Impact of Work Demands on Burnout and Mental Health Among Frontline Nurses During COVID-19

Crossmark

Click to verify publication status

Authors

  • Ecker Al a. Master University of South Australia, UniSA Clinical & Health Sciences, Rosemary Bryant AO Research Centre, Adelaide, South Australia, Australia
  • Anne Cl b. Department of Respiratory Medicine, The Alfred Hospital, 55 Commercial Road, Prahran, Victoria, Australia

Keywords:

Work demands, Burnout, Psychological health, Frontline nurses, COVID-19

Abstract

Objective: To investigate the impact of quantitative and emotional work demands on burnout and mental health outcomes among frontline nurses during the COV19 pandemic in Australia.
Methods: A cross-sectional survey was conducted with a sample of frontline nurses in Australia to analyse the effects of work demands on burnout, emotional exhaustion and depersonalisation, and the mental health indices of anxiety, depression and stress. Data were collected through self-report surveys and linear and quantile regression analyses were used to assess the relationships between work demands and mental health outcomes.
Findings: Increased quantitative and emotional work demands were found to significantly exacerbate burnout and mental health problems. This was particularly true for nurses with pre-existing mental health problems. The severity of these effects was more pronounced in those individuals who reported higher levels of anxiety, depression and stress.
Novelty: This study contributes to understanding the heterogeneity of the impact of work demands on the mental health of frontline health workers during a global health crisis, focusing in particular on the differential impact according to the severity of pre-existing mental health conditions.
Research Implications: The findings highlight the need for healthcare organizations to implement targeted mental health support and workload management strategies to mitigate burnout and support frontline staff well-being during and after crises such as the COVID-19 pandemic. Future research should investigate the long-term effects and effectiveness of workload reduction and mental health improvement interventions for nurses.

Downloads

Download data is not yet available.

Author Biographies

  • Ecker Al, a. Master University of South Australia, UniSA Clinical & Health Sciences, Rosemary Bryant AO Research Centre, Adelaide, South Australia, Australia

    Echker Albert

    Master University of South Australia, UniSA Clinical & Health Sciences, Rosemary Bryant AO Research Centre, Adelaide, South Australia, Australia

  • Anne Cl, b. Department of Respiratory Medicine, The Alfred Hospital, 55 Commercial Road, Prahran, Victoria, Australia

    Anne Clare

    Department of Respiratory Medicine, The Alfred Hospital, 55 Commercial Road, Prahran, Victoria, Australia

References

Al-Hakim, L., Zhang, Y., Jin, J., & Sevdalis, N. (2022). The effect of psychological meaningfulness and perceived organisational support on the relationship between nursing workload and job satisfaction: A prospective, cross-sectional investigation. International Journal of Nursing Studies, 133, 104274. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2022.104274 DOI: https://doi.org/10.1016/j.ijnurstu.2022.104274

Alzoubi, M. M., Al-Mugheed, K., Oweidat, I., Alrahbeni, T., Alnaeem, M. M., Alabdullah, A. A. S., Abdelaliem, S. M. F., & Hendy, A. (2024). Moderating role of relationships between workloads, job burnout, turnover intention, and healthcare quality among nurses. BMC Psychology, 12(1), 495. https://doi.org/10.1186/s40359-024-01891-7 DOI: https://doi.org/10.1186/s40359-024-01891-7

Baker, J. A., Canvin, K., & Berzins, K. (2019). The relationship between workforce characteristics and perception of quality of care in mental health: A qualitative study. International Journal of Nursing Studies, 100, 103412. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2019.103412 DOI: https://doi.org/10.1016/j.ijnurstu.2019.103412

Bakker, A. B., & Oerlemans, W. G. M. (2019). Daily job crafting and momentary work engagement: A self-determination and self-regulation perspective. Journal of Vocational Behavior, 112, 417–430. https://doi.org/https://doi.org/10.1016/j.jvb.2018.12.005 DOI: https://doi.org/10.1016/j.jvb.2018.12.005

