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  1. Article ; Online: Treatment preferences of patients with erectile dysfunction: a systematic review of randomized controlled trials.

    Manfredi, Celeste / Franco, Antonio / Ditonno, Francesco / Mathur, Raman / Franco, Giorgio / Lombardo, Riccardo / Russo, Giorgio I / DE Cillis, Sabrina / Fiori, Cristian / Arcaniolo, Davide / Antonelli, Alessandro / Autorino, Riccardo / DE Sio, Marco / DE Nunzio, Cosimo

    Minerva urology and nephrology

    2024  Volume 76, Issue 1, Page(s) 42–51

    Abstract: ... of RCTs were selected (S). The data were presented in a narrative fashion. The risk of bias (RoB) was ...

    Abstract Introduction: Patients' treatment preferences (PTP) depend on the complex interaction of numerous patient- and treatment-related factors; their assessment can guide therapy and promote compliance of patients with erectile dysfunction (ED). We aimed to systematically describe the literature evaluating the treatment preferences of patients with ED, published in the last 25 years.
    Evidence acquisition: A comprehensive bibliographic search of multiple databases was conducted in June, 2023. The literature search was limited to the articles published since 1998. Articles were deemed eligible if they described male patients with ED (P) undergoing treatment for this condition (I) compared with other treatments, placebo or sham therapy (C), and reported PTP (O). Only randomized controlled trials (RCTs) and post-hoc analyses of RCTs were selected (S). The data were presented in a narrative fashion. The risk of bias (RoB) was evaluated using the RoB 2 tool and the Mulhall-Montorsi model.
    Evidence synthesis: A total 14 RCTs evaluating 6,841 patients and 4 post-hoc analyses of RCTs were included. All RCTs were considered to be at high RoB. No validated tool was used to investigate PTP. Sildenafil was the most frequently evaluated ED treatment (9 RCTs). Sildenafil was chosen over placebo by 78-100% of subjects and over ICI in 70% of patients due to its easier route of administration. No significant difference in patient preference was recorded between Sildenafil tablets and orodispersible (53% vs. 47%, P>0.05). Tadalafil was preferred over Sildenafil by 66-73% of patients (P<0.05), mainly because it allowed an erection long after taking the drug (55-67%). Tadalafil as-needed was chosen over Tadalafil 3 times/week by 57-59% of the patients (P<0.05).
    Conclusions: The available RCTs support the preference of ED patients for Sildenafil over ICI, Tadalafil over Sildenafil, and Tadalafil as-needed over Tadalafil 3 times/week. However, these findings should be considered at high RoB.
    MeSH term(s) Humans ; Male ; Erectile Dysfunction/drug therapy ; Randomized Controlled Trials as Topic ; Sildenafil Citrate/therapeutic use ; Tadalafil/therapeutic use ; Patient Preference
    Chemical Substances Sildenafil Citrate (BW9B0ZE037) ; Tadalafil (742SXX0ICT)
    Language English
    Publishing date 2024-03-01
    Publishing country Italy
    Document type Systematic Review ; Journal Article
    ZDB-ID 3062840-4
    ISSN 2724-6442
    ISSN (online) 2724-6442
    DOI 10.23736/S2724-6051.23.05552-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Conference proceedings: Comparison between endoscopic ultrasound-guided radiofrequency ablation and surgical resection for pancreatic insulinoma: a single-center, retrospective analysis

    de Andreis, F. Borrelli / De Sio, D. / Quero, G. / Mascagni, P. / Boskoski, I. / Alfieri, S. / Spada, C. / Attili, F.

    Endoscopy

    2023  Volume 55, Issue S 02

    Event/congress ESGE Days 2023, Dublin, Ireland, 2023-04-20
    Language English
    Publishing date 2023-04-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/s-0043-1765123
    Database Thieme publisher's database

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  3. Article ; Online: Work-Related Stress Questionnaire: confirmatory factor analysis for construct validation by the PHRASI study.

    Cedrone, F / Stacchini, L / La Torre, G / Berselli, N / De Nicolò, V / Caminiti, M / Ancona, A / Minutolo, G / Mazza, C / Cosma, C / Gallinoro, V / Catalini, A / Gianfredi, V / Nieto, H / Stansfeld, S A / Perri, R / Buomprisco, G / De Sio, S

    European review for medical and pharmacological sciences

    2024  Volume 28, Issue 1, Page(s) 392–401

    Abstract: Objective: The purpose of this study is to validate the 13-item version of the Work-Related Stress Questionnaire (WRSQ) on a representative sample of Italian public health residents.: Materials and methods: The WRSQ was administered as part of the ... ...

