Burnout and Brownout in Intensive Care Physicians in the Era of COVID-19: A Qualitative Study.

The health crisis has had a strong impact on intensive care units. The objective of this study was to investigate the experience of resuscitation physicians during the COVID-19 health crisis to understand the associated determinants of quality of life, burnout, and brownout. This qualitative, longitudinal study covered two periods (T1, February 2021, and T2, May 2021). The data were collected in individual semi-directed interviews with 17 intensive care physicians (ICPs) (T1). Nine of the latter also participated in a second interview (T2). The data were examined using grounded theory analysis. We identified a multiplication of burnout and brownout indicators and factors already known in intensive care. In addition, burnout and brownout indicators and factors specific to the COVID-19 crisis were added. The evolution of professional practices has disrupted the professional identity, the meaning of work, and the boundaries between private and professional life, leading to a brownout and blur-out syndrome. The added value of our study lies in identifying the positive effects of the crisis in the professional domain. Our study revealed indicators and factors of burnout and brownout associated with the crisis among ICPs. Finally, it highlights the beneficial effects of the COVID-19 crisis on work.

Might insecurity and use of ICT enhance internet addiction and exhaust people? A study in two European countries during emergency remote working.

Facing the spread of the SARS-CoV-2 pandemic, we have witnessed a strong recourse to generalised lockdowns and to the deployment of remote working. These emergency measures have also thrown employers and employees into uncertainty regarding the present and future existence of their job. The present study aimed to examine the role of job insecurity and job demands in non-working hours through technologies on emotional exhaustion mediated by Internet addiction. A total of 999 remote workers, 501 of whom live in France and 498 in Italy, completed a self-report questionnaire during the first lockdown. Results suggest that both job insecurity and the requests to use technology for work purposes during non-work time exacerbate emotional exhaustion through the mediation of Internet Addiction. Limitations, future perspectives, and implications for management are discussed.

At the heart of the COVID-19 crisis: Perceived concerns of changes in long-term cancer care in French women with cancer.

OBJECTIVE: In the COVID-19 crisis context, the main objective of the study is to investigate factors associated with perceived concerns of change in long-term cancer care in patients currently under treatment. METHODS: A French population-based cross-sectional study was performed using an online questionnaire in April 2020. All persons currently receiving cancer treatment and belonging to the Seintinelles Association (https://www.seintinelles.com) were included in this present analysis. Individual sociodemographic characteristics, medical status and information regarding cancer care were collected. Multivariate binomial logistic regression analysis was performed. RESULTS: We included 298 women in the analysis. Younger participants (OR = 0.96 [0.94-0.99]), the need to visit healthcare facilities to receive treatment (OR = 2.93 [1.16-8.52]), deterioration in the quality of communication with the medical team since the beginning of the COVID-19 crisis (OR = 3.24 [1.61-7.02]) and being cared for by a university hospital or a public hospital (OR = 2.19 [1.16-4.23] versus comprehensive cancer centre) were associated with a perceived fear of change in long-term cancer care. CONCLUSION: To address patients' concerns regarding changes in their long-term cancer care, medical teams should consider the patients' own perceptions of the situation and provide clear, appropriate, precise information on cancer care, especially in the centres mostly affected by the COVID-19 crisis.

Identifying Work-Related Internet's Uses-at Work and Outside Usual Workplaces and Hours-and Their Relationships With Work-Home Interface, Work Engagement, and Problematic Internet Behavior.

Many studies have analyzed the uses of information and communication technologies (ICTs) for work, with some focusing on use at the office and others on use outside the traditional workplace and workday. However, there is little research encompassing all work uses of ICTs, both in and out of the office, and on the ways in which they affect employees' attitudes toward their work and quality of life. Thus, the present study aims to (a) explore the links between intensity, places, and time periods of using the Internet for work; (b) examine whether Internet uses for work are related to the perceived impact of work on personal life, work engagement, and Internet addiction. An empirical study was conducted based on a questionnaire survey of 502 executives. We measured their use of the Internet for business purposes both in and outside of the standard workday/workplace; the perceived impact of work on their personal life; their work engagement; and their relationship to the Internet. Four categories of Internet use for work were identified (Cluster analysis). They differed with respect to intensity, places, and time periods dedicated to Internet uses (at standard workplace, at home, while traveling; during a typical workday, a day off, or vacation). The results obtained from Multinomial Logistic Regression show that technological devices provided by the employer and personal uses of the Internet are related to the intensity, places, and time periods of executives' work-related Internet uses. Furthermore, ANCOVAs reveal that high-intensive, extensive, and porous Internet uses for work appear to foster the permeability between work and personal life, diminish managers' dedication and vigor at work, and favor Internet addiction. Based on these findings, we discuss the importance of the "right to disconnect" and prevention programs regarding Internet uses, two major issues that attract the attention of organizations as well as public health authorities.