Knowing the impacts of the COVID-19 pandemic on the mental health of nursing workers




Nursing; Mental Health; Pandemic; COVID-19.


This integrative review aimed to know the scientific production on the impacts of the COVID-19 pandemic on the mental health of nursing workers.   The review was carried out by two independent researchers. The selected articles were searched in the PubMed / MEDLINE database and, despite the use of MeSH terms, it was decided to select “all fields” at the time of the search to increase the number of articles found. Filters for the years 2019 and 2020 and Portuguese, Spanish and English were applied. Initially, 528 articles were found, of which 31 articles were selected, 17 of which came from research conducted in China. The nursing teams are composed mainly of women and, in the studies that dealt with health workers, most of the sample was composed of professionals from the nursing team. Several studies have found evidence that COVID-19 is causing some degree of mental distress in healthcare and nursing teams. In this new pandemic context, nursing teams face daily situations that directly impact their mental health. In this sense, it is essential to appropriate the scientific knowledge produced as a means of reconstructing new work processes in nursing and health.


Azoulay, E., Bruneel, F., Demoule, A., Kouatchet, A., Reuter, D., Souppart, V., Combes, A., Klouche, K., Argaud, L., Barbier, F., Jourdain, M., Reignier, J., Papazian, L., Guidet, B., Géri, G., Resche-Rigon, M., Guisset, O., Labbé, V., Mégarbane, B., Meersch, G. V. D., Guitton, C., Friedman, D., Pochard, F., Darmon, M., & Kentish-Barnes, N. (2020). Symptoms of anxiety, depression and peritraumatic dissociation in critical care clinicians managing CoViD-19 patients: a cross-sectional study. American journal of respiratory and critical care medicine, n. ja.

Botelho, L. L., Cunha, C. C. A. & Macedo, M. (2011). O método de revisão integrativa nos estudos organizacionais. Revista Eletrônica Gestão e Sociedade, v.5, n.11, pp. 121-136.

Buselli, R., Corsi, M., Baldanzi, S., Chiumiento, M., Del Lupo, E., Dell'Oste, V., Bertelloni, C. A., Massimetti, G., Dell'Osso, L., Cristaudo, A., & Carmassi, C. (2020). Professional Quality of Life and Mental Health Outcomes among Health Care Workers Exposed to Sars-Cov-2 (Covid-19). International journal of environmental research and public health, 17(17), 6180.

Chan, J. F., Yuan, S., Kok, K. H., To, K. K., Chu, H., Yang, J., Xing, F., Liu, J., Yip, C. C., Poon, R. W., Tsoi, H. W., Lo, S. K., Chan, K. H., Poon, V. K., Chan, W. M., Ip, J. D., Cai, J. P., Cheng, V. C., Chen, H., Hui, C. K., & Yuen, K. Y. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet (London, England), 395(10223), 514–523.

Chen, H., Sun, L., Du, Z., Zhao, L., & Wang, L. (2020). A cross‐sectional study of mental health status and self‐psychological adjustment in nurses who supported Wuhan for fighting against the COVID‐19. Journal of clinical nursing.

Dal’Bosco, E. B., Floriano, L. S. M., Skupien, S. V., Arcaro, G., Martins, A. R., & Anselmo, A. C. C. (2020). A saúde mental da enfermagem no enfrentamento da COVID-19 em um hospital universitário regional. Revista Brasileira de Enfermagem, 73(Suppl. 2), e20200434. Epub July 13, 2020.

Diomidous, M. (2020). Sleep and Motion Disorders of Physicians and Nurses Working in Hospitals Facing the Pandemic of COVID 19. Medical archives (Sarajevo, Bosnia and Herzegovina), 74(3), 210–215.

Dong, Z. Q., Ma, J., Hao, Y. N., Shen, X. L., Liu, F., Gao, Y., & Zhang, L. (2020). The social psychological impact of the COVID-19 pandemic on medical staff in China: A cross-sectional study. European psychiatry : the journal of the Association of European Psychiatrists, 63(1), e65.

Fawaz, M., & Samaha, A. (2020). The psychosocial effects of being quarantined following exposure to COVID-19: A qualitative study of Lebanese health care workers. The International journal of social psychiatry, 66(6), 560–565.