    Abstract Objective: The purpose of this study is to validate the 13-item version of the Work-Related Stress Questionnaire (WRSQ) on a representative sample of Italian public health residents.
    Materials and methods: The WRSQ was administered as part of the Public Health Residents' Anonymous Survey in Italy (PHRASI) from 14 June to 26 July 2022. Collinearity between each questionnaire item was assessed with Kendall's τ statistic. The latent factors identified associating similar items based on the authors' observations were workplace, job demand, support and unpleasant workplace. Goodness-of-fit was assessed with confirmatory factor analysis calculating: Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), Root Mean Square Error of Approximation (RMSEA), Standardized Root-Mean-Residual (SRMR). Cronbach's alpha (α) and Omega McDonald (ω) were calculated to evaluate the reliability of the questionnaire. R 4.2.2 was used to perform the analyses.
    Results: 379 Public Health residents (58% women) responded to the questionnaire. No significant collinearity was found between the items (τ range -0.31 to 0.49). Confirmatory Factor Analysis showed CFI = 0.975, TLI = 0.967, RMSEA = 0.041 and SRMR = 0.051. Internal consistency of the WRSQ Total Score was α = 0.80 and ω = 0.85.
    Conclusions: Although validated in a sectorial subpopulation of healthcare workers, the WRSQ proved to be an excellent tool for assessing work-related stress. Unpleasant workplace latent factors showed lower factor loading and internal consistency than others. This could be due to the fact that topics investigated with unpleasant workplace items (e.g., abuse and discrimination) are experienced on a less regular basis than the ones assessed through the other items.
    MeSH term(s) Humans ; Female ; Male ; Public Health ; Reproducibility of Results ; Surveys and Questionnaires ; Occupational Stress ; Factor Analysis, Statistical ; Italy ; Psychometrics
    Language English
    Publishing date 2024-01-18
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 605550-3
    ISSN 2284-0729 ; 1128-3602 ; 0392-291X
    ISSN (online) 2284-0729
    ISSN 1128-3602 ; 0392-291X
    DOI 10.26355/eurrev_202401_34928
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Single port robot-assisted radical and simple prostatectomy: a systematic review and meta-analysis.

    Franco, Antonio / Ditonno, Francesco / Manfredi, Celeste / Pellegrino, Antony A / Licari, Leslie Claire / Bologna, Eugenio / Feng, Carol / Antonelli, Alessandro / De Sio, Marco / De Nunzio, Cosimo / Porpiglia, Francesco / Cherullo, Edward E / Kaouk, Jihad / Crivellaro, Simone / Autorino, Riccardo

    Prostate cancer and prostatic diseases

    2024  

    Abstract: ... retrospective original articles were included (S). A meta-analysis of comparative studies between SP-RARP and MP ... and lower rate of de novo urinary incontinence when compared to other techniques, while no differences ...

    Abstract Background: Aim of our study was to review the current evidence on single port robot-assisted radical prostatectomy (SP-RARP) and SP robot-assisted simple prostatectomy (SP-RASP) procedures.
    Methods: A comprehensive bibliographic search on multiple databases was conducted in July 2023. Studies were included if they assessed patients with non-metastatic prostate cancer or candidate for benign prostatic hyperplasia surgery (P) who underwent SP-RARP or SP-RASP, respectively, (I), compared or not with other surgical techniques (C), evaluating perioperative, oncological, or functional outcomes (O). Prospective and retrospective original articles were included (S). A meta-analysis of comparative studies between SP-RARP and MP-RARP was performed.
    Results: A total of 21 studies investigating 1400 patients were included in our systematic review, 18 were related to SP-RARP while 3 to SP-RASP. Only 8 comparative studies were eligible for meta-analysis. Mean follow-up was 8.1 (±5.8) months. Similar outcomes were observed for SP-RARP and MP-RARP in terms of operative time, catheterization time, pain score, complications rate, continence and potency rates, positive surgical margin, and biochemical recurrence. Length of hospital stay was shorter in the SP group after sensitivity analysis (WMD -0.58, 95% IC -1.17 to -0.9, p < 0.05). Subgroup analysis by extraperitoneal approach did not show any statistical difference, except for a lower positive margins rate in the SP extraperitoneal technique compared to MP-RARP. Overall, SP-RASP exhibited shorter hospital stay and lower rate of de novo urinary incontinence when compared to other techniques, while no differences were reported in terms of postoperative International Prostate Symptom Score, post void residual and maximum flow.
    Conclusions: Overall comparable oncological, functional, and perioperative outcomes can be achieved with SP platform. Subgroup analysis by different approaches did not reveal significant variations in outcomes. However, the retrospective nature of the studies, the limited follow-up, and the relatively small sample size of selected Centers may impact these results.
    Language English
    Publishing date 2024-01-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1419277-9
    ISSN 1476-5608 ; 1365-7852
    ISSN (online) 1476-5608
    ISSN 1365-7852
    DOI 10.1038/s41391-024-00787-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Pharmacists' mental health during the SARS-CoV-2 pandemic in Italy.

