Journal Article
Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority
Lene E. Søvold•2021
John A. NaslundAntonis A. Kousoulis
Top 1% · 99th Percentile
994 citations · General Health Professions
Open Access

TLDR

Healthcare workers face serious emotional strain from heavy workloads, danger, difficult decisions, and limited support. Protecting their well-being requires safer workplaces, easier access to help, and lasting changes across health systems.

Summary

1 Study Aim

The authors aim to summarize evidence about mental health problems among healthcare workers during crises and difficult working conditions. They focus especially on COVID-19, examining stress, burnout, moral injury (distress after violating personal ethical values), depression, trauma, and related concerns. The study also identifies practical support, workplace protections, and policy changes that could protect workers over time. Healthcare systems must treat workers’ mental well-being as an essential part of safe, sustainable care.

2 Study Design

The authors present an evidence-based overview (a structured discussion of existing research), rather than a new experiment or survey. They synthesize systematic reviews, meta-analyses, surveys, qualitative studies, intervention studies, and policy reports. Examples include a review of 65 studies involving 97,333 healthcare workers in 21 countries, and interviews with 172 Indian physicians. The article also examines evidence from SARS, Ebola, MERS, and COVID-19 emergencies. It evaluates self-care, psychological first aid (early emotional support after crises), digital care, peer support, leadership, workplace policies, and broader system reforms. The study combines existing evidence to develop practical recommendations, rather than testing one intervention in a single participant group.

3 Findings

The authors report widespread risks from heavy workloads, long shifts, unsafe conditions, stigma, isolation, and ethically difficult decisions. During COVID-19, one review found moderate depression in 21.7%, anxiety in 22.1%, and post-traumatic stress disorder (PTSD, lasting stress reactions after trauma) in 21.5% of workers. Burnout (work-related exhaustion, cynicism, and reduced effectiveness) was linked with poorer care, medical errors, staff turnover, and patient dissatisfaction. The authors recommend adequate staffing, fair pay, protected breaks, confidential mental health services, peer groups, reflective rounds (guided discussions about difficult work experiences), telemedicine, and self-care. They also call for anti-stigma policies, worker involvement in decisions, long-term monitoring, and global research. Lasting workplace and health-system changes are needed, not only short-term praise or individual coping advice.

Abstract

The COVID-19 pandemic has had an unprecedented impact on health systems in most countries, and in particular, on the mental health and well-being of health workers on the frontlines of pandemic response efforts. The purpose of this article is to provide an evidence-based overview of the adverse mental health impacts on healthcare workers during times of crisis and other challenging working conditions and to highlight the importance of prioritizing and protecting the mental health and well-being of the healthcare workforce, particularly in the context of the COVID-19 pandemic. First, we provide a broad overview of the elevated risk of stress, burnout, moral injury, depression, trauma, and other mental health challenges among healthcare workers. Second, we consider how public health emergencies exacerbate these concerns, as reflected in emerging research on the negative mental health impacts of the COVID-19 pandemic on healthcare workers. Further, we consider potential approaches for overcoming these threats to mental health by exploring the value of practicing self-care strategies, and implementing evidence based interventions and organizational measures to help protect and support the mental health and well-being of the healthcare workforce. Lastly, we highlight systemic changes to empower healthcare workers and protect their mental health and well-being in the long run, and propose policy recommendations to guide healthcare leaders and health systems in this endeavor. This paper acknowledges the stressors, burdens, and psychological needs of the healthcare workforce across health systems and disciplines, and calls for renewed efforts to mitigate these challenges among those working on the frontlines during public health emergencies such as the COVID-19 pandemic.