Review generally revealed low-certainty evidence, particularly for longer-term effects
Both physicians, nurses rank improving nurse staffing as the most needed intervention
Increased risk for suicide seen among registered nurses, health technicians, health care support workers versus non-health care workers
Moral distress emerged from being unable to provide optimal care, seeing pandemic’s effects on patients, coworkers
Emotional exhaustion and depersonalization increased as the pandemic wore on in 2020
No significant benefits seen for most measures of utilization, quality, outcomes
Inverse associations with intention to leave seen for increases in supportive leadership behavior, peer support, perceived gratitude
2018 to 2022 saw increase in days of poor mental health and in percentage reporting feeling burnout very often
Associations seen for working on the hospital unit, mood disturbances, and sleep disturbances with depression, anxiety
Burnout highest in women, primary care physicians, and physicians with ≤10 years of experience