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Article: Preventing Shift Work Disorder in Shift Health-care Workers.

d'Ettorre, Gabriele / Pellicani, Vincenza

2020 Volume 11, Issue 2, Page(s) 244–247

Abstract: The occurrence of the shift work disorder (SWD) in health-care workers (HCWs) employed in 24/7 hospital wards is a major concern through the world. In accordance with literature, SWD is the most frequent work-related disturb in HCWs working on shift ... ...

Abstract	The occurrence of the shift work disorder (SWD) in health-care workers (HCWs) employed in 24/7 hospital wards is a major concern through the world. In accordance with literature, SWD is the most frequent work-related disturb in HCWs working on shift schedules including night shift. In agreement with the Luxembourg Declaration on workplace health promotion (WHP) in the European Union, a WHP program has been developed in a large Hospital, involving both individual-oriented and organizational-oriented measures, with the aim to prevent the occurrence of SWD in nurses working on shifts including night shift. The objective assessment of rotating shift work risk and the excessive sleepiness were detected before and after the implementation of the WHP program, by using the Rotating Shiftwork-questionnaire and the Epworth Sleepiness Scale. The findings of this study showed the effectiveness of the implemented WHP program in minimizing the impact of shift work on workers' health and in preventing the misalignment between sleep-wake rhythm and shift working.
Language	English
Publishing date	2020-04-08
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	2592798-X
ISSN	2093-7997 ; 2093-7911
ISSN (online)	2093-7997
ISSN	2093-7911
DOI	10.1016/j.shaw.2020.03.007
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Article ; Online: Occupational health surveillance of healthcare workers during COVID 19 pandemic: a narrative review.

D'Ettorre, Gabriele / Pellicani, Vincenza / Muratore, Massimo / Ceccarelli, Giancarlo

Acta bio-medica : Atenei Parmensis

2022 Volume 93, Issue 1, Page(s) e2022007

Abstract: Background and aims: Current literature has increasingly highlighted the risk of spreading the SARS-COV-2 infection in healthcare settings and showed the need for occupational health surveillance of HCWs during the current epidemiological emergency from ...

Abstract	Background and aims: Current literature has increasingly highlighted the risk of spreading the SARS-COV-2 infection in healthcare settings and showed the need for occupational health surveillance of HCWs during the current epidemiological emergency from COVID-19, as a preventive measure to minimize the spread of the infection. The purpose of this narrative review was to evaluate the literature and discover what the latest developments are about the management of the occupational health surveillance of healthcare workers (HCWs) during COVID-19 pandemic. Methods: We searched for publications in MEDLINE, Pubmed and Google Scholar using selected keywords. Each article was reviewed and categorized into one or more of the following three categories based on its subject matter: early diagnosis of COVID-19 in HCWs, detection of worker susceptibility to severe COVID-19, medical examination of HCWs returning to work after COVID-19. Results: Selected articles showed the RT-PCR test for Sars-CoV-2 as the gold standard to enable rapid identification of infected HCWs; an effective schedule of occupational health surveillance allows the identification of the susceptibility of the workers to severe Covid-19 and protect HCWs returning to work from the disease. Conclusions: The findings of the present narrative review show the need to strenghten the occupational health surveillance of HCWs during the current COVID-19 pandemic, with the aim not only to contain the spread of the infection in healthcare settings, but also to protect HCWs coming back to work after the disease.
MeSH term(s)	COVID-19 ; Health Personnel ; Humans ; Occupational Health ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2022-03-14
Publishing country	Italy
Document type	Journal Article ; Review
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v93i1.10277
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Article: Occupational Risk for Coronary Artery Disease in Shift Workers - A Systematic Review.

D'Ettorre, Gabriele / Piscitelli, Prisco / Pellicani, Vincenza / Tornese, Roberta / Ceccarelli, Giancarlo / D'Ettorre, Gabriella / La Torre, Giuseppe

La Medicina del lavoro

2024 Volume 115, Issue 2, Page(s) e2024015

Abstract: Background: Coronary artery disease (CAD) prevention in shift workers (SWs) poses a significant challenge worldwide, as CAD remains a major cause of mortality and disability. In the past, SWs were found at higher risk of CAD than non-s SWs. Nevertheless, ...

