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  1. Article ; Online: Perceptions of COVID-19 Vaccines

    Paola Boragno / Elena Fiabane / Irene Taino / Marina Maffoni / Valentina Sommovigo / Ilaria Setti / Paola Gabanelli

    Vaccines, Vol 11, Iss 642, p

    Protective Shields or Threatening Risks? A Descriptive Exploratory Study among the Italian Population

    2023  Volume 642

    Abstract: Although several quantitative studies have explored vaccine hesitancy, qualitative research on the factors underlying attitudes toward vaccination is still lacking. To fill this gap, this study aimed to investigate the general perceptions of COVID-19 ... ...

    Abstract Although several quantitative studies have explored vaccine hesitancy, qualitative research on the factors underlying attitudes toward vaccination is still lacking. To fill this gap, this study aimed to investigate the general perceptions of COVID-19 vaccines among the Italian population with a qualitative approach. The sample included 700 Italian participants who completed an online survey. Open questions underwent a descriptive analysis for unveiling meaning categories, while differences in the prevalence of categories were calculated using chi-square or Fisher’s exact tests. Vaccination was associated with the following seven main themes: ‘safety’, ‘healthcare’, ‘vaccine delivery’, ‘progress’, ‘ambivalence’, ‘mistrust’, and ‘ethics’. Vaccinated individuals more frequently reported words related to the safety theme (χ 2 = 46.7, p < 0.001), while unvaccinated individuals more frequently reported words related to mistrust (χ 2 = 123, p < 0.001) and ambivalence (χ 2 = 48.3, p < 0.001) themes. Working in the healthcare sector and being younger than 40 years affected the general perceptions of vaccination in terms of pro-vaccine attitudes. Unvaccinated individuals were more affected by the negative experiences of their acquaintances and manifested more distrust of scientific researchers, doctors, and pharmaceutical companies than vaccinated individuals. These findings suggest promoting collaborative efforts of governments, health policymakers, and media sources, including social media companies, in order to deal with cognitions and emotions supporting vaccine hesitancy.
    Keywords vaccine hesitancy ; COVID-19 ; vaccines ; ambivalence ; safety ; infodemic ; Medicine ; R
    Subject code 333
    Language English
    Publishing date 2023-03-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: How Supportive Ethical Relationships Are Negatively Related to Palliative Care Professionals’ Negative Affectivity and Moral Distress

    Francisca Rego / Valentina Sommovigo / Ilaria Setti / Anna Giardini / Elsa Alves / Julliana Morgado / Marina Maffoni

    International Journal of Environmental Research and Public Health, Vol 19, Iss 3863, p

    A Portuguese Sample

    2022  Volume 3863

    Abstract: In the modern healthcare landscape, moral distress has become an increasingly common phenomenon among healthcare professionals. This condition is particularly prevalent among palliative care professionals who are confronted with bioethical issues in ... ...

    Abstract In the modern healthcare landscape, moral distress has become an increasingly common phenomenon among healthcare professionals. This condition is particularly prevalent among palliative care professionals who are confronted with bioethical issues in their daily practice. Although some studies described the effects of poor ethical climate and negative affectivity on moral distress, how these variables could be incorporated into a single model is still unclear. Thus, this study aims to investigate whether ethical relationships with the hospital could be related to the intensity and frequency of moral distress, both directly and as mediated by professionals’ negative affectivity. Sixty-one Portuguese palliative care professionals completed web-based self-report questionnaires. After exploring descriptive statistics, mediation analyses were performed using the partial least squares method. The results indicated that the presence of positive relationships with the hospital reduced the professionals’ negative affectivity levels. This, in turn, led palliative care professionals to experience a lower frequency and intensity of moral distress. Being a physician was positively associated with negative affectivity but not with the frequency of moral distress. Considering the protective role of ethical relationships with hospitals, health organizations could consider implementing interventions to improve hospitals’ ethical climate and provide staff with ethics training programs.
    Keywords moral distress ; ethical climate ; negative affectivity ; healthcare professionals ; Medicine ; R
    Subject code 170
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Moral Distress among Frontline Physicians and Nurses in the Early Phase of COVID-19 Pandemic in Italy

    Marina Maffoni / Elena Fiabane / Ilaria Setti / Sara Martelli / Caterina Pistarini / Valentina Sommovigo

    International Journal of Environmental Research and Public Health, Vol 19, Iss 9682, p

    2022  Volume 9682

    Abstract: During the COVID-19 health emergency, healthcare professionals faced several ethical demanding job stressors, becoming at particular risk of moral distress. To date, only a few scales have been developed to evaluate moral distress among frontline ... ...

    Abstract During the COVID-19 health emergency, healthcare professionals faced several ethical demanding job stressors, becoming at particular risk of moral distress. To date, only a few scales have been developed to evaluate moral distress among frontline professionals working in contact with COVID-19 patients. Moreover, although many healthcare professionals from various disciplines were converted to COVID-19 patient care, no study has yet analyzed whether the resulting change in duties might represent a risk factor for moral distress. Thus, this study aimed to investigate how and when the change in duties during the emergency would be related to healthcare professionals’ psycho-physical malaise. To this aim, a first Italian adaptation of the Stress of Conscience Questionnaire (SCQ) was provided. In total, 272 Italian healthcare professionals participated in this cross-sectional study. Healthcare professionals who had to perform tasks outside their usual clinical duties were more likely to experience moral distress and then psycho-physical malaise. This was particularly likely for those who were extremely concerned about becoming infected with the virus. The results also indicated that the Italian adaptation of the SCQ had a one-factor solution composed of six items. This study provides the first Italian adaptation of SCQ and practical suggestions on how supporting professionals’ well-being during emergencies.
    Keywords moral distress ; COVID-19 ; change in duties ; fear of being infected ; stress of conscience ; healthcare ; Medicine ; R
    Subject code 170
    Language English
    Publishing date 2022-08-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: The Role of Service Providers’ Resilience in Buffering the Negative Impact of Customer Incivility on Service Recovery Performance

    Valentina Sommovigo / Ilaria Setti / Piergiorgio Argentero

    Sustainability, Vol 11, Iss 1, p

    2019  Volume 285

    Abstract: In the service sector, customer-related social stressors may weaken employees’ well-being, impairing job-related outcomes. Drawing on the Conservation of Resources theory and on the psychology of sustainability, fostering personal resources become ... ...

