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1. Kiss, Christopher William. The Influence of Windows on Surgeons' Stress.

Degree: PhD, Planning, Development, and Preservation, 2019, Clemson University

Surgeons endure a significant amount of mental stress while operating in complex and intense surgical environments. In the United States, most operating rooms are windowless spaces that rely on artificial lighting and mechanical ventilation. Surgeons spend much of their day in these surgical environments with little access to exterior views or daylight. There is a growing body of occupational health research that supports the therapeutic benefits of views and daylight in various non-surgical work environments. It is reasonable to consider that windows in operating rooms may mitigate surgeon mental stress and consequently improve surgeon occupational health. This study used a quasi-experimental strategy with an equivalent time samples study design to understand how window access may influence surgeon mental stress in a real operating room setting. Measures of surgeon mental stress from pairs of observed surgical procedures were compared with and without the window treatment. Surgeon mental stress was assessed with a combination of physiological and subjective measures to include momentary stress questionnaires, high-frequency component of heart rate intervals, salivary cortisol, and general stress surveys. Observational measures of surgeon task lighting levels and surgeon gaze direction were considered in the analysis. The study outcomes provide a better understanding of how window access may influence surgeon mental stress in the operating room. Furthermore, this study showed how clinical research methods might be adapted to investigate features of the built environment. Advisors/Committee Members: Dr. Dina Battisto, Committee Chair, Dr. Vincent Blouin, Dr. Patrick Gerard, Dr. James McCubbin.

Subjects/Keywords: Surgeon Mental Stress; Window View; Daylight; Operating Room; Environmental Design

…108 5.3.3. (Outcome) Measures of Surgeon Mental Stress… …96 Table 5.1: Operationalized Measures of Surgeon Mental Stress… …Anderson, 2016). To date, the benefit of window access to decrease surgeon mental stress has… …exterior view in the operating room setting will reduce surgeon mental stress. Findings from… …to daylight in the operating room setting will reduce surgeon mental stress. Ambient and… 

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Kiss, C. W. (2019). The Influence of Windows on Surgeons' Stress. (Doctoral Dissertation). Clemson University. Retrieved from https://tigerprints.clemson.edu/all_dissertations/2481

Chicago Manual of Style (16th Edition):

Kiss, Christopher William. “The Influence of Windows on Surgeons' Stress.” 2019. Doctoral Dissertation, Clemson University. Accessed November 29, 2020. https://tigerprints.clemson.edu/all_dissertations/2481.

MLA Handbook (7th Edition):

Kiss, Christopher William. “The Influence of Windows on Surgeons' Stress.” 2019. Web. 29 Nov 2020.

Vancouver:

Kiss CW. The Influence of Windows on Surgeons' Stress. [Internet] [Doctoral dissertation]. Clemson University; 2019. [cited 2020 Nov 29]. Available from: https://tigerprints.clemson.edu/all_dissertations/2481.

Council of Science Editors:

Kiss CW. The Influence of Windows on Surgeons' Stress. [Doctoral Dissertation]. Clemson University; 2019. Available from: https://tigerprints.clemson.edu/all_dissertations/2481

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