Abstract	Background: Coronary artery disease (CAD) prevention in shift workers (SWs) poses a significant challenge worldwide, as CAD remains a major cause of mortality and disability. In the past, SWs were found at higher risk of CAD than non-s SWs. Nevertheless, the pathogenic mechanism between shift work and CAD to date is unclear. This systematic review aims to enhance understanding of the risk of CAD occurrence in SWs. Methods: A systematic literature review was conducted from January 2013 to December 2023. MEDLINE/Pubmed databases were used initially, and additional relevant studies were searched from references. Shift work was defined as any schedule outside traditional shifts, including the night shift. Results: Fifteen pertinent papers were categorized into risk assessment or risk management. Findings demonstrated an increased risk of CAD among SWs compared to non-SWs, with an increased CAD risk observed for both shift work and night shift work. Discussion: Duration-response associations indicate that greater shift exposure is linked to higher CAD risk. SWs incur an increased risk of CAD through the atherosclerotic process. As shift work duration increases as the risk of atherosclerosis is higher, workers demonstrate a higher prevalence and severity of coronary artery plaques. Conclusions: The evidence-based results underscore the increased risk of CAD in SWs and are sufficient for proposing guidelines aimed at reducing the risk of CAD in SWs and at managing people with CAD in return to work characterized by disrupted circadian rhythms.
MeSH term(s)	Humans ; Coronary Artery Disease/epidemiology ; Coronary Artery Disease/etiology ; Shift Work Schedule/adverse effects ; Occupational Diseases/epidemiology ; Occupational Diseases/etiology ; Risk Factors ; Risk Assessment ; Work Schedule Tolerance
Language	English
Publishing date	2024-04-24
Publishing country	Italy
Document type	Systematic Review ; Journal Article
ZDB-ID	123678-7
ISSN	0025-7818
ISSN	0025-7818
DOI	10.23749/mdl.v115i2.15532
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Article ; Online: Post-traumatic stress disorder symptoms in healthcare workers: a ten-year systematic review.

D'Ettorre, Gabriele / Pellicani, Vincenza / Ceccarelli, Giancarlo

Acta bio-medica : Atenei Parmensis

2020 Volume 91, Issue 12-S, Page(s) e2020009

Abstract: Background and aims: Healthcare workers (HCWs) employed in hospital settings frequently experience many occupational stressors leading to post-traumatic stress disorder (PTSD) symptoms. Literature has increasingly highlighted PTSD as a major issue that ... ...

Abstract	Background and aims: Healthcare workers (HCWs) employed in hospital settings frequently experience many occupational stressors leading to post-traumatic stress disorder (PTSD) symptoms. Literature has increasingly highlighted PTSD as a major issue that involves both staff and healthcare organizations; the consequences of PTSD may include medication errors and lower standards of care. The current COVID-19 pandemic poses the need for preventing PTSD in HCWs working closely with COVID-19 patients. The purpose of this systematic review was to analyze the latest developments in assessing and managing the occupational risk of PTSD symptoms in hospital HCWs. Methods: We searched for publications in MEDLINE/Pubmed using selected keywords. Each article was reviewed and categorized into one or more of the following four categories based on its subject matter: risk assessment, risk management and occurrence rates. Results: Our search resulted in a total of 32 publications that matched our inclusion criteria. Increased years of service, older age, previous year exposure to violence, personality traits (i.e. neuroticism), history of mental disorders, being non-graduates, were found to be workers' pre-trauma factors predicting PTSD symptoms. Conclusions: The findings suggest the need to prioritize preventative interventions aimed to anticipate the effects of traumatic exposure by training HCWs in evidence based anticipatory methods of coping with stressful events. With regard to the current COVID-19 pandemic, we found evidence of the need to strength social support and training targeted at psychological skills of medical staff who treated COVID-19 patients.
MeSH term(s)	Age Factors ; Exposure to Violence ; Health Personnel/psychology ; Humans ; Mental Disorders/complications ; Personality ; Risk Factors ; Stress Disorders, Post-Traumatic/etiology
Language	English
Publishing date	2020-11-30
Publishing country	Italy
Document type	Journal Article ; Systematic Review
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v91i12-S.9459
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Article ; Online: Job stress and needlestick injuries in nurses: a retrospective observational study.

