A descriptive analysis of nurses' self-reported mental health symptoms during the COVID-19 pandemic: An international study

Allison Squires, Hillary J. Dutton, Maria Guadalupe Casales-Hernandez, Javier Isidro Rodriguez López, Juana Jimenez-Sanchez, Paola Saldarriaga-Dixon, Cornelia Bernal Cespedes, Yesenia Flores, Maryuri Ibeth Arteaga Cordova, Gabriela Castillo, Jannette Marga Loza Sosa, Julio Garcia, Taycia Ramirez, Cibeles González-Nahuelquin, Teresa Amaya, Jose Luis Guedes Dos Santos, Derby Muñoz Rojas, Lilia Andrea Buitrago-Malaver, Fiorella Jackeline Rojas-Pineda, Jose Luis Alvarez WatsonMercedes Gómez Del Pulgar, Maria Anyorikeya, Hulya Bilgin, Aurelija Blaževičienė, Lucky Sarjono Buranda, Theresa P. Castillo, Stefanía Johanna Cedeño Tapia, Stefania Chiappinotto, Dulamsuren Damiran, Blerina Duka, Vlora Ejupi, Mohamed Jama Ismail, Shanzida Khatun, Virya Koy, Seung Eun Lee, Taewha Lee, Jakub Lickiewicz, Jūratė Macijauskienė, Iwona Malinowska-Lipien, Apiradee Nantsupawat, Abdulqadir J. Nashwan, Fadumo Osman Ahmed, Aylin Ozakgul, Yennuten Paarima, Alvisa Palese, Veronica E. Ramirez, Alisa Tsuladze, Zeliha Tulek, Maia Uchaneishvili, Margaret Wekem Kukeba, Enkhjargal Yanjmaa, Honey Patel, Zhongyue Ma, Lloyd A. Goldsamt, Simon Jones

Research output: Contribution to journalArticlepeer-review

Abstract

AIM: To describe the self-reported mental health of nurses from 35 countries who worked during the COVID-19 pandemic. BACKGROUND: There is little occupationally specific data about nurses' mental health worldwide. Studies have documented the impact on nurses' mental health of the COVID-19 pandemic, but few have baseline referents. METHODS: A descriptive, cross-sectional design structured the study. Data reflect a convenience sample of 9,387 participants who completed the opt-in survey between July 31, 2022, and October 31, 2023. Descriptive statistics were run to analyze the following variables associated with mental health: Self-reports of mental health symptoms, burnout, personal losses during the pandemic, access to mental health services, and self-care practices used to cope with pandemic-related stressors. Reporting of this study was steered by the STROBE guideline for quantitative studies. RESULTS: Anxiety or depression occurred at rates ranging from 23%-61%, with country-specific trends in reporting observed. Approximately 18% of the sample reported experiencing some symptoms of burnout. The majority of nurses' employers did not provide mental health support in the workplace. Most reported more frequently engaging with self-care practices compared with before the pandemic. Notably, 20% of nurses suffered the loss of a family member, 35% lost a friend, and 34% a coworker due to COVID-19. Nearly half (48%) reported experiencing public aggression due to their identity as a nurse. CONCLUSIONS: The data obtained establish a basis for understanding the specific mental health needs of the nursing workforce globally, highlighting key areas for service development. IMPLICATIONS FOR NURSING POLICY: Healthcare organizations and governmental bodies need to develop targeted mental health support programs that are readily accessible to nurses to foster a resilient nursing workforce.

Original languageEnglish
Pages (from-to)e13099
JournalInternational nursing review
Volume72
Issue number1
DOIs
Publication statusPublished - 1 Mar 2025

Keywords

  • COVID‐19
  • global health
  • health workforce
  • nursing
  • nursing shortage
  • occupational health
  • occupational health nursing
  • pandemics

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