    Buomprisco, G / Cedrone, F / Vitali, M / Protano, C / Cammalleri, V / Pocino, R N / Perri, R / Lapteva, E / De Sio, S

    European review for medical and pharmacological sciences

    2022  Volume 26, Issue 11, Page(s) 4140–4147

    Abstract: Objective: The year 2020 was characterized by the outbreak of a new pandemic caused by a novel coronavirus named SARS-CoV-2. To face the pandemic, many countries worldwide imposed general lockdowns, closing all non-essential businesses. As primary care ... ...

    Abstract Objective: The year 2020 was characterized by the outbreak of a new pandemic caused by a novel coronavirus named SARS-CoV-2. To face the pandemic, many countries worldwide imposed general lockdowns, closing all non-essential businesses. As primary care services, pharmacies had to remain open, thus putting pharmacy staff at significant risk of viral infection and overwork. This study aimed to assess the mental health of Italian Pharmacists, considering demographic and occupational characteristics, lifestyle, and habits, during the SARS-CoV-2 outbreak and the subsequent lockdown period (March-May 2020).
    Materials and methods: A web-based survey was created using Google® Forms to collect data from March 30, 2020, to June 1, 2020. The questionnaire consisted of three sections investigating: (1) demographic and occupational variables, (2) lifestyle and habits variables, (3) psychological distress and perceived well-being.
    Results: A total of 401 participants completed the questionnaire. Older workers and those with more work experience reported more psychological stress. Older and female workers, who felt lonely at home and reported psychological stress, perceived poor well-being.
    Conclusions: Our findings demonstrate that the Sars-CoV-2 outbreak and subsequent lockdown rules affected pharmacists' mental health and that it is important to put in place preventive measures against the occurrence of mental disorders among them.
    MeSH term(s) COVID-19/epidemiology ; Communicable Disease Control ; Female ; Humans ; Italy/epidemiology ; Mental Health ; Pandemics/prevention & control ; Pharmacists ; SARS-CoV-2
    Language English
    Publishing date 2022-06-22
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 605550-3
    ISSN 2284-0729 ; 1128-3602 ; 0392-291X
    ISSN (online) 2284-0729
    ISSN 1128-3602 ; 0392-291X
    DOI 10.26355/eurrev_202206_28987
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Anterior colporrhaphy and sacrospinous hysteropexy in women with pelvic organ prolapse: Urodynamic findings and functional outcomes.

    Balsamo, Raffaele / Uricchio, Francesco / Costantini, Elisabetta / De Sio, Marco / Illiano, Ester / Arcaniolo, Davide / Domizio, Stefano / D'Afiero, Alessandro

    European journal of obstetrics, gynecology, and reproductive biology

    2022  Volume 271, Page(s) 255–259

    Abstract: ... months (range 6-24). Q max significantly improved compared with baseline (21.1 ± 7.3 vs 12.3 ± 7.1 ml/s ... months after surgery, DO was detected in only eleven women (17.7%) (p < 0.0001), with no de novo cases ... with no de novo cases. BOO was observed in only eight (12.9%) patients postoperatively compared with 51 ...

