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COVID-19 Emergency and Psychosocial Well-Being of Healthcare Professionals: A System-atic Literature Review
Journal Title: PSICOLOGIA DELLA SALUTE 
Author/s: Leda Marino, Cristina Curcio, Ilaria Marinaro, Morena Mosca, Vincenza Capone 
Year:  2021 Issue: Language: Italian 
Pages:  24 Pg. 76-99 FullText PDF:  283 KB
DOI:  10.3280/PDS2021-002006
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The emergency from COVID-19 places health organizations in front of a challenge and involves unprecedented work overload for healthcare workers. Doctors and nurses were bear-ing significantly increased workload in a consequent reorganization of the work with the shortage of protective equipment, isolation, and directly contacting with COVID-19 patients. This has a negative impact on performance and psychological well-being. This paper aimed at reviewing findings from the literature concerning the well-being and malaise of healthcare workers during the initial stage of the COVID- 19 malaise. Three main themes emerged from the analysis: (1) work-related stress and psychophysical malaise; (2) differences in the role and socio-demographic characteristics of healthcare workers; (3) training, support, and organi-zational learning. The studies focused on health workers’ stress and burnout without ever con-sidering, in a positive psychology perspective, the analysis of mental well-being levels. Differ-ences emerged between roles, age, and role. This systematic review highlights the need to de-velop practices to support healthcare workers involved in the COVID-19 emergency, also considering the differences in gender, role, and professional setting. Individual interventions to manage stress, group support, and an engaged organizational culture could help prevent psy-chosocial risks during the pandemic. Among the limitations, mainly cross-sectional studies and the inclusion of very different geographic realities and health organizations.
Keywords: COVID-19; health care workers; stress; burnout; training protocols; systematic literature review.

  1. Akkermans J., Richardson J. and Kraimer M. (2020). The Covid-19 crisis as a career shock: Implications for careers and vocational behavior. Journal of Vocational Behavior, 119 (103434).
  2. Avallone F. e Paplomatas A. (2005). Salute organizzativa. Psicologia del benessere nei contesti lavorativi [Organizational health. Psychology of well-being in the workplace]. Milano: Raffaello Cortina Editore.
  3. Bakker A.B. and Demerouti E. (2014). Job demands-resources theory. In Chen P.Y. and Cooper C.L. Work and Wellbeing: A Complete Reference Guide. Oxford, UK: Wiley Blackwell.
  4. Barello S. e Graffigna G. (2020). Caring for health professionals in the COVID-19 pandemic emergency: towards an “epidemic of empathy” in healthcare. Frontiers in Psychology, 11 (1431).
  5. Barello S., Palamenghi L. e Graffigna G. (2020). Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Research, 290 (113129).
  6. Borgogni L. e Consiglio C. (2005). Job burnout: evoluzione di un costrutto [Job Burnout: evolution of a construct]. Giornale Italiano di Psicologia, 1: 23-60., DOI: 10.1421/1969
  7. Brooks S.K., Webster R.K., Smith L.E., Woodland L., Wessely S., Greenberg N. and Rubin G.J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395 (10227): 912-920., DOI: 10.1016/S0140-6736(20)30460-
  8. Cai H., Tu B., Ma J., Chen L., Fu L., Jiang Y. and Zhuang Q. (2020). Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID‑19) in Hubei, China. Medical Science Monitor, 26., DOI: 10.12659/MSM.9241
  9. Cai W., Lian B., Song X., Hou T., Deng G. and Li H. (2020). A cross-sectional study on mental health among health care workers during the outbreak of Corona Virus Disease 2019. Asian Journal of Psychiatry, 51.
  10. Capone V. (2011). Percezioni di efficacia comunicativa e burnout dei medici ospedalieri [Perceived Communication Self-efficacy and burnout of hospital doctors]. Psicologia della Salute, 2: 29-47., DOI: 10.3280/PDS2011-00200
  11. Capone V. (2016). Patient communication self-efficacy, self-reported illness symptoms, physician communication style and mental health and illness in hospital outpatients. Journal of Health Psychology, 21 (7): 1271-1282., DOI: 10.1177/135910531455162
  12. Capone V. e Petrillo G. (2012). Senso di appartenenza degli infermieri all’azienda ospedaliera: relazioni con le percezioni di efficacia personale e collettiva e con il burnout [Nurses’ sense of belonging to the hospital: relationship with self-efficacy perceived collective efficacy and burnout]. Psicologia della Salute, 1: 15-38., DOI: 10.3280/PDS2012-00100
  13. Capone V. and Petrillo G. (2014). Patient’s Communication Perceived Self-efficacy Scale (PCSS): Construction and validation of a new measure in a socio-cognitive perspective. Patient Education and Counseling, 95 (3): 340-347.
