Frias Cindy E, Samarasinghe Nimesh, Cuzco Cecilia, Koorankot Jaseem, de Juan Andrés, Ali Rudwan Husameldin Mohamed, Rahim Hanan F Abdul, Zabalegui Adela, Tulley Iain, Al-Harahsheh Sanaa T, Al-Homaiddi Mona Shaheen S T, Fendt-Newlin Meredith, Campbell Jim
Hospital Clinic of Barcelona, Barcelona, Spain.
Hamad Medical Corporation, Doha, Qatar.
Front Med (Lausanne). 2025 Mar 19;12:1530287. doi: 10.3389/fmed.2025.1530287. eCollection 2025.
Countries globally face challenges in educating, employing and retaining their health and care workforce, largely due to underinvestment in health systems. Health and care workforce report significantly greater levels of job-related burnout and mental health problems, which in turn are associated with poorer patient outcomes, increased medical errors, diminished quality and safety, decreased patient satisfaction, and reduced healthcare efficiency.
We conducted a rapid review of systematic reviews to evaluate the mental health and well-being of health and care workers since the onset of the COVID-19 pandemic and to identify interventions available at organizational and individual levels.
PubMed and Epistemonikos were searched for systematic reviews published between May 2022 and February 2024. The inclusion criteria were systematic reviews written in English with quantitative design, with or without meta-analysis.
Fifty articles met the criteria for inclusion in the analysis. Overall, there has not been a significant change in the prevalence of depression and anxiety among health and care workforce since 2022, suggesting the impact of the COVID-19 pandemic on workers' mental health and well-being was not specific to their experience working during the pandemic. Sixteen studies reported two types of mental health and well-being interventions: individual-level interventions and organizational-level interventions with specific impact on mental health and work environment variables. No specific policy interventions were found. However, some studies suggested policy interventions to improve the mental health and well-being of the health and care workforce.
Our analysis highlighted the need for systemic changes to protect the mental health and well-being of the health and care workforce in the post-COVID-19 era. Despite the wealth of evidence on mental health problems and on effective interventions, there remains a notable gap in systemic implementation and organizational accountability. The call to action for a paradigm shift must be embraced and we must strive to build resilient healthcare systems and invest in active support and sustain them, incorporating structural, non-structural and functional aspects of organizational resilience.
全球各国在卫生和护理人员的教育、就业及留用方面面临挑战，这主要归因于卫生系统投资不足。卫生和护理人员报告称工作倦怠和心理健康问题的程度显著更高，而这又与更差的患者预后、更多的医疗差错、质量和安全下降、患者满意度降低以及医疗效率降低相关。
我们对系统评价进行了快速回顾，以评估自新冠疫情爆发以来卫生和护理工作者的心理健康状况，并确定组织和个人层面可用的干预措施。
在PubMed和Epistemonikos中检索2022年5月至2024年2月发表的系统评价。纳入标准为采用定量设计、有或无Meta分析且以英文撰写的系统评价。
50篇文章符合纳入分析的标准。总体而言，自2022年以来，卫生和护理人员中抑郁症和焦虑症的患病率没有显著变化，这表明新冠疫情对工作者心理健康的影响并非仅限于他们在疫情期间的工作经历。16项研究报告了两种心理健康和幸福感干预措施：个人层面的干预措施以及对心理健康和工作环境变量有特定影响的组织层面的干预措施。未发现具体的政策干预措施。然而，一些研究提出了改善卫生和护理人员心理健康和幸福感的政策干预措施。
我们的分析强调了在新冠疫情后时代进行系统性变革以保护卫生和护理人员心理健康的必要性。尽管有大量关于心理健康问题和有效干预措施的证据，但在系统性实施和组织问责方面仍存在显著差距。必须接受呼吁进行范式转变的行动号召，我们必须努力建立有韧性的医疗系统，并投资于积极的支持并维持这些系统，纳入组织韧性的结构、非结构和功能方面。
