1
|
Nazzari S, Grumi S, Ciotti S, Merusi I, Provenzi L, Gagliardi L. Determinants of emotional distress in neonatal healthcare professionals: An exploratory analysis. Front Public Health 2022; 10:968789. [PMID: 36249219 PMCID: PMC9556841 DOI: 10.3389/fpubh.2022.968789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 09/08/2022] [Indexed: 01/25/2023] Open
Abstract
Background High levels of mental health problems have been consistently reported among neonatal healthcare professionals. While studies suggest that personality, coping strategies and safety culture might contribute to the psychological wellbeing of healthcare professionals, they have not been systematically investigated in low-risk (i.e., neonatal wards; NWs) and high-risk (i.e., neonatal intensive care units; NICUs) neonatal contexts. The current study investigated potential predictors of professionals' emotional distress and whether they differ according to the work setting (i.e., NICUs vs. NWs). Methods Healthcare professionals (N = 314) from 7 level-3 (i.e., NICUs) and 6 level-2 (i.e., NWs) neonatal units in Tuscany were included. Emotional distress (i.e., anxiety, depression, psychosomatic, post-traumatic stress symptoms and emotional exhaustion), Behavioral Inhibition System (BIS) and Behavioral Approach System (BAS) sensitivity, coping strategies and safety culture were assessed through well-validated, self-reported questionnaires. Results Greater BIS/BAS sensitivity, avoidance coping strategies and a sub-dimension of safety culture (i.e., stress recognition) were significantly associated with greater risk of emotional distress, whereas job satisfaction emerged as a protective factor. Three specific profiles of professionals in term of personality, coping and safety culture were identified and further predicted emotional distress. Neonatal wards and NICUs personnel presented different associations between personality, coping and safety culture. Conclusion These findings highlighted significant modifiable contributors of neonatal mental healthcare professionals' wellbeing. Institutional initiatives that target these factors and, particularly, job satisfaction may promote professionals' emotional wellbeing and thus improve caring processes.
Collapse
Affiliation(s)
- Sarah Nazzari
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Serena Grumi
- Developmental Psychobiology Lab, IRCCS Mondino Foundation, Pavia, Italy
| | - Sabina Ciotti
- Division of Neonatology and Pediatrics, Ospedale Versilia, Viareggio, Italy,AUSL Toscana Nord Ovest, Pisa, Italy
| | - Ilaria Merusi
- Division of Neonatology and Pediatrics, Ospedale Versilia, Viareggio, Italy,AUSL Toscana Nord Ovest, Pisa, Italy
| | - Livio Provenzi
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy,Developmental Psychobiology Lab, IRCCS Mondino Foundation, Pavia, Italy,*Correspondence: Livio Provenzi
| | - Luigi Gagliardi
- Division of Neonatology and Pediatrics, Ospedale Versilia, Viareggio, Italy,AUSL Toscana Nord Ovest, Pisa, Italy
| |
Collapse
|
2
|
Gagliardi L, Grumi S, Gentile M, Cacciavellani R, Placidi G, Vaccaro A, Maggi C, Gambi B, Magi L, Crespin L, Memmini G, DeFilippo M, Verucci E, Malandra L, Mele L, Azzarà A, Provenzi L. The COVID-related mental health load of neonatal healthcare professionals: a multicenter study in Italy. Ital J Pediatr 2022; 48:136. [PMID: 35907872 PMCID: PMC9338560 DOI: 10.1186/s13052-022-01305-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 06/15/2022] [Indexed: 12/12/2022] Open
Abstract
Background The COVID-19 pandemic has dramatically affected healthcare professionals’ lives. We investigated the potential mental health risk faced by healthcare professionals working in neonatal units in a multicentre cross-sectional observational study. Methods We included all healthcare personnel of seven level-3 and six level-2 neonatal units in Tuscany, Italy. We measured the level of physical exposure to COVID-19 risk, self-reported pandemic-related stress, and mental health load outcomes (anxiety, depression, burnout, psychosomatic symptoms, and post-traumatic symptoms) using validated, self-administered, online questionnaires during the second pandemic wave in Italy (October 2020 to March 2021). Results We analyzed 314 complete answers. Scores above the clinical cutoff were reported by 91% of participants for symptoms of anxiety, 29% for post-traumatic symptoms, 13% for burnout, and 3% for symptoms of depression. Moreover, 50% of the participants reported at least one psychosomatic symptom. Pandemic-related stress was significantly associated with all the measured mental health load outcomes, with an Odds Ratio of 3.31 (95% confidence interval: 1.87, 5.88) for clinically relevant anxiety, 2.46 (1.73, 3.49) for post-traumatic symptoms, 1.80 (1.17, 2.79) for emotional exhaustion, and 2.75 (1.05, 7.19) for depression. Female health care professionals displayed a greater risk of anxiety, and male health care professionals and nurses, of depressive symptoms. Conclusions Despite the low direct clinical impact of COVID-19 in newborns, neonatal professionals, due to both living in a situation of uncertainty and personal exposure to contacts with parents and other relatives of the newborns, and having to carry out activities once routine and now fraught with uncertainty, displayed clear signs of mental health load outcomes. They must be considered a specific population at risk for psychological consequences during the pandemic.