  14. Capone V. and Petrillo G. (2015), Organizational efficacy, job satisfaction and well-being: The Italian adaptation and validation of Bohn organizational efficacy scale. Journal of Management Development, 34 (4): 374-394., DOI: 10.1108/JMD-01-2014-000
  15. Capone V., Petrillo G. e Romano A. (2013). La soddisfazione lavorativa e per la vita di medici e infermieri ospedalieri: relazioni con il senso di appartenenza all’azienda ospedaliera, le percezioni di efficacia collettiva e il sostegno sociale percepito [Life satisfaction of hospital’s doctors and nurse: relationships with sense of belonging and perceived social support]. Psicologia della Salute, 3: 15-130., DOI: 10.3280/PDS2013-00300
  16. Capone V., Caso D., Donizzetti A.R. and Procentese F. (2020). University Student Mental Well-Being during COVID-19 Outbreak: What Are the Relationships between Information Seeking, Perceived Risk and Personal Resources Related to the Academic Context? Sustainability, 17 (12): 7039.
  17. Chew N.W.S., Lee G.K.H., Tan B.Y.Q., Jing M., Goh Y., Ngiam N.J.H., Yeo L.L.L., Ahmad A., Ahmed Khan F., Napolean Shanmugam G., Sharma A.K., Komalkumar R.N., Meenakshi P.V., Shah K., Patel B., Chan B.P.L., Sunny S., Chandra B., Ong J.J.Y., Paliwal P.R., Wong L.Y.H., Sagayanathan R., Chen J.T., Ying Ng A.Y., Teoh H.L., Tsivgoulis G., Ho C.S., Ho R.C. and Sharma V.K. (2020). A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and Immunity, 88: 559-565.
  18. Cocchiara R.A., Peruzzo M., Mannocci A., Ottolenghi L., Villari P., Polimeni A., Guerra F. and La Torre G. (2019). The Use of Yoga to Manage Stress and Burnout in Healthcare Workers: A Systematic Review. Journal of Clinical Medicine, 8: 1-11.
  19. Daft R.L. (1999). Leadership. Theory and Practice. Orlando: The Dryden Press.
  20. Demerouti E., Bakker A.B., Nachreiner F. and Schaufeli W.B. (2001). The job demands resources model of burnout. Journal of Applied Psychology, 86: 499-512., DOI: 10.1037/0021-9010.86.3.49
  21. der Kinderen S., Valk A., Khapova S. N. and Tims M. (2020). Facilitating Eudaimonic Well-Being in Mental Health Care Organizations: The Role of Servant Leadership and Workplace Civility Climate. International Journal of Environmental Research and Public Health, 17: 1173.
  22. Di Napoli I., Esposito C., Candice L. and Arcidiacono C. (2019). Trust, Hope, And Identity in Disadvantaged Urban Areas. The Role of Civic Engagement in The Sanità District (Naples). Community Psychology in Global Perspective, 5 (2): 46-62.
  23. Donaldson T. and Walsh J.P. (2015). Toward a Theory of Business. Research in Organizational Behavior, 35: 181-207.
  24. Eurofound (2020). Living, working and COVID-19. COVID-19 series. Luxembourg: Publications Office of the European Union.
  25. Giannetti E. e Tesi A. (2016). Benessere lavorativo in operatori sociali: le richieste e le risorse lavorative e personali emerse da un’indagine esplorativa [Occupational well-being in social workers: the demands and resources emerged from an exploratory survey]. Psicologia della Salute, 2: 5-26., DOI: 10.3280/PDS2016-00200
  26. Grace S.L., Hershenfield K., Robertson E. and Stewart D.E. (2005). The Occupational and Psychosocial Impact of SARS on Academic Physicians in Three Affected Hospitals. Psychosomatics, 46 (5): 385-391.