Charoensukmongkol, P. (2022). Supervisor-subordinate guanxi and emotional exhaustion: The moderating effect of supervisor job autonomy and workload levels in organizations. Asia Pacific Management Review, 27(1), 40–49. https://doi.org/https://doi.org/10.1016/j.apmrv.2021.05.001 DOI: https://doi.org/10.1016/j.apmrv.2021.05.001

Chen, H., & Eyoun, K. (2021). Do mindfulness and perceived organizational support work? Fear of COVID-19 on restaurant frontline employees’ job insecurity and emotional exhaustion. International Journal of Hospitality Management, 94, 102850. https://doi.org/https://doi.org/10.1016/j.ijhm.2020.102850 DOI: https://doi.org/10.1016/j.ijhm.2020.102850

Clari, M., Gonella, S., Gatti, P., Garzaro, G., Paleologo, M., Cortese, C. G., & Dimonte, V. (2022). Multi-level analysis of individual and work environment factors associated with nurses’ perceived emotional exhaustion. Applied Nursing Research, 63, 151514. https://doi.org/https://doi.org/10.1016/j.apnr.2021.151514 DOI: https://doi.org/10.1016/j.apnr.2021.151514

Cramer, E., & Hunter, B. (2019). Relationships between working conditions and emotional wellbeing in midwives. Women and Birth, 32(6), 521–532. https://doi.org/https://doi.org/10.1016/j.wombi.2018.11.010 DOI: https://doi.org/10.1016/j.wombi.2018.11.010

De Diego-Cordero, R., Iglesias-Romo, M., Badanta, B., Lucchetti, G., & Vega-Escaño, J. (2022). Burnout and spirituality among nurses: A scoping review. EXPLORE, 18(5), 612–620. https://doi.org/https://doi.org/10.1016/j.explore.2021.08.001 DOI: https://doi.org/10.1016/j.explore.2021.08.001

Fernandez, R., Lord, H., Halcomb, E., Moxham, L., Middleton, R., Alananzeh, I., & Ellwood, L. (2020). Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. International Journal of Nursing Studies, 111, 103637. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2020.103637 DOI: https://doi.org/10.1016/j.ijnurstu.2020.103637

Foster, K., Roche, M., Delgado, C., Cuzzillo, C., Giandinoto, J.-A., & Furness, T. (2019). Resilience and mental health nursing: An integrative review of international literature. International Journal of Mental Health Nursing, 28(1), 71–85. https://doi.org/https://doi.org/10.1111/inm.12548 DOI: https://doi.org/10.1111/inm.12548

Guastello, A. D., Brunson, J. C., Sambuco, N., Dale, L. P., Tracy, N. A., Allen, B. R., & Mathews, C. A. (2024). Predictors of professional burnout and fulfilment in a longitudinal analysis on nurses and healthcare workers in the COVID-19 pandemic. Journal of Clinical Nursing, 33(1), 288–303. https://doi.org/https://doi.org/10.1111/jocn.16463 DOI: https://doi.org/10.1111/jocn.16463

Guttormson, J. L., Calkins, K., McAndrew, N., Fitzgerald, J., Losurdo, H., & Loonsfoot, D. (2022). Critical Care Nurse Burnout, Moral Distress, and Mental Health During the COVID-19 Pandemic: A United States Survey. Heart & Lung, 55, 127–133. https://doi.org/https://doi.org/10.1016/j.hrtlng.2022.04.015 DOI: https://doi.org/10.1016/j.hrtlng.2022.04.015

Hu, Z., Wang, H., Xie, J., Zhang, J., Li, H., Liu, S., Li, Q., Yang, Y., & Huang, Y. (2021). Burnout in ICU doctors and nurses in mainland China–A national cross-sectional study. Journal of Critical Care, 62, 265–270. https://doi.org/https://doi.org/10.1016/j.jcrc.2020.12.029 DOI: https://doi.org/10.1016/j.jcrc.2020.12.029

