Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters

Awad, George; Pohl, Robert; Darius, Sabine; Thielmann, Beatrice; Kuzmin, Boris; Slottosch, Ingo; Wippermann, Jens; Schmidt, Hendrik; Scherner, Maximilian; Böckelmann, Irina

doi:10.3390/ijerph182211953

Cited by 7 publications

(5 citation statements)

References 30 publications

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“…The stressed surgeons showed low intraoperative values for RMSSD, SDNN and pNN50, compared to the non-stressed group [ 16 ]. Using the time-related HRV parameters, Stress-, parasympathetic nervous System—and sympathetic nervous System Index illustrated that the residents showed higher stress levels than their supervising seniors during CABG teaching procedures [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Activation of the stress response among the cardiac surgical residents: comparison of teaching procedures and other (daily) medical activities

Awad

Pohl

Darius

et al. 2022

J Cardiothorac Surg

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Background The aim of this Pilot study was to investigate the cardiac surgical residents’ workload during different surgical teaching interventions and to compare their stress levels with other working time spent in the intensive care unit or normal ward. Methods The objective stress was assessed using two cardiac surgical residents’ heart rate variability (HRV) both during surgical activities (32 selected teaching operations (coronary artery bypass graft n = 26 and transcatheter aortic valve implantation n = 6), and during non-surgical periods. Heart rate, time and frequency domains as well as non-linear parameters were analyzed using the Wilcoxon test. Results The parasympathetic activity was significantly reduced during the surgical phase, compared to the non-surgical phase: Mean RR (675.7 ms vs. 777.3 ms), RMSSD (23.1 ms vs. 34.0 ms) and pNN50 (4.7% vs. 10.6%). This indicates that the residents had a higher stress level during surgical activities in comparison to the non-surgical times. The evaluation of the Stress Index during the operations and outside the operating room (8.07 vs. 10.6) and the parasympathetic nervous system index (− 1.75 to − 0.91) as well as the sympathetic nervous system index (1.84 vs. 0.65) confirm the higher stress level during surgery. This can be seen too used the FFT Analysis with higher intraoperative LF/HF ratio (6.7 vs. 3.8). Conclusion HRV proved to be a good, objective method of identifying stress among physicians both in and outside the operating room. Our results show that residents are exposed to high psychological workloads during surgical activities, especially as the operating surgeon.

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Section: Discussionmentioning

confidence: 99%

Activation of the stress response among the cardiac surgical residents: comparison of teaching procedures and other (daily) medical activities

Awad

Pohl

Darius

et al. 2022

J Cardiothorac Surg

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“…as a high stress zone ( 50 ). Past studies have used SI to study cardiac surgery residents’ psychological and psycho-emotional stress levels ( 51 ) and assess a training program for adult psychosomatic self-regulation ( 52 ). Kubios computes EE based on the participant’s gender, HR, weight, and age ( 53 ).…”

Section: Methodsmentioning

confidence: 99%

Occupational stress and burnout among intensive care unit nurses during the pandemic: A prospective longitudinal study of nurses in COVID and non-COVID units

et al. 2023

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BackgroundIntensive care unit (ICU) nurses are highly prone to occupational stress and burnout, affecting their physical and mental health. The occurrence of the pandemic and related events increased nurses’ workload and further exacerbated their stress and burnout. This work investigates occupational stress and burnout experienced by ICU nurses working with COVID and non-COVID patients.MethodA prospective longitudinal mixed-methods study was conducted with a cohort of ICU nurses working in medical ICU (COVID unit; n = 14) and cardiovascular ICU (non-COVID unit; n = 5). Each participant was followed for six 12-h shifts. Data on occupational stress and burnout prevalence were collected using validated questionnaires. Physiological indices of stress were collected using wrist-worn wearable technologies. Participants elaborated on the causes of stress experienced each shift by completing open-ended questions. Data were analyzed using statistical and qualitative methods.ResultsParticipants caring for COVID patients at the COVID unit were 3.71 times more likely to experience stress (p < 0.001) in comparison to non-COVID unit participants. No differences in stress levels were found when the same participants worked with COVID and non-COVID patients at different shifts (p = 0.58) at the COVID unit. The cohorts expressed similar contributors to stress, based in communication tasks, patient acuity, clinical procedures, admission processes, proning, labs, and assisting coworkers.ConclusionNurses in COVID units, irrespective of whether they care for a COVID patient, experience occupational stress and burnout.

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“…Mithilfe der Analyse der Herzschlagfrequenzvariabilität kann die Beanspruchung objektiviert werden [32,33,34,35,36,37,38]. Die Stressbelastung ist gerade bei jungen chirurgischen Assistenzärzten hoch [39].…”

Section: Psychische Belastungunclassified

Arbeitsplatz OP-Saal – Was muss der Chirurg über die Arbeitsmedizin wissen? Ein Update

Darius,

Heinemann,

Meyer

et al. 2024

OP-Journal

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Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters

Cited by 7 publications

References 30 publications

Activation of the stress response among the cardiac surgical residents: comparison of teaching procedures and other (daily) medical activities

Activation of the stress response among the cardiac surgical residents: comparison of teaching procedures and other (daily) medical activities

Occupational stress and burnout among intensive care unit nurses during the pandemic: A prospective longitudinal study of nurses in COVID and non-COVID units

Arbeitsplatz OP-Saal – Was muss der Chirurg über die Arbeitsmedizin wissen? Ein Update

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