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Record W4406882154 · doi:10.1111/inr.13099

A descriptive analysis of nurses’ self‐reported mental health symptoms during the COVID‐19 pandemic: An international study

2025· article· en· W4406882154 on OpenAlexfundno aff
Allison Squires, Hillary J. Dutton, María Guadalupe Casales-Hernández, Javier Isidro Rodríguez López, Juana Jiménez-Sánchez, Paola Andrea Dixon, Cornelia Bernal Cespedes, Yesenia Flores, Maryuri Ibeth Arteaga Cordova, Gabriela Castillo, Jannette Marga Loza Sosa, Taycia Ramírez Pérez, Cibeles González Nahuelquín, Teresa Amaya, José Luís Guedes dos Santos, Derby Muñoz Rojas, Lilia Andrea Buitrago‐Malaver, Fiorella Jackeline Rojas‐Pineda, José Luis Álvarez Watson, Mercedes Gómez del Pulgar García-Madrid, Maria Anyorikeya, Hülya Bilgin, Aurelija Blaževičienė, Lucky Sarjono Buranda, Theresa P. Castillo, Stefanía Johanna Cedeño Tapia, Stefania Chiappinotto, Dulamsuren Damiran, Blerina Duka, Vlora Ejupi, Mohamed A. Ismail, Shanzida Khatun, Virya Koy, Seung Eun Lee, Tae Wha Lee, Jakub Lickiewicz, Jūratė Macijauskienė, Iwona Malinowska‐Lipień, Apiradee Nantsupawat, Abdulqadir J. Nashwan, Fadumo Osman Ahmed, Aylin Özakgül, Yennuten Paarima, Alvisa Palese, Viani Ramírez, Alisa Tsuladze, Zeliha Tülek, Maia Uchaneishvili, Margaret Wekem Kukeba, Enkhjargal Yanjmaa, H P Patel, Zhongyue Ma, Lloyd A. Goldsamt, Simon Jones

Bibliographic record

VenueInternational Nursing Review · 2025
Typearticle
Languageen
FieldPsychology
TopicCOVID-19 and Mental Health
Canadian institutionsnot available
FundersYork University
KeywordsMental healthPandemicDescriptive statisticsBurnoutWorkforceAnxietyMedicineStressorPublic healthNursingPsychologyPsychiatryFamily medicineCoronavirus disease 2019 (COVID-19)Clinical psychologyDisease

Abstract

fetched live from OpenAlex

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.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.099
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.104
GPT teacher head0.523
Teacher spread0.419 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations7
Published2025
Admission routes1
Has abstractyes

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