    Abstract Objectives: Aim of this study was to evaluate urodynamic effects and functional outcomes after anterior colporrhaphy and bilateral sacrospinous hysteropexy (SSH) in patients with stages II-IV pelvic organ prolapse (POP).
    Study design: This is a single-centre prospective study. Sixty-two women affected by anterior/central compartment prolapse of stage II-IV u ndergoing anterior colporrhaphy and bilateral SSH were recruited from our pelvic center. The preoperative evaluation included history, clinical examination, uroflowmetry and urodynamic studies (UDS). Six months after surgery, all patients performed UDS, completed the Urogenital Distress Inventory (UDI)-6, the Incontinence Impact Questionnaire (IIQ-7) and the Patient Global Impression of Improvement (PGI-I) questionnaire.
    Results: Median follow-up study was 11 months (range 6-24). Q max significantly improved compared with baseline (21.1 ± 7.3 vs 12.3 ± 7.1 ml/s; p = 0.005) and the percentage of patients with PVR > 30% of premicturitional bladder volume significantly decreased (33.3% vs 11.1%; p = 0.001). At baseline, 24 (38.7%) women had typical phasic DO. Six months after surgery, DO was detected in only eleven women (17.7%) (p < 0.0001), with no de novo cases. Thirteen (21%) women reported SUI preoperatively which persisted in 5 patients (8.1%) after surgery, with no de novo cases. BOO was observed in only eight (12.9%) patients postoperatively compared with 51 (82.3%) at baseline (p < 0.0001). At last follow up visit, the UDI-6 and IIQ-7 total median scores improved significantly (p < 0.001).
    Conclusions: Combination of anterior colporrhaphy and bilateral SSH in women with advanced POP provides good functional outcomes, as demonstrated by the urodynamic findings before and after surgery.
    MeSH term(s) Female ; Follow-Up Studies ; Humans ; Pelvic Organ Prolapse/surgery ; Prospective Studies ; Surgical Mesh ; Treatment Outcome ; Urodynamics
    Language English
    Publishing date 2022-02-24
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 190605-7
    ISSN 1872-7654 ; 0301-2115 ; 0028-2243
    ISSN (online) 1872-7654
    ISSN 0301-2115 ; 0028-2243
    DOI 10.1016/j.ejogrb.2022.02.027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Extra-auditory effects of noise exposure in school workers and preventive measures: a systematic review.

    De Sio, S / Perri, R / Durel Tchaptchet, F / Buomprisco, G / Mucci, N / Cedrone, F / Traversini, V / Arcangeli, G / Nataletti, P / La Torre, G

    European review for medical and pharmacological sciences

    2023  Volume 27, Issue 4, Page(s) 1467–1473

    Abstract: Objective: Noise is still today one of the main causes of occupational diseases; in fact, in Italy in the three-year period 2019-2022, hearing loss represented 15% of all occupational diseases recognized by the National Institute for Insurance against ... ...

    Abstract Objective: Noise is still today one of the main causes of occupational diseases; in fact, in Italy in the three-year period 2019-2022, hearing loss represented 15% of all occupational diseases recognized by the National Institute for Insurance against Accidents at Work. The extra-auditory effects related to noise exposure also require particular attention, because they can interfere with mental activities that require concentration, memory and ability to deal with complex problems, causing sleep and learning disorders. For this reason, acoustic comfort is considered a fundamental requirement for obtaining an optimal degree of well-being in closed environments. In schools, a high degree of noise pollution not only makes it difficult for students to listen and learn, but also affects school workers. The aim of this study was to perform a systematic review of international literature and analysis of the preventive measures of extra-auditory effects among school workers.
    Materials and methods: The presentation of this systematic review is in accordance with the PRISMA statement. The methodological quality of the selected studies was assessed with specific rating tools (INSA, Newcastle Ottawa Scale, JADAD, JBI scale and AMSTAR). Only publications in English were selected. No restrictions were applied for the publication type. We excluded articles not concerned with the extra-auditory effects of noise exposure in school workers and preventive measures, findings of less academic significance, editorial articles, individual contributions, and purely descriptive studies published in scientific conferences.
    Results: Online research indicated 4,363 references: PubMed (2,319), Scopus (1,615) and Cochrane Library (429) have been consulted; 30 studies were included in this review (5 narrative or systematic reviews and 25 original articles). Regarding the scores of narrative reviews, the INSA score showed an average and a median value of 6.5, thus indicating an intermediate/high quality of the studies. Regarding the scores of systematic reviews, the AMSTAR score showed an average of 6.7 and a median and a modal value of 6, thus indicating a high quality of the studies. The scores assigned to the original articles have an average and median value of 7 and a modal value of 6 and this demonstrates an intermediate/high quality of the studies.
    Conclusions: We can assume that, as it is highlighted by this study, to date these consequences are not considered at the legislative level for the protection of exposed workers. The extra-auditory effects impacting health afterward environmental noise exposure are many and widespread. Therefore, there is a need for interventions to be carried out by institutions and that the physician of the schools, during health surveillance, investigates the effects and clinical manifestations, in order to prevent disorders and deficits highlighted by our study.
    MeSH term(s) Humans ; Deafness ; Environmental Exposure ; Occupational Diseases ; Schools
    Language English
    Publishing date 2023-03-05
    Publishing country Italy
    Document type Systematic Review ; Journal Article
    ZDB-ID 605550-3
    ISSN 2284-0729 ; 1128-3602 ; 0392-291X
    ISSN (online) 2284-0729
    ISSN 1128-3602 ; 0392-291X
    DOI 10.26355/eurrev_202302_31386
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Telework and its effects on mental health during the COVID-19 lockdown.

