Surgeon perceptions of personality as an influencing factor on anastomotic decision-making: A qualitative analysis.
Humans
Surgeons
/ psychology
Female
Male
Qualitative Research
Personality
Anastomosis, Surgical
/ psychology
Attitude of Health Personnel
Clinical Decision-Making
Colorectal Surgery
/ psychology
Physician-Patient Relations
Adult
Rectum
/ surgery
United Kingdom
Middle Aged
Anastomotic Leak
/ psychology
Decision Making
Perception
anastomosis
decision‐making
heuristics
qualitative
surgeon personality
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318
Titre abrégé: Colorectal Dis
Pays: England
ID NLM: 100883611
Informations de publication
Date de publication:
Aug 2024
Aug 2024
Historique:
revised:
27
05
2024
received:
11
01
2024
accepted:
01
06
2024
medline:
20
8
2024
pubmed:
20
8
2024
entrez:
20
8
2024
Statut:
ppublish
Résumé
Surgeon personality is a factor influencing rectal anastomotic decision-making. However, it is unclear how or why this may be the case, or what aspects of personality are involved. The aim of this study was to investigate the views of colorectal surgeons on how their individual personality may influence variation in anastomotic decision-making. Purposive sampling was used to invite certified UK-based colorectal surgeons to participate, with individual interviews used for data collection. Participants were recruited until ongoing data review indicated no new codes were generated (i.e. data sufficiency). Data were analysed thematically following Braun and Clarke's six-step framework. Seventeen colorectal surgeons (eight female, nine male) participated. Two key themes relating to personality and decision-making were identified: (1) surgeon development and training and (2) patient-surgeon interactions, each with relevant subthemes. Surgeons described how their personality may influence patients' postoperative outcomes (e.g. decision-making, team working and communication) and potential mechanisms for how their personality may influence operative risk-taking. Following anastomotic leakage, surgeons described a disproportionate sense of guilt and responsibility. There appears to be a significant transition in responsibility from trainee to newly appointed consultant, which may be part of the 'hidden curriculum' of surgical training. Colorectal surgeons have described their perceptions of how personality traits may impact variation in decision-making and patient outcomes for the first time. Early career surgeons felt ill-prepared for the level of guilt experienced when managing complications. Surgeons appear open to personality assessment if this was through an educational lens, with the aim of improving decision-making following complications and overall performance.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1608-1616Subventions
Organisme : Bowel Research UK
Organisme : Ileostomy and Internal Pouch Association
Informations de copyright
© 2024 The Author(s). Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.
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