Abstract ID: 61
Authors:
Maryam Kalhoro (Presenter)
Shadab Kalhoro (Presenter)
Hui Nee Au Yong
Abdelhak Senadjki
Affiliations:
Institute of Business Administration, University of Sindh, Jamshoro; Faculty of Business & Finance, Universiti Tunku Abdul Rahman, Kampar, Perak, Malaysia; Faculty of Data Science and Information Technology (FDSIT), INTI International University, Nilai, Malaysia.
Abstract:Background: Surgical complications not only endanger patient outcome but also traumatize the involved surgeons emotionally, psychologically, and socially. These “second victims” often endure lasting stress that may impair their well-being and follow-up clinical performance. The psychosocial impacts of this problem, however, remain under-explored in low- and middle-income settings. Objectives: The research seeks to investigate the emotional and behavioral impact of surgical complications on practicing surgeons, pinpoints contributory psychosocial risk factors, and examines how coping mechanism usage influences outcomes. It also determines the interrelationship among the primary variables using structural modeling. Materials and Methods: Guided by evidence from 19 relevant studies, the study assessed emotional responses such as guilt, worry, and withdrawal and behavioral adaptations such as hyper-cautious practice and avoidance. Utilizing the application of SmartPLS, a structural model was developed for assessing the effect of complication severity, institutional support, emotional resilience, and coping mechanisms on surgeons’ well-being. Results: The research identified that younger, less experienced, and work-life balance-compromised surgeons were most vulnerable to adverse emotional responses. Severe complications significantly predicted depressive symptoms and behavioral changes. The structural model confirmed that institutional support and adaptive coping significantly enhanced emotional resilience (p < 0.001), while repressive behaviors indicated poorer outcomes. Conclusions: Surgical complications place a major psychosocial load on surgeons that is underestimated in policy and training materials. Solutions aimed at emotional preparedness, peer support networks, and organizational compassion are the key. These findings offer a blueprint for international surgical systems to improve their safeguarding and empowerment of their surgical staff, thus improving provider well-being and patient safety.
Keywords: Mental Health, Surgeon Mental Health, Second Victim, Surgical Complications, Emotional Resilience, SmartPLS, Coping Behavior, Global Surgery
