Stress shows both negative and positive effects on technical and non-technical surgical performance, with no clear collective pattern¶

Claim · All claims
Evidence · 1 study (2 entries) · quant-synthesis r2 · q2
Currency · newest study 2022 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? The reviewed studies demonstrated both negative and positive impacts of stress on technical and non-technical performance, and the review concludes the effects were unclear. → Tjønnås Maria Suong 2022 q2 i? Expertise effects were inconsistent: some studies found higher stress in novices, others the opposite, and one found similar stress and performance for novice and experienced surgeons on robotic and laparoscopic systems. → Tjønnås Maria Suong 2022 (2)

Evidence¶

Tjønnås Maria Suong 2022¶

Tjønnås Maria Suong, Guzmán-García Carmen, Sánchez-González Patricia, Gómez Enrique Javier, Oropesa Ignacio, Våpenstad Cecilie. (2022). Stress in surgical educational environments: a systematic review. BMC Medical Education. https://doi.org/10.1186/s12909-022-03841-6

q2 · i? · quant-synthesis · r2

Review conclusion synthesizing 31 simulator-based studies and 6 operative-performance studies. The review reports "both negative and positive impacts were demonstrated in the reviewed articles"; for example, one study found stress associated with worse technical performance, while residents under stress were more efficient but less accurate.

"However, the effects of stress on performance were found to be unclear as both negative and positive impacts were demonstrated in the reviewed articles."

Tjønnås Maria Suong 2022 (2)¶

Tjønnås Maria Suong, Guzmán-García Carmen, Sánchez-González Patricia, Gómez Enrique Javier, Oropesa Ignacio, Våpenstad Cecilie. (2022). Stress in surgical educational environments: a systematic review. BMC Medical Education. https://doi.org/10.1186/s12909-022-03841-6

q2 · i? · review · r3

Review synthesis of expertise comparisons: some studies showed higher stress among novice surgeons during laparoscopic simulation, others observed the opposite, and Klein et al. found similar performance and stress levels for novice and experienced surgeons. The review states "a coherent association between surgical experience and stress levels was not found".

"In the reviewed studies, a coherent association between surgical experience and stress levels was not found."

Discussion¶

Learner Variables¶

• Affect Regulation — predictor: learners who differ on it differ in outcomes

Related Claims¶

• Robotic surgical systems reduced mental workload and perceived stress relative to laparoscopic systems in reviewed studies — related
• Mental training methods for surgical stress management show positive effects on stress experience and technical performance — related
• Work context, via acute stress and cognitive load, is a major moderator of emotional competence's impact on clinical reasoning — related