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Understanding the role of regulatory flexibility and context sensitivity in preventing burnout in a palliative home care team

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  • Vittorio Lenzo
  • Valentina Bordino
  • George A Bonanno
  • Maria C Quattropani

Abstract

Although burnout syndrome has been investigated in depth, studies specifically focused on palliative home care are still limited. Moreover, there is still a lack of evidence regarding the interplay between emotional flexibility and sensitivity to context in preventing burnout in home care settings. For these reasons, the aims of this study were to examine burnout symptoms among practitioners specializing in palliative home care and to investigate the role of regulatory flexibility and sensitivity to context in understanding burnout. An exploratory cross-sectional design was adopted. A convenience sample (n = 65) of Italian specialist palliative care practitioners participated in this study. Participants were recruited between February and April 2019 from two palliative home care services that predominantly cared for end-of-life cancer patients. The Italian version of the Maslach Burnout Inventory (MBI), the Flexible Regulation of Emotional Expression (FREE) scale (a measure of emotional flexibility), and the Context Sensitivity Index (CSI) (a measure of sensitivity to context) were administered. Analyses of variance were conducted using the three MBI factors as dependent variables and profession as an independent variable. Subsequently, three identical analyses of covariance were conducted with age, work experience, flexibility and sensitivity to context as covariates. The results showed a low burnout risk for all three of the MBI factors, and there were no gender differences. An ANOVA revealed a significant effect of profession type and age on the emotional exhaustion factor of the MBI, and an ANCOVA indicated that these effects persisted after covariates were accounted for. The results also showed a significant effect of the FREE score on emotional exhaustion. These findings can help explain the differential contributions of profession type and age to the burnout symptoms investigated. In addition, the emotional flexibility component, as an aspect of resilience, represents a significant and specific factor of emotional exhaustion. Interventions to prevent burnout must consider these relationships.

Suggested Citation

  • Vittorio Lenzo & Valentina Bordino & George A Bonanno & Maria C Quattropani, 2020. "Understanding the role of regulatory flexibility and context sensitivity in preventing burnout in a palliative home care team," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-13, May.
    • Handle: RePEc:plo:pone00:0233173
    DOI: 10.1371/journal.pone.0233173
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    References listed on IDEAS

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    1. Paul T E Cusack, 2020. "On Pain," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 31(3), pages 24253-24254, October.
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    1. Alberto Sardella & Vittorio Lenzo & George A. Bonanno & Giorgio Basile & Maria C. Quattropani, 2021. "Expressive Flexibility and Dispositional Optimism Contribute to the Elderly’s Resilience and Health-Related Quality of Life during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(4), pages 1-14, February.
    2. Carrie Heeter & Marcel Allbritton & Rebecca Lehto & Patrick Miller & Patricia McDaniel & Michael Paletta, 2021. "Feasibility, Acceptability, and Outcomes of a Yoga-Based Meditation Intervention for Hospice Professionals to Combat Burnout," IJERPH, MDPI, vol. 18(5), pages 1-27, March.
    3. Mariagrazia Di Giuseppe & Gianni Nepa & Tracy A. Prout & Fabrizio Albertini & Stefano Marcelli & Graziella Orrù & Ciro Conversano, 2021. "Stress, Burnout, and Resilience among Healthcare Workers during the COVID-19 Emergency: The Role of Defense Mechanisms," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    4. Yoshito Nishimura & Tomoko Miyoshi & Hideharu Hagiya & Yoshinori Kosaki & Fumio Otsuka, 2021. "Burnout of Healthcare Workers amid the COVID-19 Pandemic: A Japanese Cross-Sectional Survey," IJERPH, MDPI, vol. 18(5), pages 1-8, March.
    5. Chenyu Shangguan & Lihui Zhang & Yali Wang & Wei Wang & Meixian Shan & Feng Liu, 2022. "Expressive Flexibility and Mental Health: The Mediating Role of Social Support and Gender Differences," IJERPH, MDPI, vol. 19(1), pages 1-14, January.
    6. Marta Makara-Studzińska & Agnieszka Kruczek & Agata Borzyszkowska & Maciej Załuski & Katarzyna Adamczyk & Małgorzata Anna Basińska, 2022. "Profiles of Occupational Burnout in the Group of Representatives of High-Risk Professions in Poland," IJERPH, MDPI, vol. 19(10), pages 1-16, May.

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