  27. Graffigna G. e Barello S. (2018). Engagement: un nuovo modello di partecipazione in sanità [Engagement: a new model of partecipation in healthcare]. Roma: Il Pensiero Scientifico Editore.
  28. Gregory R.L. (1990). Eye and Brain: The Psychology of Seeing. Princeton: Princeton University Press.
  29. Gualandri M., Fida R. e Avallone F. (2012). Benessere organizzativo in un campione di aziende sanitarie [Organizational well-being in a sample of Italian local health care units]. Psicologia della Salute, 1: 61-85., DOI: 10.3280/PDS2012-00100
  30. Guo J., Liao L., Wang B., Li X., Guo L., Tong Z., Guan Q., Zhou M., Wu Y., Zhang J. and Gu Y. (2020). Psychological effects of COVID-19 on hospital staff: a national cross-sectional survey of China mainland. The Lancet Psychiatry,
  31. Hall L.H., Johnson J., Watt I., Tsipa A. and O’Connor D.B. (2016). Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS ONE, 11 (7).
  32. Ingram R. (2013). Locating Emotional Intelligence at the Heart of Social Work Practice. British Journal of Social Work, 43: 987-1004.
  33. Kang L., Ma S., Chen M., Yang J., Wang Y., Li R., Yao L., Bai H., Cai Z., Xiang Yang B., Hu S., Zhang K., Wang G., Ma Ci and Liu Z. (2020). Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, Behavior, and Immunity, 87: 11-17.
  34. Kelloway E., Hurrell J. and Day A. (2008). Workplace interventions for occupational stress. In Naswall K., Hellgren J. and M. Sverke M, eds., The Individual in the Changing Working Life (pp. 419-441). Cambridge: Cambridge University Press., DOI: 10.1017/CBO9780511490064.02
  35. Khalid I., Khalid T.J., Qabajah M.R., Barnard A.G. and Qushmaq I.A. (2016). Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clinical Medicine & Research, 14 (1): 7-14.
  36. Lai J., Ma S., Wang Y., Cai Z., Hu J., Wei N., Wu J., Du H., Chen T., Li R., Tan H., Kang L., Yao L., Huang M., Wang H., Wang G., Liu Z. and Hu S. (2020). Factors Associated with Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. Journal of American Medical Association Network Open, 3 (3): e203976.
  37. Lee A.M., Wong J.G., McAlonan G.M., Cheung V., Cheung C., Sham P.C., Chu C.M., Wong P.C., Tsang K.W.T. and Chua S.E. (2007). Stress and psychological distress among SARS survivors 1 year after the outbreak. The Canadian Journal of Psychiatry, 52 (4): 233-240., DOI: 10.1177/07067437070520040
  38. Li Z., Ge J., Yang M., Feng J., Qiao M., Jiang R., Bi J., Zhan G., Xu X., Wang L., Zhou Q., Zhou C., Pan Y., Liu S., Zhang H., Yang J., Zhu B., Hu Y., Hashimoto K., Jia Y., Wang H., Wang R., Liu C. and Yang C. (2020). Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain, Behavior, and Immunity, 88: 916-919.
  39. Liberati A., Douglas G.A., Tetzlaff J., Mulrow C., Gøtzsche P.C., Ioannidis J.P.A., Clarke M., Devereaux P.J., Kleijnen J. and Moher D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Public Library of Science Medicine, 6 (7): e1000100.
  40. Liu C., Yang Y., Zhang X.M., Xu X., Dou Q. and Zhang W. (2020). The prevalence and influencing factors for anxiety in medical workers fighting COVID-19 in China: A cross-sectional survey. The Lancet Psychiatry., DOI: 10.1101/2020.03.05.2003200
  41. Lu W., Wang H., Lin Y. and Li L. (2020). Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Research, 288 (12936).
  42. Maldonato N.M., Bottone M., Chiodi A., Continisio G.I., De Falco R., Duval M., Muzii B., Siani G., Valerio P., Vitelli R. e Scandurra C. (2020). A Mental Health First Aid Service in an Italian University Public Hospital during the Coronavirus Disease 2019 Outbreak. Sustainability, 12 (4244).
