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Angela Tolotti
Nursing Development and Research Unit, Oncology Institute of Southern Switzerland (IOSI), EOC, Bellinzona, Switzerland

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Review
Published: 04 September 2020 in International Journal of Public Health
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Objectives During a pandemic, healthcare workers (HCWs) are essential to the health system response. Based on our knowledge, little information is available regarding the psychosocial impact on HCWs or interventions for supporting them during pandemics. Therefore, the study aimed to assess available literature on perceived stress and psychological responses to influenza pandemics in HCWs and identify implications for healthcare practice and future research. Methods This is a rapid review of the literature. The review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis. Results Across all the studies—both qualitative and quantitative—HCWs working during the epidemic reported frequent concerns regarding their own health and the fear of infecting their families, friends and colleagues. Moreover, social isolation, uncertainty, fears of stigmatization and reluctance to work or considering absenteeism were frequently reported. Moreover, many studies highlighted a high prevalence of high levels of stress, anxiety and depression symptoms, which could have long-term psychological implications in HCWs. Conclusions This rapid review offers an overview of the major concerns regarding HCWs’ psychosocial well-being and possible preventive strategies, which could be useful for the current COVID-19 outbreak and similar future pandemics. Studies suggested to invest on preventive psychological, social, family and physical support and to guaranteeing reasonable work conditions and others in order to protect HCWs from the long-lasting psychological effect of the COVID-19 pandemic.

ACS Style

Serena Barello; Anna Falcó-Pegueroles; Debora Rosa; Angela Tolotti; Guendalina Graffigna; Loris Bonetti. The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review. International Journal of Public Health 2020, 65, 1205 -1216.

AMA Style

Serena Barello, Anna Falcó-Pegueroles, Debora Rosa, Angela Tolotti, Guendalina Graffigna, Loris Bonetti. The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review. International Journal of Public Health. 2020; 65 (7):1205-1216.

Chicago/Turabian Style

Serena Barello; Anna Falcó-Pegueroles; Debora Rosa; Angela Tolotti; Guendalina Graffigna; Loris Bonetti. 2020. "The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review." International Journal of Public Health 65, no. 7: 1205-1216.

Journal article
Published: 20 June 2020
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Due to the ageing of cancer patients, new approaches that require a more active participation in the self-management of cancer treatment at home are needed. Nurses are strategic in improving the patient’s engagement capability in this regard. Knowing which interventions are more effective for the promotion of patient engagement could be useful to improve the effectiveness of the care provided. Therefore, this study aims to systematically review nursing interventions or programs that promote patient engagement in oncological nursing care and summarizing the main evidence related to their impact on relevant clinical and psychosocial outcomes. This is a systematic review and meta-analysis protocol based on Cochrane Handbook for the systematic review of interventions. We will search the most important electronic databases (PUBMED, CINAHL, EMBASE, SCOPUS, ISI Web of Science, Cochrane library) to find out which patient engagement interventions (active adult patient involvement) are implemented in oncological settings and understand what is the effectiveness of these interventions on the outcomes reported in the literature. The GRADE methodology will be used to synthetize the evidence. If possible, also a meta-analysis will be performed. We registered the study protocol on the PROSPERO database (N° CRD42020146189). To our knowledge, this is the first systematic review to address this clinical question in the field of oncology. This review will offer health professionals indications on the most frequently adopted patient engagement interventions and verify their clinical effectiveness. Furthermore, any gaps in the scientific literature will be highlighted. (www.actabiomedica.it)

ACS Style

Loris Bonetti; Angela Tolotti; Dario Valcarenghi; Guendalina Graffigna; Tiziana Nania; Davide Sari; Paola Ferri; Serena Barello. Nurses’ interventions to promote cancer patient engagement and related outcomes: a systematic review and meta-analysis protocol. 2020, 91, 65 -70.

AMA Style

Loris Bonetti, Angela Tolotti, Dario Valcarenghi, Guendalina Graffigna, Tiziana Nania, Davide Sari, Paola Ferri, Serena Barello. Nurses’ interventions to promote cancer patient engagement and related outcomes: a systematic review and meta-analysis protocol. . 2020; 91 (Suppl 6):65-70.

Chicago/Turabian Style

Loris Bonetti; Angela Tolotti; Dario Valcarenghi; Guendalina Graffigna; Tiziana Nania; Davide Sari; Paola Ferri; Serena Barello. 2020. "Nurses’ interventions to promote cancer patient engagement and related outcomes: a systematic review and meta-analysis protocol." 91, no. Suppl 6: 65-70.

Journal article
Published: 26 February 2019 in Sustainability
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Burnout negatively affects nurses’ health and performance. Healthcare managers have an ethical duty to create healthy organizations that reduce burnout, especially within critical settings such as oncology. The aim of this study was twofold: (1) to measure the presence of nurses’ burnout to formulate organizational strategies to prevent the syndrome onset, and (2) to evaluate the effect of recent organizational changes on the burnout phenomenon. A descriptive, cross-sectional design supported by a systemic organizational analysis was conducted in a Swiss Oncology Institute in 2013. Of 103 nurses working in the Institute, 52 (51.4%) completed the Burnout Potential Inventory (BPI) questionnaire. Data were analyzed using descriptive statistics and Mann–Whitney and Kruskal–Wallis tests. Burnout risk levels were low to moderate. Only 2 nurses out of the 52 showed moderate burnout risk levels. Inpatient nurses showed a higher risk of burnout than outpatient nurses, particularly due to ambiguity and feelings of powerlessness. Nurses with post-basic education showed a higher risk when considering poor teamwork values and ambiguity in the workplace. Poor middle-management was found to negatively influence worker wellbeing. The working environment set by management resulted in low burnout risk levels. Managers must carefully select middle-management because inappropriate leadership might promote the onset of burnout.

ACS Style

Loris Bonetti; Angela Tolotti; Dario Valcarenghi; Carla Pedrazzani; Serena Barello; Greta Ghizzardi; Guendalina Graffigna; Davide Sari; Monica Bianchi. Burnout Precursors in Oncology Nurses: A Preliminary Cross-Sectional Study with a Systemic Organizational Analysis. Sustainability 2019, 11, 1246 .

AMA Style

Loris Bonetti, Angela Tolotti, Dario Valcarenghi, Carla Pedrazzani, Serena Barello, Greta Ghizzardi, Guendalina Graffigna, Davide Sari, Monica Bianchi. Burnout Precursors in Oncology Nurses: A Preliminary Cross-Sectional Study with a Systemic Organizational Analysis. Sustainability. 2019; 11 (5):1246.

Chicago/Turabian Style

Loris Bonetti; Angela Tolotti; Dario Valcarenghi; Carla Pedrazzani; Serena Barello; Greta Ghizzardi; Guendalina Graffigna; Davide Sari; Monica Bianchi. 2019. "Burnout Precursors in Oncology Nurses: A Preliminary Cross-Sectional Study with a Systemic Organizational Analysis." Sustainability 11, no. 5: 1246.