Article ; Online: Caring Advanced Cancer Patients at Home During COVID-19 Outbreak: Burnout and Psychological Morbidity Among Palliative Care Professionals in Italy.
Journal of pain and symptom management
2020 Volume 61, Issue 2, Page(s) e4–e12
Abstract: ... to investigate the impact of COVID-19 pandemic on burnout and psychological morbidity among home PCPs in Italy ... Context: Providing palliative care (PC) at home for patients with advanced cancer has become ... essential during the COVID-19 emergency. Nevertheless, the home PC professionals (PCPs) faced a challenging ...
| Abstract | Context: Providing palliative care (PC) at home for patients with advanced cancer has become essential during the COVID-19 emergency. Nevertheless, the home PC professionals (PCPs) faced a challenging situation because of increased number of discharged patients, reduced availability of health-care facilities, and physical/relational barriers between them and patients. Objectives: This study aimed to investigate the impact of COVID-19 pandemic on burnout and psychological morbidity among home PCPs in Italy. Methods: One hundred and ninety-eight PC physicians and nurses working in home assistance in Italy were invited to participate. The results obtained by the investigation conducted during the COVID-19 emergency (COVID2020) were compared with data collected in 2016 in the same setting (BURNOUT2016). The questionnaires (socio-demographics, Maslach Burnout Inventory and General Health Questionnaire-12) were the same for both the surveys. The PCPs participating in COVID2020 survey (n = 145) were mostly the same (70%) who participated in the BURNOUT2016 study (n = 179). Results: One hundred and forty-five PCPs participated in the study (response rate 73.2%). During the COVID-19 emergency, home PCPs presented a lower burnout frequency (P < .001) and higher level of personal accomplishment than in 2016 (P = .047). Conversely, the risk for psychological morbidity was significantly higher during the pandemic (P < .001). Conclusions: In the age of COVID-19, the awareness of being at the forefront of containing the pandemic along with the sense of responsibility toward their high-risk patients may arouse PCPs' psychological distress, but, on the other hand, this condition may improve their sense of professional satisfaction and personal accomplishment. |
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| MeSH term(s) | Adult ; Attitude of Health Personnel ; Burnout, Professional/epidemiology ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/transmission ; Fear/psychology ; Female ; Home Care Services/organization & administration ; Humans ; Italy ; Male ; Middle Aged ; Neoplasms/therapy ; Palliative Care/organization & administration ; Psychological Distress ; Surveys and Questionnaires | |||||
| Language | English | |||||
| Publishing date | 2020-11-27 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 639142-4 | |||||
| ISSN | 1873-6513 ; 0885-3924 | |||||
| ISSN (online) | 1873-6513 | |||||
| ISSN | 0885-3924 | |||||
| DOI | 10.1016/j.jpainsymman.2020.11.026 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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