D'Ettorre, Gabriele / Pellicani, Vincenza / Greco, Mariarita

Acta bio-medica : Atenei Parmensis

2020 Volume 91, Issue 2-S, Page(s) 45–49

Abstract: Background: The prevention of needlestick injuries (NSIs) in nurses employed in Emergency Departments (EDs) represents a special issue for healthcare organizations globally. Stressful working conditions, lack of organizational arrangements and lack of ... ...

Abstract	Background: The prevention of needlestick injuries (NSIs) in nurses employed in Emergency Departments (EDs) represents a special issue for healthcare organizations globally. Stressful working conditions, lack of organizational arrangements and lack of supporting one another at work, may contribute to increase the risk of NSIs. Methods: We conducted an observational study to analyze: 1) the effectiveness of organizational interventions to minimize the occurrence of NSIs in ED nurses; 2) to measure the impact of such interventions on the safety budget. Results: The occurrence of NSIs detected after organizational level interventions was significantly lower than the occurrence observed previously such interventions (p<0,05). By results, cost saving from managing fewer NSIs than the previous period was found. Conclusion: The study shows that the proactive, integrated and comprehensive management of organizational features at workplace brings benefits to employees and reduces the burden of the occurrence of NSIs. As result of the reduced NSIs frequency, the overall costs for follow-up of injured workers were reduced. (www.actabiomedica.it).
MeSH term(s)	Adult ; Education, Nursing, Continuing ; Emergency Nursing/education ; Emergency Service, Hospital/organization & administration ; Female ; Health Expenditures ; Humans ; Incidence ; Italy/epidemiology ; Male ; Middle Aged ; Needlestick Injuries/economics ; Needlestick Injuries/epidemiology ; Needlestick Injuries/prevention & control ; Needlestick Injuries/psychology ; Nurses/psychology ; Occupational Health/education ; Occupational Stress/complications ; Occupational Stress/prevention & control ; Patient Care Team ; Quality Improvement ; Retrospective Studies ; Safety Management
Language	English
Publishing date	2020-03-13
Publishing country	Italy
Document type	Journal Article ; Observational Study
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v91i2-S.8824
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Article: Workplace Violence Toward Mental Healthcare Workers Employed in Psychiatric Wards.

d'Ettorre, Gabriele / Pellicani, Vincenza

Safety and health at work

2017 Volume 8, Issue 4, Page(s) 337–342

Abstract: Background: Workplace violence (WPV) against healthcare workers (HCWs) employed in psychiatric inpatient wards is a serious occupational issue that involves both staff and patients; the consequences of WPV may include increased service costs and lower ... ...

Abstract	Background: Workplace violence (WPV) against healthcare workers (HCWs) employed in psychiatric inpatient wards is a serious occupational issue that involves both staff and patients; the consequences of WPV may include increased service costs and lower standards of care. The purpose of this review was to evaluate which topics have been focused on in the literature and which are new in approaching the concern of patient violence against HCWs employed in psychiatric inpatient wards, in the past 20 years. Methods: We searched for publications in PubMed and Web of Science using selected keywords. Each article was reviewed and categorized into one or more of the following four categories based on its subject matter: risk assessment, risk management, occurrence rates, and physical/nonphysical consequences. Results: Our search resulted in a total of 64 publications that matched our inclusion criteria. The topics discussed, in order of frequency (from highest to lowest), were as follows: "risk assessment," "risk management," "occurrence rates," and "physical/nonphysical consequences." Schizophrenia, young age, alcohol use, drug misuse, a history of violence, and hostile-dominant interpersonal styles were found to be the predictors of patients' violence. Conclusion: Risk assessment of violence by patients appeared the way to effectively minimize the occurrence of WPV and, consequently, to better protect mental HCWs. We found paucity of data regarding psychologic sequelae of WPV. According to these findings, we suggest the need to better investigate the psychologic consequences of WPV, with the aim of checking the effective interventions to assist HCW victims of violence and to prevent psychologic illness.
Language	English
Publishing date	2017-02-06
Publishing country	Korea (South)
Document type	Journal Article ; Review
ZDB-ID	2592798-X
ISSN	2093-7997 ; 2093-7911
ISSN (online)	2093-7997
ISSN	2093-7911
DOI	10.1016/j.shaw.2017.01.004
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Article ; Online: Assessing and preventing low back pain in nurses. Implications for practice management.

