Higher mental workload is associated with poorer laparoscopic performance as measured by the NASA-TLX tool

Simulation in Healthcare

Volumn 5, Issue 5, 2010, Pages 267-271

  Yurko, Yuliya Y ^a   Scerbo, Mark W ^b   Prabhu, Ajita S ^a   Acker, Christina E ^c   Stefanidis, Dimitrios ^a,c  

^a CAROLINAS MEDICAL CENTER   (United States)

^b OLD DOMINION UNIVERSITY   (United States)

^c Carolinas College of Health Sciences   (United States)

Author keywords

FLS; NASA TLX; Simulator; Workload

Indexed keywords

ADULT; ANIMAL; ANIMAL MODEL; ARTICLE; ATTITUDE TO HEALTH; CLINICAL COMPETENCE; COGNITION; CURRICULUM; EDUCATION; FEMALE; GOVERNMENT; HUMAN; LAPAROSCOPY; MALE; METHODOLOGY; QUESTIONNAIRE; STATISTICS; STOMACH FUNDOPLICATION; SWINE; TASK PERFORMANCE; UNITED STATES; WORKLOAD;

ANIMALS; CLINICAL COMPETENCE; COGNITION; CURRICULUM; EDUCATIONAL MEASUREMENT; FEMALE; FUNDOPLICATION; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; LAPAROSCOPY; MALE; MODELS, ANIMAL; NORTH CAROLINA; QUESTIONNAIRES; STATISTICS AS TOPIC; SWINE; TASK PERFORMANCE AND ANALYSIS; UNITED STATES; UNITED STATES NATIONAL AERONAUTICS AND SPACE ADMINISTRATION; VIRGINIA; WORKLOAD; YOUNG ADULT;

EID: 78049302041     PISSN: 15592332     EISSN: 1559713X     Source Type: Journal    
DOI: 10.1097/SIH.0b013e3181e3f329     Document Type: Article

References (26)

1. Scott DJ, Dunnington GL. The new ACS/APDS Skills Curriculum: moving the learning curve out of the operating room. J Gastrointest Surg 2008;12:213-221.
2. Korndorffer JR Jr, Dunne JB, Sierra R, Stefanidis D, Touchard CL, Scott DJ. Simulator training for laparoscopic suturing using performance goals translates to the operating room. J Am Coll Surg 2005;201:23-29.
3. O'Donnell RD, Eggemeier FT. Workload assessment methodology. In: Boff KR, Kaufman L, Thomas JP, eds. Handbook of Perception and Performance. Vol. 2. Cognitive Processes and Performance. Vol. 42. New York, NY: Wiley; 1986:1-49.
4. Szabo Z, Hunter J, Berci G, Sackier J, Cuschieri A. Analysis of surgical movements during suturing in laparoscopy. Endosc Surg Allied Technol 1994;2:55-61.
5. Seymour NE, Gallagher AG, Roman SA, et al. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 2002;236:458-463; discussion 463-464.
6. Society of American Gastrointestinal and Endoscopic Surgeons. Fundamentals of Laparoscopic Surgery (FLS). 2005. Available at: http://www.flsprogram.org. Accessed March 13, 2009.
7. Carswell CM, Clarke D, Seales WB. Assessing mental workload during laparoscopic surgery. SurgInnov 2005;12:80-90.
8. Stefanidis D, Scerbo MW, Korndorffer JR Jr, Scott DJ. Redefining simulator proficiency using automaticity theory. Am J Surg 2007;193:502-506.
9. Hart SG, Staveland LE. Development of NASA-TLX: results of empirical and theoretical research. In: Hancock PA, Meshkati N, eds. Human Mental Workload. Amsterdam: Elsevier; 1987.
10. Nygren TE. Psychometric properties of subjective workload measurement techniques: implications for their use in the assessment of perceived mental workload. Hum Factors 1991;33:17-33.
11. Metzger U, Parasuraman R. Automation in future air traffic management: effects of decision aid reliability on controller performance and mental workload. Hum Factors 2005;47:35-49.
12. Endsley MR, Kaber DB. Level of automation effects on performance, situation awareness and workload in a dynamic control task. Ergonomics 1999;42:462-492.
13. Szalma JL, Warm JS, Matthews G, et al. Effects of sensory modality and task duration on performance, workload, and stress in sustained attention. Hum Factors 2004;46:219-233.
14. Weinger MB, Vredenburgh AG, Schumann CM, et al. Quantitative description of the workload associated with airway management procedures. J Clin Anesth 2000;12:273-282.
15. Weinger MB, Herndon OW, Zornow MH, Paulus MP, Gaba DM, Dallen LT. An objective methodology for task analysis and workload assessment in anesthesia providers. Anesthesiology 1994;80:77-92.
16. Levin S, France DJ, Hemphill R, et al. Tracking workload in the emergency department. Hum Factors 2006;48:526-539.
17. Institute of Medicine. To Err is Human: Building a Safer Health System. 2000. Available at: http://www.nap.edu/openbook.php?isbn=0309068371. Accessed May 18, 2009.
18. Young G, Zavelina L, Hooper V. Assessment of workload using NASA task load index in perianesthesia nursing. JPerianesth Nurs 2008;23:102-110.
19. Klein MI, Riley MA, Warm JS, Matthews G. Perceived mental workload in an endoscopic surgery simulator. In: Proceedings of the Human Factors and Ergonomics Society 49th Annual Meeting. Santa Monica, CA: HFES; 2005:1014-1018.
20. Schuetz M, Gockel I, Beardi J, et al. Three different types of surgeonspecific stress reactions identified by laparoscopic simulation in a virtual scenario. SurgEndosc 2008;22:1263-1267.
21. Munch-Petersen HR, Rosenberg J. [Physical and mental strain on the surgeon during minimally invasive surgery.] UgeskrLaeger 2008;170:624-629.
22. Stefanidis D, Korndorffer JR Jr, Markley S, Sierra R, Heniford BT, Scott DJ. Closing the gap in operative performance between novices and experts: does harder mean better for laparoscopic simulator training? J Am Coll Surg 2007;205:307-313.
23. Prabhu A, Smith W, Yurko YY, Acker C, Stefanidis D. Increased stress levels may explain the incomplete transfer of simulator-acquired skill to the operating room. Surgery 2010;147:640-645.
24. Derossis AM, Fried GM, Abrahamowicz M, Sigman HH, Barkun JS, Meakins JL. Development of a model for training and evaluation of laparoscopic skills. Am J Surg 1998;175:482-487.
25. Peters JH, Fried GM, Swanstrom LL, et al. Development and validation of a comprehensive program of education and assessment of the basic fundamentals of laparoscopic surgery. Surgery 2004;135:21-27.
26. Stefanidis D, Haluck R, Pham T, et al. Construct and face validity and task workload for laparoscopic camera navigation: virtual reality versus videotrainer systems at the SAGES Learning Center. Surg Endosc 2007;21:1158-1164.