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Obedience

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...

Psychosurgery

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

Aneurysm IV: Nursing Management

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

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Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

Peripheral Artery Disease V: Postoperative Nursing Management

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Related Experiment Video

Updated: Jun 18, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

Surgeons' performance during critical situations: competence, confidence, and composure.

Katie Wiggins-Dohlvik¹, Ronald M Stewart, Rachelle Jonas Babbitt

¹Department of Surgery, The University of Texas, Health Science Center at San Antonio, San Antonio, TX 78229, USA.

American Journal of Surgery

|December 9, 2009

Summary

Surgeons utilize learned techniques and preparation to maintain performance during critical situations, countering the typical "fight or flight" response. These methods enhance surgical confidence and success rates.

Related Experiment Videos

Last Updated: Jun 18, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

Area of Science:

Surgical Performance
Medical Education
Psychology in Medicine

Background:

Limited understanding of surgeon performance in critical situations.
Hypothesis: Surgeons employ specific techniques to facilitate performance under pressure.

Purpose of the Study:

Investigate methods and techniques surgeons use during critical situations.
Understand surgeon perceptions of performance under pressure.

Main Methods:

Survey of surgical faculty and senior general surgery residents.
Single academic health center participation.

Main Results:

High surgeon confidence (96%) and expected success (96%) in critical situations.
Majority use learned skills (92%), believe skills are teachable (82%), and value preparation (89%).
Pre-emptive visualization (68%) is common; competence, confidence, and preparation are encouraged traits.

Conclusions:

Surgeons' response to pressure is complex, involving learned techniques.
Techniques aim to mitigate the sympathetic nervous system's 'fight or flight' response.
Simple, learned strategies are key to maintaining surgical performance under stress.