a viable resource for provider’s stress response.
URI:	https://digitalcollection.zhaw.ch/handle/11475/30068
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	Applied Psychology
Organisational Unit:	Psychological Institute (PI)
Appears in collections:	Publikationen Angewandte Psychologie

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Burtscher, M. J., Koch, A., & Weigl, M. (2023, December). Job stressors and resources in robot-assisted surgery : the role of intraoperative teamwork. 17th International Meeting on Behavioural Science Applied to Surgery and Acute Care (BSAS), Olten, Switzerland, 1-2 December 2023.

Burtscher, M.J., Koch, A. and Weigl, M. (2023) ‘Job stressors and resources in robot-assisted surgery : the role of intraoperative teamwork’, in 17th International Meeting on Behavioural Science Applied to Surgery and Acute Care (BSAS), Olten, Switzerland, 1-2 December 2023.

M. J. Burtscher, A. Koch, and M. Weigl, “Job stressors and resources in robot-assisted surgery : the role of intraoperative teamwork,” in 17th International Meeting on Behavioural Science Applied to Surgery and Acute Care (BSAS), Olten, Switzerland, 1-2 December 2023, Dec. 2023.

BURTSCHER, Michael Josef, Amelie KOCH und Matthias WEIGL, 2023. Job stressors and resources in robot-assisted surgery : the role of intraoperative teamwork. In: 17th International Meeting on Behavioural Science Applied to Surgery and Acute Care (BSAS), Olten, Switzerland, 1-2 December 2023. Conference presentation. Dezember 2023

Burtscher, Michael Josef, Amelie Koch, and Matthias Weigl. 2023. “Job Stressors and Resources in Robot-Assisted Surgery : The Role of Intraoperative Teamwork.” Conference presentation. In 17th International Meeting on Behavioural Science Applied to Surgery and Acute Care (BSAS), Olten, Switzerland, 1-2 December 2023.

Burtscher, Michael Josef, et al. “Job Stressors and Resources in Robot-Assisted Surgery : The Role of Intraoperative Teamwork.” 17th International Meeting on Behavioural Science Applied to Surgery and Acute Care (BSAS), Olten, Switzerland, 1-2 December 2023, 2023.