Stress in the operating room: Prevalence, sources, and mitigation strategies among surgeons

Abstract

Introduction: Moderate to high levels of stress are prevalent among operating room staff, particularly affecting surgical trainees. This stress can lead to burnout, decreased motivation, and impaired well-being. This study aimed to assess the prevalence, sources, effects, and coping mechanisms of stress among surgeons. Methods: A cross-sectional, anonymous survey was conducted among 71 surgeons across all specialties and career levels. The survey assessed stress levels on a 10-point scale, identified sources and effects of stress, and documented personal coping strategies and desired institutional resources. Results: The majority of respondents (63.3%) were trainees or junior surgeons. Most surgeons (61.3%) reported a moderate stress level (3-6/10). The primary sources of stress were technical or equipment problems (76.1%), procedural complexity (47.9%), and team behavior or lack of coordination (42.3% and 31.0%, respectively). Reported effects included intense fatigue (41.4%), feelings of burnout (35.7%), and irritability with the team (15.7%). Common personal coping strategies were relaxing activities like sports (59.2%), proactive communication (43.7%), and mental or technical preparation (42.3%). Surgeons requested reliable equipment (81.7%), improved communication/coordination (66.2%), stress management training (54.9%), and psychological support (42.3%). Conclusion: Stress is a significant issue in the surgical profession, driven by technical, relational, and emotional factors. Current formal training in stress management is inadequate. There is a strong demand for institutional support, including reliable equipment, enhanced teamwork, and structured wellness programs.