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Published in: International Archives of Occupational and Environmental Health 8/2021

Open Access 01-11-2021 | COVID-19 | Original Article

Factors associated with emotional exhaustion in healthcare professionals involved in the COVID-19 pandemic: an application of the job demands-resources model

Authors: Serena Barello, Rosario Caruso, Lorenzo Palamenghi, Tiziana Nania, Federica Dellafiore, Loris Bonetti, Andrea Silenzi, Claudia Marotta, Guendalina Graffigna

Published in: International Archives of Occupational and Environmental Health | Issue 8/2021

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Abstract

Purpose

The purpose of the present cross-sectional study is to investigate the role of perceived COVID-19-related organizational demands and threats in predicting emotional exhaustion, and the role of organizational support in reducing the negative influence of perceived COVID-19 work-related stressors on burnout. Moreover, the present study aims to add to the understanding of the role of personal resources in the Job Demands-Resources model (JD-R) by examining whether personal resources—such as the professionals’ orientation towards patient engagement—may also strengthen the impact of job resources and mitigate the impact of job demands.

Methods

This cross-sectional study involved 532 healthcare professionals working during the COVID-19 pandemic in Italy. It adopted the Job-Demands-Resource Model to study the determinants of professional’s burnout. An integrative model describing how increasing job demands experienced by this specific population are related to burnout and in particular to emotional exhaustion symptoms was developed.

Results

The results of the logistic regression models provided strong support for the proposed model, as both Job Demands and Resources are significant predictors (OR = 2.359 and 0.563 respectively, with p < 0.001). Moreover, healthcare professionals’ orientation towards patient engagement appears as a significant moderator of this relationship, as it reduces Demands’ effect (OR = 1.188) and increases Resources’ effect (OR = 0.501).

Conclusions

These findings integrate previous findings on the JD-R Model and suggest the relevance of personal resources and of relational factors in affecting professionals’ experience of burnout.
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Metadata
Title
Factors associated with emotional exhaustion in healthcare professionals involved in the COVID-19 pandemic: an application of the job demands-resources model
Authors
Serena Barello
Rosario Caruso
Lorenzo Palamenghi
Tiziana Nania
Federica Dellafiore
Loris Bonetti
Andrea Silenzi
Claudia Marotta
Guendalina Graffigna
Publication date
01-11-2021
Publisher
Springer Berlin Heidelberg
Published in
International Archives of Occupational and Environmental Health / Issue 8/2021
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-021-01669-z

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