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Work Environment Differences Between Outpatient and Inpatient Surgery: A Pilot Study on the Vascular Surgeons'

Laurence Destrieux1, Youssra Yemmas2, Sydney Williams3

  • 1Département de chirurgie vasculaire, Clinique Générale, Groupe Vivalto, Annecy, France.

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|March 16, 2024
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Summary
This summary is machine-generated.

Vascular surgeons report that nursing staff stress negatively impacts their concentration and surgical safety. This is linked to increased outpatient surgery demands and communication issues with management.

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Area of Science:

  • Vascular Surgery
  • Healthcare Management
  • Occupational Health

Background:

  • Outpatient endovascular surgery implementation in France has been slow and uneven since 2015.
  • The COVID-19 pandemic accelerated the shift to outpatient surgery due to bed demand and staffing shortages.
  • This rapid shift may have strained the hospital medical workforce, impacting well-being and workload.

Purpose of the Study:

  • To analyze nursing staff well-being and workload as perceived by vascular surgeons.
  • To assess the relationship between nursing staff psychosocial stress and surgeon concentration/serenity.
  • To understand the impact on surgical procedure safety and the overall working environment.

Main Methods:

  • An observational study utilizing an online questionnaire.
  • Survey distributed to senior members of the French Society of Vascular and Endovascular Surgery (n=490).
  • Data collected between October 10-18, 2022, with a 25% response rate (125 surgeons).

Main Results:

  • 68% of vascular surgeons reported that nursing staff psychosocial stress significantly impaired their concentration and serenity.
  • High work pace (64%), demand for flexibility (56%), and schedule change unpredictability (82%) were key stressors.
  • Difficulties in communicating concerns to hospital managers were reported by 44.6% of surgeons.

Conclusions:

  • The accelerated implementation of outpatient surgery correlates with deteriorating working environments for vascular surgeons.
  • Increased workload and patient comorbidities in conventional surgery wards exacerbate these issues.
  • Worsened psychosocial stress among staff negatively affects the quality of care provided.