Damiran, Dulamsuren

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A descriptive analysis of nurses' self-reported mental health symptoms during the COVID-19 pandemic: An international study
(2025-03)
Squires, Allison
;
Dutton, Hillary J
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Casales-Hernandez, Maria Guadalupe
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Rodriguez López, Javier Isidro
;
Jimenez-Sanchez, Juana
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.
Scopus© Citations 11
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Understanding the Second Year of the COVID-19 Pandemic From a Nursing Perspective: A Multi-Country Descriptive Study
(2026-08)
Squires, Allison
;
Dutton, Hillary J
;
Casales-Hernandez, Maria Guadalupe
;
López, Javier Isidro Rodriguez
;
Saldarriaga-Dixon, Paola
AIM(S): To determine common and distinct factors experienced by nurses working in acute care settings during the second year of the COVID-19 pandemic. DESIGN: An online qualitative descriptive study with eight open-ended questions and a comprehensive demographic profile administered via the Qualtrics XM survey software. METHODS: Thirteen countries formed teams and led online data collection in their respective countries through various approaches. The data collection period occurred between January 1, 2021, and February 28, 2022. Descriptive thematic analysis was conducted in English (with translation), Spanish, and Korean to analyse the qualitative data. Descriptive statistics summarised the responses to the demographic profile. RESULTS: Worldwide, a final sample size of n = 1814 produced 6483 qualitative data points for analysis. The results identified ongoing occupational risk factors for nurses during the pandemic's second year, including mental health issues, yet showed some improvements in access to personal protective equipment and resources. Four themes emerged from the qualitative analysis, highlighting role changes, living states, and insights into the implementation of pandemic response measures. CONCLUSION: Despite individual occupational risks nurses described, structural factors associated with healthcare delivery produced common nursing experiences during the pandemic. Additionally, at least two distinct stages of pandemic response implementation were demarcated by treatment availability (e.g., vaccine development). IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: There is potential for common pandemic response policies for nurses, centered on specific factors, such as the increased provision of mental health support services by healthcare organisations. IMPACT: This study helped determine the common and distinct work experiences during the second year of the COVID-19 pandemic. Nurses simultaneously experienced increased workload, role changes, perpetual fear and fatigue, daily hostility, and chaos in the implementation of pandemic responses. The results will impact nurses and those they serve along with future pandemic response policies. REPORTING METHOD: We have adhered to the SRQR reporting guidelines. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct, or reporting.
Scopus© Citations 1

Damiran, Dulamsuren

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