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Mental health of Australian frontline nurses during the COVID-19 pandemic: Results of a large national survey

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  • Zamanzadeh, Akbar
  • Eckert, Marion
  • Corsini, Nadia
  • Adelson, Pam
  • Sharplin, Greg

Abstract

This paper investigates the effects of work demands on burnout indices of emotional exhaustion, depersonalization and personal accomplishment, and mental health indices of anxiety, depression and stress, among Australian nurses and midwives. We used de-identified self-reported survey data from approximately 11,000 Australian nurses and midwives during the pandemic. Linear and quantile regression analyses explored how working conditions affect different aspects of nurses and midwives' burnout and mental health. Results show how working conditions affect burnout and mental health heterogeneously depending on the severity of the mental health symptoms. Increased quantitative and emotional work demands significantly impact occupational burnout indices of emotional exhaustion and depersonalization, and mental health indices of anxiety, depression, and stress among Australian nurses and midwives. Quantitative and emotional demands have more significant effects on people with higher levels of anxiety, depression, stress, and depersonalization than on those with milder or lesser symptoms. Given recent national and international policy focus on psychosocial hazards at work, this paper suggests that governments and health care providers need to monitor such hazards among nurses and midwives and introduce policies that reduce excessive quantitative or emotional burden to minimise risk of burnout and poor mental health and support good mental health among nurses and midwives.

Suggested Citation

  • Zamanzadeh, Akbar & Eckert, Marion & Corsini, Nadia & Adelson, Pam & Sharplin, Greg, 2025. "Mental health of Australian frontline nurses during the COVID-19 pandemic: Results of a large national survey," Health Policy, Elsevier, vol. 151(C).
    • Handle: RePEc:eee:hepoli:v:151:y:2025:i:c:s0168851024002240
    DOI: 10.1016/j.healthpol.2024.105214
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    1. Moshe Buchinsky, 1998. "Recent Advances in Quantile Regression Models: A Practical Guideline for Empirical Research," Journal of Human Resources, University of Wisconsin Press, vol. 33(1), pages 88-126.
    2. Debra Jackson & Robert Anders & William V. Padula & John Daly & Patricia M. Davidson, 2020. "Vulnerability of nurse and physicians with COVID‐19: Monitoring and surveillance needed," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(19-20), pages 3584-3587, October.
    3. Zamanzadeh, Akbar & Cavoli, Tony & Ghasemi, Matina & Rokni, Ladan, 2024. "The effect of actual and expected income shocks on mental wellbeing: Evidence from three East Asian countries during COVID-19," Economics & Human Biology, Elsevier, vol. 53(C).
    4. Cummings, Janet R. & Zhang, Xinyue & Gandré, Coralie & Morsella, Alisha & Shields-Zeeman, Laura & Winkelmann, Juliane & Allin, Sara & Augusto, Gonçalo Figueiredo & Cascini, Fidelia & Cserháti, Zoltán , 2023. "Challenges facing mental health systems arising from the COVID-19 pandemic: Evidence from 14 European and North American countries," Health Policy, Elsevier, vol. 136(C).
    5. Elena Cottini & Claudio Lucifora, 2013. "Mental Health and Working Conditions in Europe," ILR Review, Cornell University, ILR School, vol. 66(4), pages 958-988, July.
    6. Gabriele Giorgi & Luigi Isaia Lecca & Federico Alessio & Georgia Libera Finstad & Giorgia Bondanini & Lucrezia Ginevra Lulli & Giulio Arcangeli & Nicola Mucci, 2020. "COVID-19-Related Mental Health Effects in the Workplace: A Narrative Review," IJERPH, MDPI, vol. 17(21), pages 1-22, October.
    7. Koenker, Roger W & Bassett, Gilbert, Jr, 1978. "Regression Quantiles," Econometrica, Econometric Society, vol. 46(1), pages 33-50, January.
    8. Llena-Nozal, Ana, 2009. "The Effect of Work Status and Working Conditions on Mental Health in Four OECD Countries," National Institute Economic Review, National Institute of Economic and Social Research, vol. 209, pages 72-87, July.
    9. Silvana Robone & Andrew Jones & Nigel Rice, 2011. "Contractual conditions, working conditions and their impact on health and well-being," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(5), pages 429-444, October.
    10. Watkins, Vanessa J. & Shee, Anna Wong & Field, Michael & Alston, Laura & Hills, Danny & Albrecht, Simon L. & Ockerby, Cherene & Hutchinson, Alison M., 2024. "Rural healthcare workforce preparation, response, and work during the COVID-19 pandemic in Australia: Lessons learned from in-depth interviews with rural health service leaders," Health Policy, Elsevier, vol. 145(C).
    11. Winkelmann, Juliane & Webb, Erin & Williams, Gemma A. & Hernández-Quevedo, Cristina & Maier, Claudia B. & Panteli, Dimitra, 2022. "European countries' responses in ensuring sufficient physical infrastructure and workforce capacity during the first COVID-19 wave," Health Policy, Elsevier, vol. 126(5), pages 362-372.
    12. Zamanzadeh, Akbar & Chan, Marc K. & Ehsani, Mohammad Ali & Ganjali, Mojtaba, 2020. "Unemployment duration, Fiscal and monetary policies, and the output gap: How do the quantile relationships look like?," Economic Modelling, Elsevier, vol. 91(C), pages 613-632.
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