The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.
Burnout Among Healthcare Workers in the COVID 19 Era: A Review of the Existing Literature
Open accessAbstract
In the current period of global public health crisis due to the COVID-19, healthcare workers are more exposed to physical and mental exhaustion - burnout - for the torment of difficult decisions, the pain of losing patients and colleagues, and the risk of infection, for themselves and their families. The very high number of cases and deaths, and the probable future "waves" raise awareness of these challenging working conditions and the need to address burnout by identifying possible solutions. Measures have been suggested to prevent or reduce burnout at individual level (physical activity, balanced diet, good sleep hygiene, family support, meaningful relationships, reflective practices and small group discussions), organizational level (blame-free environments for sharing experiences and advices, broad involvement in management decisions, multi-disciplinary psychosocial support teams, safe areas to withdraw quickly from stressful situations, adequate time planning, social support), and cultural level (involvement of healthcare workers in the development, implementation, testing, and evaluation of measures against burnout). Although some progress has been made in removing the barrier to psychological support to cope with work-related stress, a cultural change is still needed for the stigma associated with mental illness. The key recommendation is to address the challenges that the emergency poses and to aggregate health, well-being and behavioral science expertise through long term researches with rigorous planning and reporting to drive the necessary cultural change and the improvement of public health systems.
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“This exponential increase in emotional exhaustion at the onset of the COVID-19 pandemic in HCW has been attributed to increased workload, lack of resources, fear of contagion, and generalized uncertainty (49–51).”
From Evolution of burnout syndrome in Spanish healthcare professionals during and after the COVID-19 pandemic: psychosocial variables involved (2025) · cites this paper as [50]
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“it is initially the most affected component (49–51), as our findings show.”
From Evolution of burnout syndrome in Spanish healthcare professionals during and after the COVID-19 pandemic: psychosocial variables involved (2025) · cites this paper as [50]
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Cites
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Understanding the burnout experience: Recent research and its implications for psychiatry
Maslach, C., & Leiter, M. P. (2016) · World Psychiatry · doi:10.1002/wps.20311 · Cited by 4,200 · cited 1×
“Burnout is a psychological syndrome described as a self-reported state of care- or work- related physical and mental stress (1) that induces emotional exhaustion (EE), depersonalization (DP), and a sense of reduced personal accomplishment (PA) (2).”
BackgroundInterventions to prevent and reduce physician burnout: a systematic review and meta-analysis
West, C. P., Dyrbye, L. N., Erwin, P. J., & Shanafelt, T. D. (2016) · The Lancet · doi:10.1016/s0140-6736(16)31279-x · Cited by 2,362
Reduced sensitivity of SARS-CoV-2 variant Delta to antibody neutralization
Planas, D., Veyer, D., Baidaliuk, A., Staropoli, I., Guivel-Benhassine, F., Rajah, M. M., Planchais, C., Porrot, F., Robillard, N., Puech, J., et al. (2021) · Nature · doi:10.1038/s41586-021-03777-9 · Cited by 1,992 · cited 1×
“In fact, the very high number of globally confirmed cases (195,266,156) and deaths (4,180,161) (7) and the probable additional “waves” to come as new variants emerge despite increased vaccination coverage (8) are having a serious impact on health systems: rationing or cessation of routine services, repurposing of clin…”
BackgroundPrevalence of Burnout Among Physicians: A Systematic Review
Rotenstein, L. S., Torre, M., Ramos, M. A., Rosales, R. C., Guille, C., Sen, S., & Mata, D. A. (2018) · JAMA · doi:10.1001/jama.2018.12777 · Cited by 1,904
Luo, M., Guo, L., Yu, M., Jiang, W., & Wang, H. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113190 · Cited by 1,615
Time to challenge the spurious hierarchy of systematic over narrative reviews?
Greenhalgh, T., Thorne, S., & Malterud, K. (2018) · European Journal of Clinical Investigation · doi:10.1111/eci.12931 · Cited by 1,267
COVID-19: Protecting health-care workers
Lancet, T. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30644-9 · Cited by 1,247
Coproduction of healthcare service
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Research works printed but not linked: 2
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Cited by
Sorted by citations
Global estimate of burnout among the public health workforce: a systematic review and meta-analysis
Nagarajan, R., Ramachandran, P., Dilipkumar, R., & Kaur, P. (2024) · Human Resources for Health · doi:10.1186/s12960-024-00917-w · Cited by 101
Li, Y., Guo, B., Wang, Y., Lv, X., Li, R., Guan, X., Li, L., Li, J., & Cao, Y. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2021.812737 · Cited by 66
The Association of Moral Injury and Healthcare Clinicians’ Wellbeing: A Systematic Review
Thibodeau, P. S., Nash, A., Greenfield, J. C., & Bellamy, J. L. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20136300 · Cited by 64
Mincarone, P., Bodini, A., Tumolo, M. R., Sabina, S., Colella, R., Mannini, L., Sabato, E., & Leo, C. G. (2024) · JMIR Public Health and Surveillance · doi:10.2196/49772 · Cited by 62
Self-citationKinross, P., Gagliotti, C., Merk, H., Plachouras, D., Monnet, D. L., Högberg, L. D., & EARS-Net Study Group (2022) · Eurosurveillance · doi:10.2807/1560-7917.es.2022.27.46.2200845 · Cited by 57
Metadata
- Authors
- Leo, C. G., Sabina, S., Tumolo, M. R., Bodini, A., Ponzini, G., Sabato, E., & Mincarone, P.
- Affiliations
- National Research Council (IT)
- Institute for Research on Population and Social Policies (IT)
- Ospedale A. Perrino (IT)
- Corresponding author
- Tumolo, Maria Rosaria
- ORCID
- Venue
- Frontiers in Public Health
- Publisher
- Frontiers Media SA
- Published
- 2021-10-29
- Volume
- 9
- Pages
- 750529-750529
- ISSN
- 2296-2565 (ISSN-L)
- PMC
- PMC8585922
- OpenAlex
- W3209116266
- Cited by
- 303
- References
- 48
- Citations by year
- 2026: 27 · 2025: 52 · 2024: 75 · 2023: 83 · 2022: 65 · 2021: 1
- FWCI
- 11.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Keywords
- burnout, healthcare workers, COVID-19 pandemic, occupational stress, burnout prevention, psychological support, mental health stigma, organizational culture, social support, sleep hygiene, reflective practice
- MeSH terms
- COVID-19, SARS-CoV-2, Adaptation, Psychological, Burnout, Professional, Health Personnel, Humans
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