{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:59:53Z","timestamp":1788188393638,"version":"build-2803163510"},"reference-count":58,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>As we head into the third year of the COVID-19 pandemic, there is an increasing need to consider the long-term mental health outcomes of health care workers (HCWs) who have experienced overwhelming work pressure, economic and social deprivation, burnout, and post-traumatic stress disorder (PTSD). This scoping umbrella review summarizes the mental health outcomes of published evidence syntheses on HCWs worldwide. We analyzed 39 evidence syntheses representing the findings from 1297 primary studies. We found several persistent fears and concerns (job-related fears, fear of stigmatization, worries about the pandemic, and infection-related fears) that shaped HCW experiences in delivering health care. We also describe several risk factors (job-related, social factors, poor physical and mental health, and inadequate coping strategies) and protective factors (individual and external factors). This is the first scoping umbrella review comprehensively documenting the various risk and protective factors that HCWs have faced during the COVID-19 pandemic. HCWs continue to fear the risk that they may infect their family and friends since they regularly interact with COVID-19 patients. This places HCWs in a precarious situation requiring them to balance risk to their family and friends and potential social deprivation from isolation.<\/jats:p>","DOI":"10.1093\/heapro\/daad025","type":"journal-article","created":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T10:57:10Z","timestamp":1681729030000},"source":"Crossref","is-referenced-by-count":21,"title":["Mental health outcomes in health care providers during the COVID-19 pandemic: an umbrella review"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4581-7714","authenticated-orcid":false,"given":"Umair","family":"Majid","sequence":"first","affiliation":[{"name":"Institute of Health Policy, Management, and Evaluation, University of Toronto , Ontario , Canada"},{"name":"The Methodologists (TMT) Corp. Toronto , Ontario , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4739-4839","authenticated-orcid":false,"given":"Syed Ahmed Shahzaeem","family":"Hussain","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose and Throat, Shaikh Zayed Hospital , Lahore , Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3069-4096","authenticated-orcid":false,"given":"Anas","family":"Zahid","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Azra Naheed Medical College , Lahore , Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6297-5757","authenticated-orcid":false,"given":"Muhammad Hasnain","family":"Haider","sequence":"additional","affiliation":[{"name":"Allama Iqbal Medical College , Lahore , Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6108-9465","authenticated-orcid":false,"given":"Ritika","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence and Impact, McMaster University , Ontario , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,4,17]]},"reference":[{"key":"2023041710543201400_","first-page":"303","article-title":"Healthcare workers issues and COVID-19 pandemic: a review","volume":"31","author":"Abd Rahman","year":"2020","journal-title":"Gazi Medical Journal"},{"key":"2023041710543201400_","doi-asserted-by":"crossref","first-page":"110343","DOI":"10.1016\/j.jpsychores.2020.110343","article-title":"Prevalence of stress, depression, anxiety, and sleep disturbance among nurses during the COVID-19 pandemic: a systematic review and meta-analysis","volume":"141","author":"Al 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