  43. Maslach C., Shaufeli W.B. and Leiter M.P. (2001). Job burnout. Annual Review of Psychology, 52: 397-422.
  44. Petrillo G., Capone V., Caso D. and Keyes C.L.M. (2015). The Mental Health Continuum-Short Form (MHC-SF) as a Measure of Well-Being in the Italian Context. Social Indicators Research, 121 (1): 291-312. DOI 10.1007/s 11205-014-0629-3
  45. Platania S., Castellano S., Petralia M.C. e Santisi G. (2019). L’effetto mediatore dell’impatto della qualità della vita nella relazione tra qualità di vita professionale e stress percepito dei caregiver formali [The mediating effect of the impact of quality of life on the relationship between job satisfaction and perceived stress of professional caregivers]. Psicologia della Salute, 1: 64-83., DOI: 10.3280/PDS2019-00100
  46. Raven J., Wurie H. and Witter S. (2018). Health workers’ experiences of coping with the Ebola epidemic in Sierra Leone’s health system: a qualitative study. BioMed Central Health Services Research, 18 (251).
  47. Reason J. (1997). Managing the Risks of Organizational Accidents. Brookfield: Ashgate Publishing Company
  48. Rennie D.L., Phillips J.R. and Quartaro G.K. (1988). Grounded theory: A promising approach to conceptualization in psychology? Canadian Psychology/Psychologie canadienne, 29 (2): 139-150.
  49. Rossi R., Socci V., Pacitti F., Di Lorenzo G., Di Marco A., Siracusano A. and Rossi A. (2020). Mental Health Outcomes Among Frontline and Second-Line Health CareWorkers During the Coronavirus Disease 2019 (COVID-19) Pandemic in Italy. Journal of American Medical Association Network Open, 3 (5).
  50. Rullani E. (2004b). La fabbrica dell’immateriale. Produrre valore con la conoscenza [The immaterial factory. Producing value with knowledge]. Roma: Carocci.
  51. Sarchielli G. (2013). Psicologia della salute lavorativa [Occupational health psychology]. In Ricci Bitti E. P. e Gremigni P., a cura di, Psicologia della salute [Health Psychology]. Roma: Carocci, pp. 373-395.
  52. Shanafelt T., Ripp J. and Trockel M. (2020). Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic. Journal of American Medical Association Network, 323 (21): 2133-2134.
  53. Schaufeli W.B., Salanova M., González-romá V. and Bakker AB. (2002). The Measurement of Engagement and Burnout: A Two Sample Confirmatory Factor Analytic Approach. Journal of Happiness Studies, 3: 71-92., DOI: 10.1023/A:101563093032
  54. Shi Y., Wang J., Yang Y., Wang Z., Wang G., Hashimoto K., Zhang K. and Liu H. (2020). Knowledge and attitudes of medical staff in Chinese psychiatric hospitals regarding COVID-19. Brain, Behavior, & Immunity Health, 4 (100064).
  55. Sonnentag S. and Fritz C. (2007). The recovery experience questionnare: Development and validation of a measure for assessing recuperation and unwinding from work. Journal of Occupational Health Psychology, 12 (3): 204-221., DOI: 10.1037/1076-8998.12.3.20
  56. Talevi D., Socci V., Carai M., Carnaghi G., Faleri S., Trebbi E., Di Bernardo A., Capelli F. e Pacitti F. (2020). Mental health outcomes of the CoViD-19 pandemic. Rivista di Psichiatria, 55 (3): 137-144., DOI: 10.1708/3382.3356
  57. Truxillo D.M., Bauer T.N. and Erdogan B. (2016). Psychology and Work. New York: Routdlege.
  58. van Mol M.M., Kompanje E.J., Benoit D.D., Bakker J. and Nijkamp M.D. (2015). The Prevalence of Compassion Fatigue and Burnout among Healthcare Professionals in Intensive Care Units: A Systematic Review. Public Library of Science One, 10 (8): e0136955.
  59. Wu W., Zhang Y., Wang P., Zhang L., Wang G., Lei G., Xiao Q., Cao X., Bian Y., Xie S., Huang F., Luo N., Zhang J. and Luo M. (2020). Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy. Journal of Medical Virology, 92: 1962-1970.

Leda Marino, Cristina Curcio, Ilaria Marinaro, Morena Mosca, Vincenza Capone, COVID-19 Emergency and Psychosocial Well-Being of Healthcare Professionals: A System-atic Literature Review in "PSICOLOGIA DELLA SALUTE" 2/2021, pp. 76-99, DOI:10.3280/PDS2021-002006

   

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