D'Ettorre, Gabriele / Vullo, Annamaria / Pellicani, Vincenza

Acta bio-medica : Atenei Parmensis

2019 Volume 90, Issue 6-S, Page(s) 53–59

Abstract: Background and aims: The prevention of low back pain (LBP) among nurses employed in hospital departments represents a special concern for healthcare organizations globally. A growing literature evidences the need of workplace policy development related ... ...

Abstract	Background and aims: The prevention of low back pain (LBP) among nurses employed in hospital departments represents a special concern for healthcare organizations globally. A growing literature evidences the need of workplace policy development related to organizational issues as strategic contribution to minimize the occurrence of LBP in healthcare sector. The purposes of this study were: 1) to analyze the relationship between shiftwork and acute LBP among female shift nurses; 2) to detect preventive interventions targeted on organizational issues. Methods: The authors conducted a cross-sectional nested case-control analysis of data concerning acute LBP and staffing data for 671 nurses employed in the Departments of General Practice and Elderly Care Medicine. The statistical analysis consisted of a logistic regression to calculate incidence odds ratios with 95% confidence intervals. Chi-square test and t-test were used to examine the relationship between categorical and continuous data, respectively. Results: The occurrence of acute LBP resulted significantly related to nightshift, extended shifts, obesity; the adoption of forward rotating schedules was found a protective factor in moderating the occupational risk of acute LBP in shift nurses. Conclusions: In this study the authors observed an association between shiftwork and acute LBP; improvement interventions should be aimed at: 1) moderating organizational risks linked with shiftwork schedules; 2) promoting healthy lifestyles. These interventions are suggested as a strategic way to effectively manage the phenomenon among female rotating shift nurses.
MeSH term(s)	Adult ; Case-Control Studies ; Cross-Sectional Studies ; Female ; Healthy Lifestyle ; Humans ; Low Back Pain/diagnosis ; Low Back Pain/prevention & control ; Middle Aged ; Nurses ; Occupational Diseases/diagnosis ; Occupational Diseases/prevention & control ; Shift Work Schedule
Language	English
Publishing date	2019-07-08
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v90i6-S.8228
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Article ; Online: Workplace violence against healthcare workers in Emergency Departments. A case-control study.

D'Ettorre, Gabriele / Pellicani, Vincenza / Vullo, Annamaria

Acta bio-medica : Atenei Parmensis

2019 Volume 90, Issue 4, Page(s) 621–624

Abstract: Background and aim: Assessment and management of workplace violence (WPV) towards healthcare workers (HCWs) employed in Emergency Departments (EDs) represents a challenge for healthcare organizations worldwide. To date there is a lack of scientific data ...

Abstract	Background and aim: Assessment and management of workplace violence (WPV) towards healthcare workers (HCWs) employed in Emergency Departments (EDs) represents a challenge for healthcare organizations worldwide. To date there is a lack of scientific data about the impact of work-shifts on the occurrence of WPV against ED HCWs. The purpose of this study was to investigate the relationship between work shift schedules and WPV against registered nurses (RNs) working on non-traditional shifts, including nights and 12-hour shifts. Methods: The authors conducted a cross-sectional nested case-control analysis of data regarding the episodes of WPV perpetrated by patients or their relatives against RNs employed in three EDs, in the period between January -December 2017. Results: The one-year incidence of WPV was 29,30 per 100 Full Time Equivalent (FTE) positions. Cumulative nightshifts were significant for 3 or more nightshifts compared to working less than 3 nightshifts during the 7 days before the episodes of WPV; additionally, RNs working 9 or more night-shifts showed higher risk of experiencing WPV compared to RNs working less than 4 night-shifts in the previous 28 days. Conclusion: In the present study shift work and WPV occurrence against ED RNs resulted interconnected; improvement interventions aimed at preventing the WPV should consider the characteristics of work shift schedules with the purposes of: 1) limiting the night shifts up to two per week and up eight per month; 2) adopting constant forward-rotating shift schedules. (www.actabiomedica.it).
MeSH term(s)	Adult ; Case-Control Studies ; Cross-Sectional Studies ; Emergency Service, Hospital ; Female ; Humans ; Male ; Middle Aged ; Nurses ; Nursing Staff, Hospital ; Shift Work Schedule/statistics & numerical data ; Workplace Violence/statistics & numerical data
Language	English
Publishing date	2019-12-23
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v90i4.7327
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Article: Gender assessment of job stress in healthcare workers. Implications for practice.

