The lived experience of cancer screening healthcare workers during the COVID-19 pandemic: an Italian multiregional survey.

OBJECTIVES

to explore the experiences and training needs of healthcare workers involved in cancer screening programmes in Italy during the COVID-19 pandemic.

DESIGN

an anonymous questionnaire was developed by the Institute for Cancer Research, Prevention, and Clinical Network (ISPRO) of Florence (Italy), distributed using Google Forms between May and June 2023. Responses were collected using 5-point Likert scales, multiple-choice questions, and open-ended prompts. Descriptive analyses were performed using Stata/SE version 16.1 for quantitative data; thematic analysis was applied to open-ended questions.

SETTING AND

PARTICIPANTS

the Italian Ministry of Health's CCM 2021 multiregional programme aimed to develop a training programme for cancer screening professionals to address COVID-19-related issues and maintain a high level of preparedness. This exploratory survey guided the design of the training programme which targeted cancer screening workers in 3 Regions: Toscana, Emilia-Romagna, and Basilicata.

MAIN OUTCOME MEASURES: the questionnaire comprised 36 items in 3 sections: experiences during the pandemic, organizational support, and sociodemographic characteristics.

RESULTS

the responses were 317. Participants were predominantly female (82.3%), mostly from Emilia-Romagna (65.0%) and Toscana (33.1%). The most frequently reported negative consequence concerned psychological well-being (63.1%), yet only 3.5% of the participants received psychological counselling, and nearly half (49.8%) reported no organizational support. However, teamwork and collaboration among colleagues were generally high (87.1%); 65.9% reported developing new competencies. Many opposed suspending first-level screening in future emergencies (46.1%) and strongly supported reaffirming screening importance within healthcare (89.3%) and society (92.8%). A structured pandemic plan was considered the most valuable measure (63.1%).

CONCLUSIONS

enhancing cancer screening programme resilience requires a systems-level approach integrating psychological support and proactive governance. Future policies should use these insights to safeguard users and professionals.