Healthcare workers perceptions in the difficult moment of the end of life and coping strategies adopted during the COVID-19 pandemic: an Italian pilot study

Elsa Vitale; Luana Conte; Angelica dell'Aglio; Antonino Calabrò; Federica Ilari; Lorenzo Bardone; Angelo Benedetto; Cosimo Caldararo; Simone Zacchino; Alessia Lezzi; Martina Giordano; Maicol Carvello; Maurizio Ercolani; Roberto Lupo

doi:10.23750/abm.v92iS2.12090

Healthcare workers perceptions in the difficult moment of the end of life and coping strategies adopted during the COVID-19 pandemic: an Italian pilot study

Authors

Elsa Vitale a:1:{s:5:"en_US";s:8:"ASL Bari";}
Luana Conte Laboratory of Interdisciplinary Research Applied to Medicine (DReAM), University of Salento and Local Health Authority, Lecce, Italy; Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Lecce, Italy
Angelica dell'Aglio Nursing student at the University of Bari, Lecce headquartes, Italy
Antonino Calabrò Nuovo Ospedale degli Infermi, Local Health Authority Biella, Italy
Federica Ilari Nuovo Ospedale degli Infermi, Local Health Authority Biella, Italy
Lorenzo Bardone Nuovo Ospedale degli Infermi, Local Health Authority Biella, Italy
Angelo Benedetto 8. Umberto I Hospital, Syracuse, Italy
Cosimo Caldararo 9. University of Bari, Lecce headquartes, Italy
Simone Zacchino ANT Italia ONLUS Foundation (National Cancer Association) Lecce, Italy
Alessia Lezzi ANT Italia ONLUS Foundation (National Cancer Association) Lecce, Italy
Martina Giordano Vito Fazzi Hospital, Local Health Authority Lecce, Italy
Maicol Carvello 13. Brisighella Community Hospital, Local Health Authority of Romagna, Italy
Maurizio Ercolani Health Department, ASUR Marche Area Vasta 2, Italy
Roberto Lupo San Giuseppe da Copertino Hospital, Local Health Authority Lecce, Italy

DOI: https://doi.org/10.23750/abm.v92iS2.12090

Keywords:

death, coping, covid-19, healthcare workers

Abstract

Background and Aim of the work. In a society that tries so hard to forget and make people forget that death exists, death has never been so close to man in his daily life as during this pandemic. Health care professionals have therefore all too often had to deal with the death of the people they care for and with related issues such as, for example, the dignity of death, the humanization of death and care for the dying. The aim of the study is to highlight the perceptions of physicians, nurses and health and social workers in the difficult moment of the end of life, also analyzing which coping strategies were implemented by them.

Methods. All Italian healthcare workers were enrolled in this survey. The questionnaire was administered in an online version. Physicians, nurses and support staff (social and health workers) were contacted through social networks.

Results. A total of 512 healthcare workers were enrolled in this survey. No statistical significant differences were recorded among the COPE-NVI- 25 sub dimensions according to sex, profession and to different wards. Additionally, by considering the COPE-NVI-25 sub dimensions according to years of work experience, a statistical significant difference was reported in the Transcendent Orientation sub dimension (p=.047), as healthcare workers with 11-20 years of work experience recorded higher levels than the other two groups. By considering differences in the COPE-NVI-25 sub dimensions according to religion, significant differences were recorded in the transcendent orientation (p=.032), in the positive attitude (p=.030), in the social support (p=.035).

Conclusions. From the evidence in the literature, the quality of end-of-life care performance has a positive correlation with awareness of a good death and attitudes towards end-of-life care.

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