Collapse
Affiliation(s)
- Luigi Gagliardi
- Division of Neonatology and Pediatrics, Versilia Hospital, Azienda USL Toscana Nord Ovest, Viareggio, Pisa, Italy.
| | - Serena Grumi
- Developmental Psychobiology Research Center , IRCCS Fondazione Mondino, Pavia, Italy
| | - Marzia Gentile
- Division of Neonatology, Azienza Ospedaliero-Universitaria di Pisa, Pisa, Italy
| | - Roberta Cacciavellani
- Division of Neonatology and Pediatrics, Versilia Hospital, Azienda USL Toscana Nord Ovest, Viareggio, Pisa, Italy
| | - Giulia Placidi
- Division of Neonatology and Pediatrics, Versilia Hospital, Azienda USL Toscana Nord Ovest, Viareggio, Pisa, Italy
| | - Angelina Vaccaro
- Division of Neonatology and Pediatrics, Ospedale San Luca, AUSL Toscana NordOvest, Lucca, Italy
| | - Claudia Maggi
- Division of Neonatology and Pediatrics, Ospedale Lotti, AUSL Toscana NordOvest, Pontedera, Pisa, Italy
| | - Beatrice Gambi
- Division of Neonatology, Ospedale San Giovanni di Dio, AUSL Toscana Centro, Florence, Italy
| | - Letizia Magi
- Division of Neonatology and Pediatrics, Ospedale San Donato, AUSL Toscana Sud Est, Arezzo, Italy
| | - Laura Crespin
- Division of Neonatology and Pediatrics, Ospedale di Barga, AUSL Toscana Nord Ovest, Barga, Pisa, Italy
| | - Graziano Memmini
- Division of Neonatology and Pediatrics, Nuovo Ospedale Apuano, AUSL Toscana NordOvest, Massa, Pisa, Italy
| | - Marcello DeFilippo
- Division of Neonatology and Pediatrics, Ospedale di Grosseto, AUSL Toscana Sud Est, Grosseto, Italy
| | - Elena Verucci
- Division of Neonatology and Pediatrics, Ospedale di Livorno, AUSL Toscana Nord Ovest, Livorno, Pisa, Italy
| | - Liliana Malandra
- Division of Neonatology and Pediatrics, Ospedale di Cecina, AUSL Toscana Nord Ovest, Cecina, Pisa, Italy
| | - Laura Mele
- Division of Neonatology and Pediatrics, Ospedale di Prato, AUSL Toscana Centro, Prato, Florence, Italy
| | - Angelo Azzarà
- Division of Neonatology, Azienda Ospedaliero-Universitaria Meyer, Florence, Italy
| | - Livio Provenzi
- Developmental Psychobiology Research Center , IRCCS Fondazione Mondino, Pavia, Italy.,Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| |
Collapse
|
3
|
Bouillon-Minois JB, Trousselard M, Pereira B, Schmidt J, Clinchamps M, Thivel D, Ugbolue UC, Moustafa F, Occelli C, Vallet G, Dutheil F. Protocol of the Study on Emergency Health Care Workers' Responses Evaluated by Karasek Questionnaire: The SEEK-Study Protocol. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:4068. [PMID: 33921527 PMCID: PMC8069162 DOI: 10.3390/ijerph18084068] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 04/02/2021] [Accepted: 04/03/2021] [Indexed: 12/12/2022]
Abstract
BACKGROUND Stress is a significant public health concern that can be self-evaluated using the job control demands model from Karasek. Emergency health care workers are particularly exposed to stress because of the intrinsic characteristics associated with the job (i.e., life-threatening emergencies, overcrowding, lack of bed spaces). However, these attributes have never been studied using the Karasek model. METHODS An observational, prospective, multicentric study in French Emergency Departments will be conducted using a cohort of emergency health care workers. Four questionnaires before a control day and after a nightshift will be assessed every 5 years in the same emergency departments. Also, the Karasek questionnaire, a sociodemographic questionnaire, the Maslach Burnout Inventory scale, the Hospital Anxiety, Depression Scale, and a food intake questionnaire will be evaluated. Salivary biomarkers (cortisol, immunoglobulin A, lysozyme) will be collected from every emergency health care worker who consents to participating in the study. CONCLUSION This study will provide a point of care for the emergency health care workers' stress situation every 5 years. Ethics: This protocol was registered in Clinical Trials under the identification NCT02401607 after the French Ethics Committee's approval.
Collapse
Affiliation(s)
- Jean-Baptiste Bouillon-Minois
- Emergency Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France; (J.S.); (F.M.)
- LaPSCo, Université Clermont Auvergne, CNRS, 63000 Clermont-Ferrand, France; (G.V.); (F.D.)
| | - Marion Trousselard
- French Armed Forces Biomedical Research Institute, BP73, 91223 Brétigny-sur-Orge, France;
- APEMAC/EPSAM, EA 4360, Ile du Saulcy, BP 30309, 57006 Metz, France
| | - Bruno Pereira
- Clinical Research and Innovation Direction, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France;
| | - Jeannot Schmidt
- Emergency Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France; (J.S.); (F.M.)
| | - Maelys Clinchamps
- Occupational and Environmental Medicine, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France;
| | - David Thivel
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Université Clermont Auvergne, 63000 Clermont-Ferrand, France;
| | - Ukadike Chris Ugbolue
- Institute for Clinical Exercise & Health Science, University of the West of Scotland, Glasgow G720LH, UK;
- Department of Biomedical Engineering, University of Strathclyde, Glasgow G1 1XQ, UK
| | - Farès Moustafa
- Emergency Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France; (J.S.); (F.M.)
| | - Céline Occelli
- Emergency Department, CHU Nice, 06000 Nice, France;
- Emergency Department, Université Côte d’Azur, 06000 Nice, France
| | - Guillaume Vallet
- LaPSCo, Université Clermont Auvergne, CNRS, 63000 Clermont-Ferrand, France; (G.V.); (F.D.)
| | - Frédéric Dutheil
- LaPSCo, Université Clermont Auvergne, CNRS, 63000 Clermont-Ferrand, France; (G.V.); (F.D.)
- Occupational and Environmental Medicine, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France;
| |
Collapse
|