    De Sio, S / Cedrone, F / Nieto, H A / Lapteva, E / Perri, R / Greco, E / Mucci, N / Pacella, E / Buomprisco, G

    European review for medical and pharmacological sciences

    2021  Volume 25, Issue 10, Page(s) 3914–3922

    Abstract: Objective: During the Covid-19 pandemic, many governments promoted the adoption and development of telework to reduce some of the consequences of the current health crisis on the economy and favor social distancing. The aim of this web-based cross- ... ...

    Abstract Objective: During the Covid-19 pandemic, many governments promoted the adoption and development of telework to reduce some of the consequences of the current health crisis on the economy and favor social distancing. The aim of this web-based cross-sectional study was to assess the consequences of the Covid-19 pandemic on job organization, exploring the effects of lockdown measures on the psychological distress and perceived well-being of workers experiencing telework.
    Subjects and methods: A web-based cross-sectional survey has been used to collect data. The participants answered the questionnaire from April 1 to April 30, 2020. The questionnaire consisted of three sections, which investigated: 1) demographic and occupational variables, 2) lifestyle and habits variables, 3) psychological distress and perceived well-being. The General Health Questionnaire (GHQ-12) has been used to evaluate psychological distress and the 5-item World Health Organization Well-Being Index (WHO-5) to explore subjective well-being.
    Results: Psychological distress was associated with educational level, with habits, and with reporting poor well-being. Poor well-being was associated with a higher job demand during pandemic, lifestyle and habits variables, and psychological distress.
    Conclusions: This is one of the first studies exploring the consequences of the COVID-19 pandemic and lockdown measures on the perceived well-being and psychological distress of workers experiencing telework. It is mandatory to pay more and more attention to the mental health of teleworkers, considering the increasing diffusion and adoption of this type of work organization.
    MeSH term(s) Adult ; COVID-19/pathology ; COVID-19/virology ; Cross-Sectional Studies ; Female ; Humans ; Life Style ; Logistic Models ; Male ; Mental Health ; Middle Aged ; SARS-CoV-2/isolation & purification ; Stress, Psychological ; Surveys and Questionnaires ; Teleworking
    Language English
    Publishing date 2021-06-17
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 605550-3
    ISSN 2284-0729 ; 1128-3602 ; 0392-291X
    ISSN (online) 2284-0729
    ISSN 1128-3602 ; 0392-291X
    DOI 10.26355/eurrev_202105_25961
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Work-Related Stress Questionnaire (WRSQ): a new tool to assess psychosocial risks at workplaces.

    De Sio, S / Cedrone, F / Perri, R / Nieto, H A / Greco, E / Buomprisco, G / Stansfeld, S

    La Clinica terapeutica

    2020  Volume 171, Issue 4, Page(s) e316–e320

    Abstract: Introduction: Work-related stress (WRS) can harm both physical and mental health but it shouldn't only be considered in its negative sense. The evaluation of WRS cannot be separated from the analysis of the subjective perception of workers, usually made ...

