{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:11:43Z","timestamp":1772169103971,"version":"3.50.1"},"update-to":[{"DOI":"10.12688\/hrbopenres.13915.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000}}],"reference-count":39,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["hrbopenresearch.org"],"crossmark-restriction":false},"short-container-title":["HRB Open Res"],"abstract":"<ns3:p>Background Infection prevention and control work environments are complex in nature and have long been associated with extended public health crisis events; major global outbreaks, including epidemics, and pandemics. The role of infection control practitioners shifted exponentially during the COVID-19 pandemic and with this rapid change came anxiety, emotional exhaustion and burnout. Burnout at work generally occurs in response to chronic and prolonged exposure to emotionally challenging events, causing emotional exhaustion, feelings of cynicism, and lack of accomplishment at work. This systematic review aims to investigate burnout in infection control practitioners during extended public health crisis events in upper middle and high income countries globally. Methods A mixed-methods systematic review will be carried out and will include qualitative, quantitative and primary mixed-methods studies that investigate the elements of burnout and associated factors such as individual factors and organisational challenges, during extended public health crisis events. After an initial scoping literature search, up to six databases will be searched for studies on burnout in relation to infection prevention practitioners. Study quality will be checked using standardised Joanna Briggs Institute critical appraisal tools. The proposed review will follow the Joanna Briggs Institute convergent integrated approach for mixed methods systematic reviews. Following data extraction, quantitative data will be converted into \u2018qualitized data\u2019 in the form of textual descriptions. Discussion It is well documented that adverse conditions during extended public health crisis events can lead to burnout. This systematic review will investigate burnout in infection control practitioners in upper-middle and high-income countries during public health crisis events. The findings will inform healthcare professionals, senior policy makers and researchers contributing to a richer understanding of burnout and associated factors in infection control practitioners with the aim of informing implementation of support structures in practice. Protocol Registration Number: PROSPERO 2024 CRD42024508996.<\/ns3:p>","DOI":"10.12688\/hrbopenres.13915.2","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T17:30:08Z","timestamp":1763746208000},"page":"69","update-policy":"https:\/\/doi.org\/10.12688\/hrbopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Burnout in Infection Control Practitioners During Extended Public Health Crisis Events: A Mixed Methods Systematic Review 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status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.21956\/hrbopenres.15263.r43211, Jane Chudleigh, King's College London, London, England, 17 Dec 2024, version 1, indexed","URL":"https:\/\/hrbopenresearch.org\/articles\/7-69\/v1#referee-response-43211","order":0,"name":"referee-response-43211","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>Sinead Creedon<\/b>; \n<i>Posted: 06 Jan 2025<\/i>; Dear Jane, Many thanks for taking the time to review my paper. In the context part of my PICO, I have outlined ICPs who have worked in both acute and non-acute settings, which leaves it broad enough to include all types of healthcare settings. Further, most of the papers for this review are from the US and the word primary care can have a different meaning in different countries, so I think it might be best to keep it broad and use the term community, which would cover primary care. Would this be a more appropriate entry for the Context element of PICO?:-  \n<i>Context: This review will consider studies from upper-middle and high-income countries and will include ICPs who work in both acute hospital settings and non-acute settings such as the community and long-term care.&nbsp;<\/i>  Thank you, Sinead","URL":"https:\/\/hrbopenresearch.org\/articles\/7-69\/v2#referee-comment-3713","order":1,"name":"referee-comment-3713","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/hrbopenres.15263.r50987, Brenna Doran, University of California San Francisco, San Francisco, 31 Oct 2025, version 1, indexed","URL":"https:\/\/hrbopenresearch.org\/articles\/7-69\/v1#referee-response-50987","order":2,"name":"referee-response-50987","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/hrbopenres.15263.r50986, Emma Burnett, Fatima College Of Health Science, Abu Dhabi, 04 Nov 2025, version 1, indexed","URL":"https:\/\/hrbopenresearch.org\/articles\/7-69\/v1#referee-response-50986","order":3,"name":"referee-response-50986","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":4,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}