Wellness and Distress in Health Care Professionals Dealing With End of Life and Bioethical Issues

NCT04434755 | Completed

• 1 other identifier: ICS Maugeri CE 2211
• Study Type: observational
• Target: 317
• Locations: 1 country
• Sites: 3

Brief Summary

Burnout, fatigue, distress and negative issues are in health care providers with different percentages. To date, little is known about the experience of burnout, fatigue and distress related with end of life and bioethical issues. The main aim of this study is to quantify burnout and identify a set of variables (meaning of life, stress, moral distress, ethical climate, resilience, positive and negative affects) that may impact on professionals dealing with end-of-life and bioethics issues in their working life. The project is an observational multicentre cross-sectional study, population-based. The target population is composed by psychologists, nurses and other healthcare providers dealing with end-of-life/palliative care and other conditions. The study will be conducted using a mixed methods, using both quantitative and qualitative approaches. Regarding the quantitative approaches, standardized questionnaires will be administered anonymously to each participant in one time only. Concerning the qualitative approaches, semi-structured interviews will be carried out until the saturation of categories is reached according to the Grounded Theory methodology It is mainly attended that this project may shed light on wellness and distress related to end-of-life and bioethical issues faced in working life by health care providers, considering not only risk factors but also protective and positive ones. The quantitative part of the research is supposed to identify the dimension of burnout in this health-care professionals category and to better clarify the role of some variables (meaning of life, stress, moral distress, ethical climate, resilience, positive and negative affects) that may modulate and affect wellness and distress experienced by this category of workers. The qualitative part of the study will help to frame better the issue, detecting the main demanding aspects.

Conditions

Burnout, Professional

Keywords

burnout; distress; wellness; end of life; bioethics

Outcome Measures

Primary Outcomes (1)

• to estimate the prevalence of the subjective perception of burnout among health-care professionals dealing with end-of-life and bioethical issues.

  Prevalence of the subjective perception of burnout among health-care professionals dealing with end-of-life and bioethcial issues

  2018-2020

Study Arms (2)

health care professionals in palliative care

health care professionals in palliative care

Other: health care professionals' exposure to bioethical issues

health care professionals in neurorehabiliation

health care professionals in neurorehabiliation

Other: health care professionals' exposure to bioethical issues

Interventions

health care professionals' exposure to bioethical issues OTHER

health care professionals were differentiated considering the work context and the type of patients cured

health care professionals in neurorehabiliation; health care professionals in palliative care

Eligibility Criteria

• Age: 18 Years - 67 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All the healthcare professionals working in unit of end-of-life/palliative care and other conditions characterized by bioethical problems in three private Institutions (IRCCS): Istituti Clinici Scientifici Maugeri Spa SB, Humanitas Research Hospital - Rozzano (Milan) and I.R.C.C.S. Santa Lucia - Centro Riabilitativo - Roma (Roma) will be eligible and invited to participate at the study.

You may qualify if:

• psychologists, nurses and other healthcare providers dealing with end-of-life/palliative care and other conditions possibly characterized by bioethical problems.

You may not qualify if:

• not signing the consent to participate to the study

Sponsors & Collaborators

• Istituti Clinici Scientifici Maugeri SpA: lead
• I.R.C.C.S. Fondazione Santa Lucia: collaborator
• Istituto Clinico Humanitas: collaborator
• University of Pavia: collaborator

Study Sites (3)

Istituto Clinico Humanitas

Milan, Italy

Location

Istituti Clinici Scientifici Maugeri IRCCS

Pavia, Italy

Location

Fondazione Santa Lucia IRCCS

Roma, Italy

Location

Related Publications (6)

• Hynes J, Maffoni M, Argentero P, Giorgi I, Giardini A. Palliative medicine physicians: doomed to burn? BMJ Support Palliat Care. 2019 Mar;9(1):45-46. doi: 10.1136/bmjspcare-2018-001731. No abstract available.

  PMID: 30782969 BACKGROUND

• Maffoni M, Argentero P, Giorgi I, Hynes J, Giardini A. Healthcare professionals' moral distress in adult palliative care: a systematic review. BMJ Support Palliat Care. 2019 Sep;9(3):245-254. doi: 10.1136/bmjspcare-2018-001674. Epub 2019 Jan 12.

  PMID: 30636204 BACKGROUND

• Zanatta F, Maffoni M, Giardini A. Resilience in palliative healthcare professionals: a systematic review. Support Care Cancer. 2020 Mar;28(3):971-978. doi: 10.1007/s00520-019-05194-1. Epub 2019 Dec 6.

  PMID: 31811483 BACKGROUND

• Maffoni M, Argentero P, Giorgi I, Giardini A. Healthcare professionals' perceptions about the Italian law on advance directives. Nurs Ethics. 2020 May;27(3):796-808. doi: 10.1177/0969733019878831. Epub 2019 Oct 20.

  PMID: 31631774 BACKGROUND

• Maffoni M, Argentero P, Giorgi I, Giardini A. Underneath the White Coat: Risk and Protective Factors for Palliative Care Providers in Their Daily Work. J Hosp Palliat Nurs. 2020 Apr;22(2):108-114. doi: 10.1097/NJH.0000000000000623.

  PMID: 31977533 BACKGROUND

• Maffoni M, Sommovigo V, Giardini A, Paolucci S, Setti I. Dealing with ethical issues in rehabilitation medicine: The relationship between managerial support and emotional exhaustion is mediated by moral distress and enhanced by positive affectivity and resilience. J Nurs Manag. 2020 Jul;28(5):1114-1125. doi: 10.1111/jonm.13059. Epub 2020 Jun 23.

  PMID: 32495373 BACKGROUND

MeSH Terms

Conditions

Burnout, Professional; Burnout, Psychological; Death

Condition Hierarchy (Ancestors)

Occupational Stress; Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 8, 2020
• First Posted: June 17, 2020
• Study Start: June 20, 2018
• Primary Completion: April 26, 2019
• Study Completion: April 26, 2019
• Last Updated: July 25, 2023

Record last verified: 2020-06

Data Sharing

• IPD Sharing: Will not share

Locations

IT (3)