Prevalence and determinants of Italian physicians' burnout in the "post-COVID-19" era.

PURPOSE: Several studies investigated prevalence and determinants of physicians' burnout during the peak of the COVID-19 pandemic, but only a few during the chronic phase of the pandemic. This study thus aimed to examine this topic referring to the "post-COVID-19 era", defined as a chronic and likely-to-be endemic status quo. METHODS: A cross-sectional, online survey (November 2021-January 2022) was addressed to physicians in Lombardia (Northern Italy). Besides socio-demographic and COVID-19-related data, measures of personal, work- and patient-related burnout (Copenhagen Burnout Inventory; CBI), depression (Patient Health Questionnaire-8), anxiety (General Anxiety Disorder-7), and self-efficacy (General Self-Efficacy Scale) were collected. Linear/generalized linear models were run to test associations/predictions of interest. RESULTS: Among the 958 respondents, burnout symptoms were clinically significant in 18.5% of them. Predictive models showed that female sex (OR = 0.73, 95% CI 0.42-1.27), younger age (OR = 0.94, 95% CI 0.59-1.48), shorter job tenure (OR = 1.01, 95% CI 0.62-1.65), trainee status (OR = 1.41, 95% CI 1.16-7.10), higher PHQ-8 (OR = 1.260, 95% CI 1.16-1.37), and GAD-7 scores (OR = 1.19, 95% CI 1.10-1.30) increased the risk to suffer from clinical burnout. COVID-19-related variables were mostly not related/associated to burnout levels. CONCLUSION: In Italy, physicians' burnout is moderately prevalent also in the chronic phase of the pandemic, with its determinants being more intrinsic than environmental. The development of effective interventions is needed to help physicians cope with the new challenges of their job.

Being an Emotional Business Leader in the Time of the COVID-19 Pandemic: The Importance of Emotions during a Crisis

The COVID-19 crisis has brought about massive and sudden changes in the way people work and has created new emotional strains on workers. For this reason, being an emotional business leader is necessary for an organization's survival and employees' well-being. This qualitative study aims: (1) to explore the quality of emotions expressed by business leaders during the COVID-19 crisis, (2) to go into detail on how business leaders managed their own emotions, and (3) to investigate how they managed emotions shown by employees in their company. We interviewed 38 business leaders from 11 Italian companies. The main emotion reported by the leaders we interviewed was anxiety, caused in part by the development of the pandemic and related to uncertainty about the future. Results also showed that some leaders considered emotions as a secondary matter, or something to overcome for the good of their role. Other leaders showed a higher level of emotional intelligence and were able to empathize with their followers, communicate their vision and feelings, and create positive and constructive relationships. The theoretical and practical implications of these results are also discussed.

Telework quality and employee well-being: Lessons learned from the COVID-19 pandemic in Italy.

The coronavirus disease 2019 (COVID-19) forced organisations to implement intensive telework for many of their workers overnight. This scenario was completely new, and the emergency caused by COVID-19 created the possibility of experimenting with new ways of working with an unknown impact on employee well-being. Drawing on previous literature, we defined a model of telework quality consisting of the following four core domains: agile offices within organisations, functional remote workstations, flex-time and engaging management. We identified two high-quality and low-quality telework profiles using latent profile analysis on a data sample of 2295 insurance and financial sector employees. Demographic, occupational and procedural characteristics were associated with the probability of being in the positive or negative profiles. Our results showed that employees' emotional exhaustion and work engagement levels were related to telework quality. This study suggests that organisations need to consider the quality of telework to effectively adopt new ways of working that foster employee well-being.

Systematic Review of Intervention Studies to Foster Sustainable Employability Core Components: Implications for Workplace Promotion

This review aims to outline the effectiveness of employer-initiated workplace interventions in promoting sustainable employability (SE), which means developing workers’ capabilities to foster productivity, health, and valuable work in the long term. A systematic search of the literature is performed in three databases covering the period from January 1999 to February 2022. Fourteen studies are included. Considering SE core components, all interventions cover the valuable work component in terms of content, and the majority also cover the health component. Interventions addressing at least three SE components have more positive effects on SE outcomes. More positive effects are found for valuable work outcomes. Overall, the findings highlight the importance of developing workplace interventions considering a comprehensive model of SE and promoting an organizational culture for SE. Future directions and limits are discussed.

A New Academic Quality at Work Tool (AQ@workT) to Assess the Quality of Life at Work in the Italian Academic Context.

The present study provides evidence for a valid and reliable tool, the Academic Quality at Work Tool (AQ@workT), to investigate the quality of life at work in academics within the Italian university sector. The AQ@workT was developed by the QoL@Work research team, namely a group of expert academics in the field of work and organizational psychology affiliated with the Italian Association of Psychologists. The tool is grounded in the job demands-resources model and its psychometric properties were assessed in three studies comprising a wide sample of lecturers, researchers, and professors: a pilot study (N = 120), a calibration study (N = 1084), and a validation study (N = 1481). Reliability and content, construct, and nomological validity were supported, as well as measurement invariance across work role (researchers, associate professors, and full professors) and gender. Evidence from the present study shows that the AQ@workT represents a useful and reliable tool to assist university management to enhance quality of life, to manage work-related stress, and to mitigate the potential for harm to academics, particularly during a pandemic. Future studies, such as longitudinal tests of the AQ@workT, should test predictive validity among the variables in the tool.

Not All Telework is Valuable

Prior to COVID-19, telework was a key action adopted by companies to foster employee wellbeing, but the evidence of its effects was equivocal. This study aims to 1) develop and validate a questionnaire measuring the quality of telework (QoT-q) and 2) assess the impact of telework on employee work engagement and work-family balance in the case of high-quality telework (HqT), low-quality telework (LqT), and no telework (NoT). The sample consists of 260 workers from three Italian organizations. Through principal component analysis and Cronbach's alpha values, the final QoT-q comprised three areas: 1) agile workplaces, 2) flexible worker, and 3) virtual leadership. ANOVAs showed that job resources, work engagement, and work-family balance are significantly higher among HqT, while job demands do not differ or were lower. The Job Demands-Resources model was useful to explain the effects of telework. Implications for future research and practice are presented. (English) [ABSTRACT FROM AUTHOR] Antes del COVID-19, el teletrabajo era una de las principales medidas que adoptaban las empresas para fomentar el bienestar de los empleados, pero la evidencia de sus efectos era dudosa. Este estudio tiene como objetivo 1) desarrollar y validar un cuestionario que mide la calidad del teletrabajo (QoT-q) y 2) evaluar el impacto del teletrabajo en el compromiso laboral de los empleados y el equilibrio trabajo-familia en el caso del teletrabajo de alta calidad (HqT), teletrabajo de baja calidad (LqT) y ningún teletrabajo (NoT). La muestra está formada por 260 trabajadores de tres organizaciones italianas. A través del análisis de componentes principales y los valores alfa de Cronbach, la QoT-q final comprendía tres áreas: 1) lugares de trabajo ágiles, 2) trabajador flexible y 3) liderazgo virtual. Los ANOVA mostraron que los recursos laborales, el compromiso laboral y el equilibrio entre el trabajo y la familia son significativamente más altos entre HqT, mientras que las demandas laborales no difieren o son más bajas. El modelo demandas-recursos del puesto de trabajo ha sido útil para explicar los efectos del teletrabajo. Se presentan las implicaciones para la investigación y la práctica futura. (Spanish) [ABSTRACT FROM AUTHOR] Copyright of Revista de Psicologia del Trabajo y de Las Organizaciones is the property of Colegio Oficial de Psicologos de Madrid and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)