Huhtala, M., Geurts, S., Mauno, S., & Feldt, T. (2021). Intensified job demands in healthcare and their consequences for employee well-being and patient satisfaction: A multilevel approach. Journal of Advanced Nursing, 77(9), 3718–3732. https://doi.org/https://doi.org/10.1111/jan.14861 DOI: https://doi.org/10.1111/jan.14861

Iflaifel, M., Lim, R. H., Ryan, K., & Crowley, C. (2020). Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience. BMC Health Services Research, 20(1), 324. https://doi.org/10.1186/s12913-020-05208-3 DOI: https://doi.org/10.1186/s12913-020-05208-3

Jones, J., Manoharan, D. A., & Jiang, Z. (2022). Occupational meaning, well-being and coping: A study of culturally and linguistically diverse hotel workers during COVID-19. Journal of Hospitality and Tourism Management, 52, 356–365. https://doi.org/https://doi.org/10.1016/j.jhtm.2022.07.022 DOI: https://doi.org/10.1016/j.jhtm.2022.07.022

Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., Yao, L., Bai, H., Cai, Z., Xiang Yang, B., Hu, S., Zhang, K., Wang, G., Ma, C., & Liu, Z. (2020). Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, Behavior, and Immunity, 87, 11–17. https://doi.org/https://doi.org/10.1016/j.bbi.2020.03.028 DOI: https://doi.org/10.1016/j.bbi.2020.03.028

Klusmann, U., Aldrup, K., Roloff-Bruchmann, J., Carstensen, B., Wartenberg, G., Hansen, J., & Hanewinkel, R. (2023). Teachers’ emotional exhaustion during the COVID-19 pandemic: Levels, changes, and relations to pandemic-specific demands. Teaching and Teacher Education, 121, 103908. https://doi.org/https://doi.org/10.1016/j.tate.2022.103908 DOI: https://doi.org/10.1016/j.tate.2022.103908

Kwon, K., & Kim, T. (2020). An integrative literature review of employee engagement and innovative behavior: Revisiting the JD-R model. Human Resource Management Review, 30(2), 100704. https://doi.org/https://doi.org/10.1016/j.hrmr.2019.100704 DOI: https://doi.org/10.1016/j.hrmr.2019.100704

Lo Presti, A., Van der Heijden, B., & De Rosa, A. (2024). Organizational predictors of employability and the moderating impact of boundaryless career attitude: A multi-wave study among Italian employees. Human Resource Management Journal, n/a(n/a). https://doi.org/https://doi.org/10.1111/1748-8583.12575 DOI: https://doi.org/10.1111/1748-8583.12575

Maben, J., Conolly, A., Abrams, R., Rowland, E., Harris, R., Kelly, D., Kent, B., & Couper, K. (2022). ‘You can’t walk through water without getting wet’ UK nurses’ distress and psychological health needs during the Covid-19 pandemic: A longitudinal interview study. International Journal of Nursing Studies, 131, 104242. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2022.104242 DOI: https://doi.org/10.1016/j.ijnurstu.2022.104242

Mansour, H., & Abu Sharour, L. (2021). Results of survey on perception of patient safety culture among emergency nurses in Jordan: Influence of burnout, job satisfaction, turnover intention, and workload. Journal of Healthcare Quality Research, 36(6), 370–377. https://doi.org/https://doi.org/10.1016/j.jhqr.2021.05.001 DOI: https://doi.org/10.1016/j.jhqr.2021.05.001

Msuya, M. S., & Kumar, A. B. (2022). The role of supervisor work-life support on the correlation between work autonomy, workload and performance: perspective from Tanzania banking employees. Future Business Journal, 8(1), 26. https://doi.org/10.1186/s43093-022-00139-3 DOI: https://doi.org/10.1186/s43093-022-00139-3

Muller, A. E., Hafstad, E. V., Himmels, J. P. W., Smedslund, G., Flottorp, S., Stensland, S. Ø., Stroobants, S., Van de Velde, S., & Vist, G. E. (2020). The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Research, 293, 113441. https://doi.org/https://doi.org/10.1016/j.psychres.2020.113441 DOI: https://doi.org/10.1016/j.psychres.2020.113441

