Ameliorating the Impact of Complications and Errors on Surgeons: Resilience Training for Surgeons.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Effect of Training
- Sponsor
- Bournemouth University
- Enrollment
- 68
- Locations
- 2
- Primary Endpoint
- Resilience - Brief Resilience Scale (BRS)
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The challenges that characterise surgical practice may result in a myriad of stressors that impact upon the personal and professional lives of surgeons. This includes a high likelihood that surgeons will have to deal with adverse patient outcomes due to surgical complications and errors, sometime during their careers. Such stressors can have undesirable effects on the surgeon in terms of quality of life and psychological well-being (e.g. anxiety, feelings of regret), as well as lowered professional confidence and impaired perceptions of professional competence. Furthermore, there is evidence that these kinds of negative impacts can also lead to burnout and depression. As well as the detrimental effects on surgeons and those around them, this in turn may lead to more errors and poorer outcomes for patients. This study will examine the efficacy of an ACT based training intervention to enhance resilience and psychological flexibility.
Detailed Description
Research in a range of occupational settings has indicated that resilience plays an important role in ameliorating the impact of adverse events in high pressure environments. This project will use a randomised controlled trial research design to assess the efficacy of brief one-to-one Acceptance and Commitment Training (ACTr), designed to enhance surgeons' psychological resilience. According to the model ACTr is based on, psychopathology is primarily the consequence of psychological inflexibility i.e. inability to persist or change behaviour according to long-term values due to language and cognition skills, which has particular significance when an individual is confronted with stress or adversity. The main aim of this research is to assess the efficacy of a brief one-to-one Acceptance and Commitment Training course. Researchers wish to ascertain whether such a course can increase surgeons' resilience by increasing psychological flexibility, valuing and self-compassion (all of which are expected to be positively impacted by this training). This research will fill a gap in the relevant research literature; namely that no research project as far as we are aware has evaluated ACTr as a means to enhance resilience in surgeons. In fact any research conducted on resilience training with a surgical population is rare.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Trainee surgeons and consultant surgeons
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Resilience - Brief Resilience Scale (BRS)
Time Frame: 20 weeks
A self-report measure of psychological resilience. Higher values represent a better outcome.
General Health - General Health Questionnaire (GHQ-12).
Time Frame: 20 weeks
A self reported measure of minor psychological symptomology in a non-clinical population.
Secondary Outcomes
- CBI (Copenhagen Burnout Inventory)(20 weeks)
- DASS21 (Depression Anxiety and Stress Scale)(20 weeks)
- VLQ (Value Living Questionnaire)(20 weeks)
- WAAQ (Work related Acceptance and Action Questionnaire)(20 weeks)
- AAQII (Acceptance and Action Questionnaire)(20 weeks)
- SCS (Self Compassion Scale)(20 weeks)
- SPS (Sense of Preparedness Scale)(20 weeks)