    Abstract In the service sector, customer-related social stressors may weaken employees’ well-being, impairing job-related outcomes. Drawing on the Conservation of Resources theory and on the psychology of sustainability, fostering personal resources become critical to encourage service providers who can effectively manage such job demands. This study investigated how customer-related social stressors and customer orientation influence service recovery performance and whether resilience buffers the negative effects of customer incivility on service recovery performance. One hundred and fifty-seven Italian customer-contact employees completed a questionnaire analyzing customer incivility, customer-related social stressors, resilience, customer orientation, and service recovery performance. Regression analyses and SEMs were conducted. Although all customer-related social stressors indirectly and negatively influenced service recovery performance by increasing burnout symptoms, customer incivility only exerted a direct and detrimental impact on service recovery performance. Customer orientation was directly and positively associated with service recovery performance. Highly resilient employees were less affected by variations in service recovery performance across customer incivility levels. Within the psychology of sustainability framework, promoting resilient workplaces is crucial to foster healthy and sustainable work settings. Service organizations can greatly benefit from providing their employees with psychological resilience training programs, cultivating high customer-oriented attitudes through mentoring sessions, and hiring highly customer-oriented and resilient employees for customer-contact occupations.
    Keywords customer-related social stressors ; resilience ; customer orientation ; service recovery performance ; psychology of sustainability ; Environmental effects of industries and plants ; TD194-195 ; Renewable energy sources ; TJ807-830 ; Environmental sciences ; GE1-350
    Subject code 650
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: A journey through roses and thorns

    Marina Maffoni / Karin Olson / Julia Hynes / Piergiorgio Argentero / Ilaria Setti / Ines Giorgi / Anna Giardini

    Monaldi Archives for Chest Disease (2021)

    becoming a physician by learning from patients with life-threatening illnesses. A qualitative study with international medical students

    2021  

    Abstract: The medical students’ well-being may be threatened by various stressors associated with providing care to different kinds of patients. This study aims to explore students’ clinical experiences with patients who suffer from life-threatening illnesses, ... ...

    Abstract The medical students’ well-being may be threatened by various stressors associated with providing care to different kinds of patients. This study aims to explore students’ clinical experiences with patients who suffer from life-threatening illnesses, focusing on potential risk and protective factors. Audio-recorded and face-to-face interviews were conducted and transcribed verbatim. The “Interpretive Description” approach was used to analyse data. Overall, ten medical students with a mean age of 28 years old were interviewed. Well-being promoting factors were the following: therapeutic relationships, work-life balance, social support and communication, perception of improvement in knowledge and availability of advanced directives. Whilst factors that may reduce well-being included death exposure, managing emotions, communication difficulties, internal conflicts and disagreements, lack of knowledge and subjective concerns. These findings shed light on facets that are inherent parts of clinical experience with patients suffering from a life-threatening illness and that may turn in risk or protective factors for the medical students. Understanding the students’ subjective experiences may aid in the improvement of the current educational programs, as well as in the development of tailored supportive and preventative interventions to promote well-being and professional competencies among this kind of students.
    Keywords Medical student ; life-threatening illness ; risk and protective factors ; qualitative research ; interpretive description ; Medicine ; R
    Subject code 170
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Emotional dissonance and exhaustion among healthcare professionals

    Elena Fiabane / Paola Dordoni / Ilaria Setti / Ivana Cacciatori / Chiara Grossi / Caterina Pistarini / Piergiorgio Argentero

    International Journal of Occupational Medicine and Environmental Health, Vol 32, Iss 6, Pp 841-

    the role of the perceived quality of care

    2019  Volume 851

    Abstract: Objectives The aim of this exploratory study was to analyze the association between emotional dissonance and emotional exhaustion among healthcare professionals, and the mediating role of the perceived quality of care in this relationship. Material and ... ...

    Abstract Objectives The aim of this exploratory study was to analyze the association between emotional dissonance and emotional exhaustion among healthcare professionals, and the mediating role of the perceived quality of care in this relationship. Material and Methods Self-report questionnaires were administered to 724 healthcare workers. The measurement model was tested and the mediation hypothesis was verified through hierarchical multiple regression analyses. Bootstrapping was used to construct confidence intervals to evaluate the mediation effects. Results Emotional dissonance was significantly related to emotional exhaustion, and the perceived quality of care was negatively related to emotional exhaustion. The perceived quality of care had a partial mediating effect on the relationship between emotional dissonance and emotional exhaustion. Emotional dissonance had a significant effect on emotional exhaustion, and the perceived quality of care was a mediating factor in this relationship among healthcare professionals. Conclusions The management of the perceived quality of care may be helpful in the prevention of burnout and distress in the workplace. Int J Occup Med Environ Health. 2019;32(6):841–51
    Keywords exhaustion ; healthcare professionals ; work stressors ; emotional dissonance ; perceived quality of care ; burnout ; Medicine ; R
    Subject code 150 ; 360
    Language English
    Publishing date 2019-11-01T00:00:00Z
    Publisher Nofer Institute of Occupational Medicine
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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