PreprintCited by 8Stress and Burnout ResearchHealthcare professionals’ stress and burnoutOccupational Health and Burnout

Double-Duty Caregiving, Burnout, Job Satisfaction, and Work–Life Balance Among Italian Healthcare Workers: A Descriptive Study

Open access
Urban, Antonio, Agus, Mirian, Aru, Nicola, Corona, Francesca, Cantone, Elisa, Cortese, Claudio Giovanni, Nonnis, Marcello·2024·Sustainability

Abstract

The present study aimed to evaluate the multivariate relationships between variables related to burnout and job stress in healthcare workers, evaluating if the relationship between these dimensions, the variables related to personal factors (age, seniority of service), and work–family balance factors (overwork related to unused vacation days, accumulated overtime hours) change when the worker is engaged in double-caregiving activities. Indeed, the twofold activities of home caregiving and caring at work might expose workers to challenging situations. To accomplish our aim, we carried out network analyses on data from 466 workers (77.90% females). Participants completed the Link Burnout Questionnaire (LBQ) and the Job Satisfaction Scale (OSI). Contrary to expectations, the variables related to work–life balance played a marginal role with respect to job satisfaction and burnout risk for the whole sample. In addition, no significant differences emerged between workers who reported dual- caregiving tasks, compared with those who did not. However, some peculiar aspects of the relationship between burnout and job satisfaction emerged in the two subsamples. The findings are discussed, highlighting a framework for understanding the interactions among the assessed variables.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.20944/preprints202411.0084.v1

Cites

72 of 72 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Double-duty caregivers are increasingly common within the health and social care workforce.

    “Within the health and social care workforce itself, double-duty caregivers, paid providers who also deliver substantial unpaid care at home, are increasingly common [19,20,21].”

    From Home care comparison (2026) · cites this paper as [19]

    Section 1.1 defines double caregiving as informal care combined with formal work in healthcare, supporting the description of workers who provide care at home. The passages do not establish that double-duty caregivers are increasingly common in the health and social care workforce; the reported increase during COVID-19 concerns burnout, not their numbers. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 14

  1. Williams, K.; Eggett, D.; Patten, E.V. How Work and Family Caregiving Responsibilities Interplay and Affect Registered Dieti- tian Nutritionists and Their Work: A National Survey. PLoS ONE 2021, 16, e0248109. https://doi.org/10.1371/jour- nal.pone.0248109. · DOI
  2. Boumans, N.P.G.; Dorant, E. Double-duty Caregivers: Healthcare Professionals Juggling Employment and Informal Caregiving. A Survey on Personal Health and Work Experiences. J. Adv. Nurs. 2014, 70, 1604-1615. [CrossRef] · DOI
  3. Detaille, S.I.; De Lange, A.; Engels, J.; Pijnappels, M.; Hutting, N.; Osagie, E.; Reig-Botella, A. Supporting Double Duty Caregiving and Good Employment Practices in Health Care Within an Aging Society. Front. Psychol. 2020, 11, 535353. [CrossRef] [PubMed] · DOI
  4. Häusler, N.; Bopp, M.; Hämmig, O. Informal Caregiving, Work-Privacy Conflict and Burnout among Health Professionals in Switzerland-A Cross-Sectional Study. Swiss Med. Wkly. 2017, 147, w14552. [CrossRef] · DOI
  5. Gérain, P.; Zech, E. Informal Caregiver Burnout? Development of a Theoretical Framework to Understand the Impact of Caregiving. Front. Psychol. 2019, 10, 1748. [CrossRef] [PubMed] · DOI · Paper page
  6. Gérain, P.; Zech, E. Do Informal Caregivers Experience More Burnout? A Meta-Analytic Study. Psychol. Health Med. 2021, 26, 145-161. [CrossRef] · DOI
  7. Boy, Y.; Sürmeli, M. Quiet quitting: A significant risk for global healthcare. J. Glob. Health 2023, 13, 03014. [CrossRef] [PubMed] · DOI
  8. DePasquale, N.; Davis, K.D.; Zarit, S.H.; Moen, P.; Hammer, L.B.; Almeida, D.M. Combining Formal and Informal Caregiving Roles: The Psychosocial Implications of Double-and Triple-Duty Care. J. Gerontol. Ser. B 2016, 71, 201-211. [CrossRef] [PubMed] · DOI
  9. Schwartz, S.P.; Adair, K.C.; Bae, J.; Rehder, K.J.; Shanafelt, T.D.; Profit, J.; Sexton, J.B. Work-Life Balance Behaviours Cluster in Work Settings and Relate to Burnout and Safety Culture: A Cross-sectional Survey Analysis. BMJ Qual. Saf. 2019, 28, 142-150. [CrossRef] · DOI
  10. Tuch, W.R., Bakker, A.B., Tay, L., Gander, F., Eds.; Hogrefe: Göttingen, Germany, 2022; pp. 273-295.
  11. Santinello, M.; Negrisolo, A. Quando Ogni Passione è Spenta. La Sindrome del Burnout Nelle Professioni Sanitarie; Mc Graw Hill: Milan, Italy, 2009; pp. 5-34.
  12. Edelwich, J.; Brodsky, A. Burnout: Stages of Disillusionment in the Helping Professions; Kluwer Academic Plenum Publishers: Dordrecht, The Netherlands, 1980; pp. 7-48.
  13. Khamlub, S.; Harun-Or-Rashid, M.; Sarker, M.A.B.; Hirosawa, T.; Outavong, P.; Sakamoto, J. Job Satisfaction of Health-Care Workers at Health Centers in Vientiane Capital and Bolikhamsai Province, Lao PDR. Nagoya J. Med. Sci. 2013, 75, 233-241. [PubMed]
  14. Karaferis, D.; Aletras, V.; Niakas, D.N. Job Satisfaction of Primary Healthcare Professionals: A Cross-Sectional Survey in Greece: Job Satisfaction in Greek Primary Care. Acta Biomed. 2023, 94, e2023077. [CrossRef] · DOI

Cited by

Sorted by citations

Authors
Urban, A., Agus, M., Aru, N., Corona, F., Cantone, E., Cortese, C. G., & Nonnis, M.
Affiliations
  • Azienda Ospedaliero-Universitaria Cagliari (IT)
  • University of Cagliari (IT)
  • University of Turin (IT)
Corresponding author
Nonnis, Marcello
Venue
Sustainability
Publisher
MDPI AG
Published
2024-11-04
Volume
17
Issue
1
Pages
39-39
ISSN
2071-1050 (ISSN-L)
OpenAlex
W4405781730
Cited by
8
References
72
Citations by year
2026: 7 · 2025: 1
FWCI
3.79
Type
journal article
Language
en
Open access
Locations
  • Sustainability (publishedVersion, cc-by)
  • Preprints.org (acceptedVersion, cc-by)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
Funders
Università degli Studi di Cagliari
Topics
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
Keywords
burnout, job satisfaction, work-life balance, healthcare workers, occupational stress, overtime

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review