Franza, F., Basta, R., Pellegrino, F., Solomita, B., & Fasano, V. (2020). The Role of Fatigue of Compassion, Burnout and Hopelessness in Healthcare: Experience in the Time of COVID-19 Outbreak. Psychiatria Danubina, 32(Suppl 1), 10–14.

Fundação Oswaldo Cruz- Fiocruz. (2015). Pesquisa inédita traça perfil da enfermagem no Brasil – Rio de Janeiro.

Huang, H., Zhao, W.J., & Li, G.R. (2020). Knowledge and Psychological Stress Related to COVID-19 Among Nursing Staff in a Hospital in China: Cross-Sectional Survey Study. JMIR Formative Research. Sep;4(9):e20606.

Huang, L., Lei, W., Xu, F., Liu, H., & Yu, L. (2020). Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PloS one, 15(8), e0237303.

Instituto Brasileiro de Geografia e Estatística (IBGE). (2020). Cidades: Sistema agregador de informações do IBGE sobre os municípios e estados do Brasil. Rio de Janeiro.

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.

Koksal, E., Dost, B., Terzi, Ö., Ustun, Y. B., Özdin, S., & Bilgin, S. (2020). Evaluation of Depression and Anxiety Levels and Related Factors Among Operating Theater Workers During the Novel Coronavirus (COVID-19) Pandemic. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 35(5), 472–477. Advance online publication.

Lai, C. C., Liu, Y. H., Wang, C. Y., Wang, Y. H., Hsueh, S. C., Yen, M. Y., Ko, W. C., & Hsueh, P. R. (2020). Asymptomatic carrier state, acute respiratory disease, and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): Facts and myths. Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi, 53(3), 404–412.

Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2020). Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA network open, 3(3), e203976.

Lauer, S. A., Grantz, K. H., Bi, Q., Jones, F. K., Zheng, Q., Meredith, H. R., Azman, A. S., Reich, N. G., & Lessler, J. (2020). The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application. Annals of internal medicine, 172(9), 577–582.

Li, R., Chen, Y., Lv, J., Liu, L., Zong, S., Li, H., & Li, H. (2020). Anxiety and related factors in frontline clinical nurses fighting COVID-19 in Wuhan. Medicine, 99(30), e21413.

Li, Z., Ge, J., Yang, M., Feng, J., Qiao, M., Jiang, R., Bi, J., Zhan, G., Xu, X., Wang, L., Zhou, Q., Zhou, C., Pan, Y., Liu, S., Zhang, H., Yang, J., Zhu, B., Hu, Y., Hashimoto, K., Jia, Y., & Yang, C. (2020). Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain, behavior, and immunity, 88, 916–919.

Luceño-Moreno, L., Talavera-Velasco, B., García-Albuerne, Y., & Martín-García, J. (2020). Symptoms of Posttraumatic Stress, Anxiety, Depression, Levels of Resilience and Burnout in Spanish Health Personnel during the COVID-19 Pandemic. International journal of environmental research and public health, 17(15), 5514.

Ministério da Saúde. (2020). COVID-19 no Brasil. Secretarias Estaduais de Saúde. Brasília, DF: Ministério da Saúde.

Mo, Y., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., Qin, M., & Huang, H. (2020). Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. Journal of nursing management, 28(5), 1002–1009.

Ning, X., Yu, & F., Huang, Q. (2020) The mental health of neurological doctors and nurses in Hunan Province, China during the initial stages of the COVID-19 outbreak. BMC Psychiatry 20, 436.

Pouralizadeh, M., Bostani, Z., Maroufizadeh, S., Ghanbari, A., Khosbakht, M., Alavi, Amirhossein., & Ashrafi, S. (2020). Anxiety and Depression and the Related Factors in Nurses of Guilan University of Medical Sciences Hospitals During COVID-19: A Web-based Cross-Sectional Study. International Journal of Africa Nursing Sciences, v. 13.

Que, J., Shi, L., Deng, J., Liu, J., Zhang, L., Wu, S., Gong, Y., Huang, W., Yuan, K., Yan, W., Sun, Y., Ran, M., Bao, Y., & Lu, L. (2020). Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. General psychiatry, 33(3), e100259.

Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General psychiatry, 33(2), e100213.

Rossi, R., Socci, V., Pacitti, F., Di Lorenzo, G., Di Marco, A., Siracusano, A., & Rossi, A. (2020). Mental Health Outcomes Among Frontline and Second-Line Health Care Workers During the Coronavirus Disease 2019 (COVID-19) Pandemic in Italy. JAMA network open, 3(5), e2010185.

Salopek-Žiha, D., Hlavati, M., Gvozdanoviü, Z., Gašiü, M., Placento, H., Jakiü, Hrvoje, D. K., & Šimiü, H. (2020). Differences in Distress and Coping with the COVID-19 Stressor in Nurses and Physicians. Psychiatria Danubina, v. 32, n. 2, p. 287-293, 2020.

Rodríguez, B. O. & Sánchez, T. L. (2020). The Psychosocial Impact of COVID-19 on health care workers. International braz j urol, 46(Suppl. 1), 195-200. Epub July 27, 2020. SSRN, 2020.

Si, M., Su, X., & Jiang, Y. (2020). Psychological impact of COVID-19 on medical care workers in China. Infect Dis Poverty 9, 113.

Song, X., Fu, W., Liu, X., Luo, Z., Wang, R., Zhou, N., Yan, S., & Lv, C. (2020). Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China. Brain, behavior, and immunity, 88, 60–65.

Stojanov, J., Malobabic, M., Stanojevic, G., Stevic, M., Milosevic, V., & Stojanov, A. (2020). Quality of sleep and health-related quality of life among health care professionals treating patients with coronavirus disease-19. The International journal of social psychiatry, 20764020942800.

Sun, D., Yang, D., Li, Y., Zhou, J., Wang, W., Wang, Q., Lin, N., Cao, A., Wang, H., & Zhang, Q. (2020). Psychological impact of 2019 novel coronavirus (2019-nCoV) outbreak in health workers in China. Epidemiology and infection, 148, e96.

Tu, Z. H., He, J. W., & Zhou, N. (2020). Sleep quality and mood symptoms in conscripted frontline nurse in Wuhan, China during COVID-19 outbreak: A cross-sectional study. Medicine, 99(26), e20769.

Xiao, X., Zhu, X., Fu, S., Hu, Y., Li, X., & Xiao, J. (2020). Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. Journal of affective disorders, 274, 405–410.

Xiaoming, X., Ming, A., Su, H., Wo, W., Jianmei, C., Qi, Z., Hua, H., Xuemei, L., Lixia, W., Jun, C., Lei, S., Zhen, L., Lian, D., Jing, L., Handan, Y., Haitang, Q., Xiaoting, H., Xiaorong, C., Ran, C., Qinghua, L., & Li, K. (2020). The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing. Journal of affective disorders, 276, 555–561.

Zerbini, G., Ebigbo, A., Reicherts, P., Kunz, M., & Messman, H. (2020). Psychosocial burden of healthcare professionals in times of COVID-19 - a survey conducted at the University Hospital Augsburg. German medical science : GMS e-journal, 18, Doc05.

Zhou, Y., Yang, Y., Shi, T., Song, Y., Zhou, Y., Zhang, Z., Guo, Y., Li, X., Liu, Y., Xu, G., Cheung, T., Xiang, Y. T., & Tang, Y. (2020). Prevalence and Demographic Correlates of Poor Sleep Quality Among Frontline Health Professionals in Liaoning Province, China During the COVID-19 Outbreak. Frontiers in psychiatry, 11, 520.



How to Cite

KANTORSKI, L. P. .; OLIVEIRA, M. M. de .; COIMBRA, V. C. C.; ALVES, P. F. .; CAVADA, G. P.; SANTOS , L. H. dos; TREICHEL, C. A. dos S. . Knowing the impacts of the COVID-19 pandemic on the mental health of nursing workers. Research, Society and Development, [S. l.], v. 9, n. 10, p. e6029109004, 2020. DOI: 10.33448/rsd-v9i10.9004. Disponível em: Acesso em: 27 jun. 2022.



Review Article