Oprisan, A., Baettig-Arriagada, E., Baeza-Delgado, C., & Martí-Bonmatí, L. (2022). Prevalence of burnout syndrome during the COVID-19 pandemic and associated factors. Radiología (English Edition), 64(2), 119–127. https://doi.org/https://doi.org/10.1016/j.rxeng.2021.09.009 DOI: https://doi.org/10.1016/j.rxeng.2021.09.009

Potard, C., & Landais, C. (2021). The use of cluster analysis to identify different burnout profiles among nurses and care assistants for older adults. Geriatric Nursing, 42(5), 1135–1142. https://doi.org/https://doi.org/10.1016/j.gerinurse.2021.07.005 DOI: https://doi.org/10.1016/j.gerinurse.2021.07.005

Prasad, K., McLoughlin, C., Stillman, M., Poplau, S., Goelz, E., Taylor, S., Nankivil, N., Brown, R., Linzer, M., Cappelucci, K., Barbouche, M., & Sinsky, C. A. (2021). Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study. EClinicalMedicine, 35. https://doi.org/10.1016/j.eclinm.2021.100879 DOI: https://doi.org/10.1016/j.eclinm.2021.100879

Shahbaz, S., Ashraf, M. Z., Zakar, R., & Fischer, F. (2021). Psychosocial, emotional and professional challenges faced by female healthcare professionals during the COVID-19 outbreak in Lahore, Pakistan: a qualitative study. BMC Women’s Health, 21(1), 197. https://doi.org/10.1186/s12905-021-01344-y DOI: https://doi.org/10.1186/s12905-021-01344-y

Wen, J., Huang, S. (Sam), & Hou, P. (2019). Emotional intelligence, emotional labor, perceived organizational support, and job satisfaction: A moderated mediation model. International Journal of Hospitality Management, 81, 120–130. https://doi.org/https://doi.org/10.1016/j.ijhm.2019.01.009 DOI: https://doi.org/10.1016/j.ijhm.2019.01.009

Wu, Y., Wang, J., Luo, C., Hu, S., Lin, X., Anderson, A. E., Bruera, E., Yang, X., Wei, S., & Qian, Y. (2020). A Comparison of Burnout Frequency Among Oncology Physicians and Nurses Working on the Frontline and Usual Wards During the COVID-19 Epidemic in Wuhan, China. Journal of Pain and Symptom Management, 60(1), e60–e65. https://doi.org/https://doi.org/10.1016/j.jpainsymman.2020.04.008 DOI: https://doi.org/10.1016/j.jpainsymman.2020.04.008

Xie, W., Chen, L., Feng, F., Okoli, C. T. C., Tang, P., Zeng, L., Jin, M., Zhang, Y., & Wang, J. (2021). The prevalence of compassion satisfaction and compassion fatigue among nurses: A systematic review and meta-analysis. International Journal of Nursing Studies, 120, 103973. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2021.103973 DOI: https://doi.org/10.1016/j.ijnurstu.2021.103973

Zhang, X., Wei, X., Zhang, T., Tan, Y., Xu, D., & Ordóñez de Pablos, P. (2023). How platform-based internet hospital innovation affects doctors’ active stress coping efforts: The conservation of resource theory perspective. Technovation, 121, 102556. https://doi.org/https://doi.org/10.1016/j.technovation.2022.102556 DOI: https://doi.org/10.1016/j.technovation.2022.102556

Published

2024-10-10

Issue

Section

Articles

How to Cite

Albert, E., & Clare, A. (2024). Impact of Work Demands on Burnout and Mental Health Among Frontline Nurses During COVID-19. Safety and Health for Medical Workers, 1(3), 155-168. https://doi.org/10.69725/shmw.v1i3.155

Share

Similar Articles

1-10 of 19

You may also start an advanced similarity search for this article.