D'Ettorre, Gabriele / Pellicani, Vincenza / Vullo, Annamaria

La Medicina del lavoro

2019 Volume 110, Issue 1, Page(s) 22–28

Abstract: Background: Work-related stress (WRS) in the healthcare sector is a major issue for both workers and organizations. To date, no consensus exists regarding differences in gender susceptibility to WRS in healthcare workers (HCWs).: Objectives: The ... ...

Abstract	Background: Work-related stress (WRS) in the healthcare sector is a major issue for both workers and organizations. To date, no consensus exists regarding differences in gender susceptibility to WRS in healthcare workers (HCWs). Objectives: The purpose of this study was to analyze how male and female HCWs employed in emergency departments experienced WRS. Methods: A cross-sectional study was conducted regarding the perception of WRS in registered nurses employed in emergency departments. The Italian version of the Job Content Questionnaire and the Rapid Stress Assessment scale were administrated to 710 registered nurses. Results: The WRS assessment showed that significantly more females than males were in a situation of isostrain (18.5% vs 9.8% p<0,05). In females, low social support was associated with high levels of job strain (18,5% vs 4,4% p<0,05). Conclusion: This study reflects the need for a gender-specific approach in the evaluation of WRS in the healthcare sector, and is consistent with literature that evidenced gender differences in the perception of WRS. Lack of social support proved to be a determinant of WRS in female HCWs. Organizational interventions aimed at providing a more suitable workgroup design are required in order to minimize WRS in female HCWs.
MeSH term(s)	Cross-Sectional Studies ; Female ; Health Personnel ; Humans ; Italy ; Male ; Occupational Stress ; Sex Factors ; Stress, Psychological ; Surveys and Questionnaires
Language	English
Publishing date	2019-02-22
Publishing country	Italy
Document type	Journal Article
ZDB-ID	123678-7
ISSN	0025-7818
ISSN	0025-7818
DOI	10.23749/mdl.v110i1.7421
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Article: Shift work sleep disorder and job stress in shift nurses: implications for preventive interventions.

D'Ettorre, Gabriele / Pellicani, Vincenza / Caroli, Anna / Greco, Mariarita

La Medicina del lavoro

2020 Volume 111, Issue 3, Page(s) 195–202

Abstract: Background: A growing literature has revealed a relationship between shift-work, including night-shift, and the disturbance of sleep-wake cycle, leading to insomnia and/or increased daytime sleepiness in shift nurses; recent findings showed an ... ...

Abstract	Background: A growing literature has revealed a relationship between shift-work, including night-shift, and the disturbance of sleep-wake cycle, leading to insomnia and/or increased daytime sleepiness in shift nurses; recent findings showed an association between shift work sleep disorders and distress, work accidents, decreased job performance and, consequently, lower quality of health service provision and lower standards of care. Objectives: To analyze across the gender how shift nurses experience shift work sleep disorders and job stress. Methods: A cross-sectional study was performed following the STROBE Statement. The Italian version of the Job Content Questionnaire, the Bergen Insomnia Scale and the Epworth Sleepiness Scale were administered to the registered nurses employed in three Departments of General Practice and Elderly Care Medicine. Results: No significant association was found between high job strain and insomnia and daytime sleepiness. Significantly more women than men experienced high job strain, insomnia and daytime sleepiness; among women the level of social support was significantly and negatively associated with insomnia and daytime sleepiness. Conclusions: The findings of this study suggest that interventions aimed to prevent shift work sleep disorder and job stress in shift-nurses should incorporate the assessment of social support across the gender. Moreover, longitudinal studies are required to evaluate the effectiveness of interventions targeted on social support to minimize the occurrence of insomnia and daytime sleepiness in shift nurses.
MeSH term(s)	Adult ; Cross-Sectional Studies ; Female ; Humans ; Italy ; Male ; Nurses/psychology ; Occupational Stress ; Sleep Disorders, Circadian Rhythm ; Stress, Psychological ; Surveys and Questionnaires ; Work Schedule Tolerance
Language	English
Publishing date	2020-06-26
Publishing country	Italy
Document type	Journal Article
ZDB-ID	123678-7
ISSN	0025-7818
ISSN	0025-7818
DOI	10.23749/mdl.v111i3.9197
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