    Abstract Introduction: Work-related stress (WRS) can harm both physical and mental health but it shouldn't only be considered in its negative sense. The evaluation of WRS cannot be separated from the analysis of the subjective perception of workers, usually made by questionnaires. The aim of this pre-pilot study is to identify a new questionnaire capable of exploring as many psychosocial risk domains as possible and with a high internal consistency.
    Material and methods: A first version of the questionnaire was administered to a convenience sample selected on a voluntary basis; both socio-demographic and work-related data were collected. A single item test was conducted on a group of 50 workers in order to assess whether the questions were confusing and to understand if they could be improved. The study sample completed the questionnaire at time 1 and time 2 (after 3 days). The 33-item version of the questionnaire was web-based in Google Form. Cronbach's alpha and Pearson's r were calculated.
    Results: The analysis of the 33-item questionnaire at time 1 shows an excellent reliability with Cronbach's alpha coefficients of 0.93. At time 2 Cronbach's alpha coefficients was 0.94. Based on the test-retest score, the items with the highest scores were selected as part of the final version of the questionnaire (10-item). The reliability of this 10-items version is high with a Cronbach's alpha coefficients of 0.86 both at time 1 and at time 2. Two items have been chosen to explore the "emotional demand" and "dealing with technology".
    Conclusions: The pre-pilot study provided a questionnaire with high reliability and high repeatability. In its final version, the questionnaire investigates different psychosocial risk domains and represents a possible useful tool for assessing worker's exposure to them. The Authors reserve to administer the questionnaire to a larger population.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Occupational Stress/diagnosis ; Patient Health Questionnaire ; Pilot Projects ; Psychology ; Psychometrics ; Reproducibility of Results ; Workplace
    Language English
    Publishing date 2020-07-02
    Publishing country Italy
    Document type Evaluation Study ; Journal Article
    ZDB-ID 123320-8
    ISSN 1972-6007 ; 0009-9074
    ISSN (online) 1972-6007
    ISSN 0009-9074
    DOI 10.7417/CT.2020.2235
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Bullying at work and work-related stress in healthcare workers: a cross sectional study.

    De Sio, S / Cedrone, F / Buomprisco, G / Perri, R / Nieto, H A / Mucci, N / Greco, E

    Annali di igiene : medicina preventiva e di comunita

    2020  Volume 32, Issue 2, Page(s) 109–116

    Abstract: Background: Bullying is a serious and growing problem affecting a significant proportion of healthcare professionals, a professional category exposed to work-related stress. Workplace bullying has been defined as a set of negative behaviours consisting ... ...

    Abstract Background: Bullying is a serious and growing problem affecting a significant proportion of healthcare professionals, a professional category exposed to work-related stress. Workplace bullying has been defined as a set of negative behaviours consisting in harassment, offense or negative influence on work that are directed to the members of the organization and that occur regularly and repeatedly over a period, becoming part of the context of work.
    Study design: We performed a cross-sectional study using the HSE questionnaire and defining the sample size considering the number of healthcare workers of a big hospital and then calculating it with EpiInfo™ software. 191 people have been enrolled.
    Methods: The study was divided into three steps. The first one to identify, among the workers, those who were exposed to bullying at work and those who were not. The second one has been aimed at assessing the presence of work-related stress through the administration of the HSE questionnaire. The third step has been aimed at performing the statistical analysis of the data. For each single domain explored by the questionnaire the score obtained was treated as a linear variable and the median and interquartile range (IQR) was calculated. After, a non-parametric analysis (Wilcoxon rank-sum test) was performed in order to define the statistical significance of the observed differences.
    Results: All the 191 questionnaires were self-administered by the Health Care Workers under study and correctly filled in without any multiple or missing responses. Considering the scores obtained to question n. 21, that investigates "bullying at work", we obtained two groups: High-Exposure Group (total, males and females), and Low-Exposure Group (total, males and females). In the High-Exposure Group, two critical domains were found: Demands and Control (total, male and female samples). The differences with the Low-Exposure Group were statistically significant. In the Low-Exposure Group the critical domain was Manager Support (total and female samples). The differences with the High Exposure Group were not statistically significant.
    Conclusion: This study aimed to show how the exposure to bullying can influence the perception of psychosocial risks. It seems that the workers most exposed to bullying also have worse scores on the HSE questionnaire, particularly for two domains: Demands and Control. That is consistent with the most recent scientific literature.
    MeSH term(s) Bullying/statistics & numerical data ; Cross-Sectional Studies ; Female ; Health Personnel ; Humans ; Male ; Occupational Stress/epidemiology ; Surveys and Questionnaires
    Language English
    Publishing date 2020-01-12
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1018045-x
    ISSN 1120-9135 ; 0029-6287
    ISSN 1120-9135 ; 0029-6287
    DOI 10.7416/ai.2020.2335
    Database MEDical Literature Analysis and Retrieval System OnLINE

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