BEYOND THE OPERATING ROOM: A PHENOMENOLOGICAL STUDY OF THE EMOTIONAL, COGNITIVE, AND PROFESSIONAL IMPACT OF SURGICAL COMPLICATIONS ON NEUROSURGERY RESIDENTS

Abstract

Background: Surgical complications are an unavoidable part of neurosurgical training and can have serious effects on both patients and doctors. While much research focuses on clinical outcomes, less attention has been given to how these events affect residents emotionally, mentally, and professionally, especially in low- and middle-income countries.

Objective: This study aims to explore the emotional, cognitive, and professional impact of surgical complications on neurosurgery residents.

Methods: A qualitative phenomenological approach was used to understand the lived experiences of neurosurgery residents. Participants were selected through purposive sampling. Data were collected using in-depth, semi-structured interviews and analyzed using Colaizzi’s method to identify key themes.

Results: Residents reported strong emotional responses such as guilt, anxiety, and fear after complications. They also described changes in thinking, including deep reflection, increased caution, and sometimes defensive practice. These experiences affected their professional identity, leading to both growth and ongoing stress. Support from supervisors and a positive institutional culture helped residents cope better, while lack of support increased distress.

Conclusion: Surgical complications have a deep and lasting impact on neurosurgery residents beyond technical training. Addressing emotional and professional challenges through structured support and open discussion can improve both resident well-being and the quality of surgical training