Listening to the neurological teams for multiple sclerosis: the SMART project.

Publication date: Mar 20, 2020

Aim of the research was to define the quality of life of Italian neurologists and nurses’ professional caring for multiple sclerosis, to understand their living the clinical practice and identify possible signals of compassion fatigue.

One hundred five neurologists and nurses from 30 Italian multiple sclerosis centres were involved in an online quali-quantitative survey on the organization of care, combined with the Satisfaction and Compassion Fatigue Test and a collection of narratives. Descriptive statistics of the quantitative data were integrated with the results obtained by the narrative medicine methods of analysis.

Most of the practitioners were neurologists, 46 average years old, 69% women, 43% part time dedicated to multiple sclerosis. An increased number of patients in the last 3 years were referred in 29 centres. Differences were found between neurologists and nurses. Physicians showed higher risks of burnout, reporting intensive working paces, lack of medical personnel, and anxiety caused by the precarious employment conditions. Nurses appeared more satisfied, although the reference to the lack of spaces, and the cross professional roles risk of compassion fatigue. Both positive and negative relationships of care were depicted as influencing the professional quality of life.

The interviewed neurological teams need to limit the risk of compassion fatigue, which appeared from the first years of the career. The prevalence of the risk among neurologists suggests more awareness among scientific societies and health care managers on the risk for this category, as first step to prevent it.

Chesi, P., Marini, M.G., Mancardi, G.L., Patti, F., group, SMART study. project., Alivernini, L., Bisecco, A., Borriello, G., Bucello, S., Caleri, F., Cavalla, P., Cocco, E., Cordioli, C., Di Giuseppe, M., Fantozzi, R., Gattuso, M., Granella, F., Liguori, M., Locatelli, L., Lugaresi, A., Marangoni, S., Moiola, L., Mutta, E., Neri, W., Past`o, L., Perini, P., Petruzzo, M., Plewnia, K., Repice, A.M., Rezzonico, M., Romano, S., Rovaris, M., Sessa, E., Tortorella, C., Totaro, R., and Valentino, P. Listening to the neurological teams for multiple sclerosis: the SMART project. 20508. 2020 Neurol Sci.

Concepts Keywords
Aim Social psychology
Anxiety Moral psychology
Burnout Humans
Cross Emotion
Descriptive Statistics Stress
Italian Articles
Multiple Sclerosis Human behavior
Neurological Italian multiple sclerosis
Sci Project
Survey Compassion fatigue
Test Neurology


Type Source Name
disease MESH multiple sclerosis
disease MESH compassion fatigue
disease MESH Satisfaction
disease MESH burnout
disease MESH anxiety
disease MESH precarious employment


Original Article

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