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Interventions to reduce occupational stress and burn out within neonatal intensive care units: a systematic review.

Bresesti, I; Folgori, L; De Bartolo, P (2020) Interventions to reduce occupational stress and burn out within neonatal intensive care units: a systematic review. Occup Environ Med. ISSN 1470-7926
SGUL Authors: Folgori, Laura

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Occupational stress is an emerging problem among physician and nurses, and those working in intensive care settings are particularly exposed to the risk of developing burnout. To verify what types of interventions to manage occupational stress and burn out within neonatal intensive care units (NICUs) have been introduced so far and to verify their efficacy among caregivers. PsycINFO (PsycINFO 1967-July week 3 2019), Embase (Embase 1996-2019 week 29) e Medline (Ovid MEDLINE(R) without revisions 1996-July week 2 2019) were systematically searched combining MeSH and free text terms for "burn out" AND "healthcare provider" AND "NICU". Inclusion criteria were interventions directed to healthcare providers settled in NICUs. Only English language papers were included. Six articles were included in the final analysis. All the studies reported an overall efficacy of the interventions in reducing work-related stress, both when individual focused and organisation directed. The analysis revealed low quality of the studies and high heterogeneity in terms of study design, included populations, interventions and their evaluation assessment. There is currently very limited evidence regarding the management of occupational stress and burn out within NICUs. The quality of available studies was suboptimal. The peculiarities of the NICUs should be considered when developing strategies for occupational stress management. Training self-awareness of workers regarding their reactions to the NICU environment, also from the pre-employment stage, could be an additional approach to prevent and manage stress.

Item Type: Article
Additional Information: This article has been accepted for publication in Occupational and Environmental Medicine, 2020 following peer review, and the Version of Record can be accessed online at © Author(s) (or their employer(s)) 2020.
Keywords: burnout, healthcare workers, psychology, stress, 1103 Clinical Sciences, 1117 Public Health and Health Services, 1599 Other Commerce, Management, Tourism and Services, Environmental & Occupational Health
SGUL Research Institute / Research Centre: Academic Structure > Infection and Immunity Research Institute (INII)
Journal or Publication Title: Occup Environ Med
ISSN: 1470-7926
Language: eng
4 March 2020Published Online
18 February 2020Accepted
PubMed ID: 32132183
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