{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:05:37Z","timestamp":1787169937130,"version":"build-2736575974"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The COVID-19 pandemic imposed an unprecedented strain on the healthcare system, resulting in rising burnout levels among healthcare personnel. The pandemic\u2019s effect on the mental well-being of those working within resource-limited healthcare settings remains unexplored. We assessed the impact of the pandemic on burnout and resilience in healthcare personnel working in rural Northern Ontario.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We surveyed healthcare personnel across 15 rural communities in Northern Ontario, gathering demographic, occupational, burnout and resilience data. Chi-square tests (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      ) determined response variations by demographic and occupational factors, whereas ANOVAs assessed mean differences. Pearson correlation coefficient measured the relationship between burnout and resilience, and linear associations were identified using the Mantel\u2013Haenszel test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Ninety-nine healthcare workers from 15 rural communities were sent the survey. Seventy-six (77%) responded. Fifty-five per cent of respondents experienced burnout, with 81% rating it as moderately severe or worse. Those who grew up in their current community reported higher burnout rates, and 73% of participants reported strong resilience. Childhood community ties correlated with lower resilience, whereas higher resilience was linked to lower burnout severity. Physicians had lower Connor\u2013Davidson-Resilience Scale\n                      <jats:sup>\u00a9<\/jats:sup>\n                      (CD-RISC 2) scores compared to hospital CEOs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite high burnout, respondents had strong resilience. A correlation between burnout severity and resilience suggests that higher resilience is linked to less severe burnout which suggests that resilience can buffer the impact of burnout. Enhancing resilience could improve the ability to cope with stress and adversity. The data emphasises the need to consider factors, such as occupation and community history, when assessing burnout risk and designing well-being interventions.<\/jats:p>\n                    <jats:p>2-25 L\u2019impact de la pand\u00e9mie de COVID-19 sur l\u2019\u00e9puisement professionnel et la r\u00e9silience du personnel de la sant\u00e9dans le Nord rural de l\u2019Ontario: Une \u00e9tude transversale<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>La pand\u00e9mie de COVID-19 a exerc\u00e9 une pression sans pr\u00e9c\u00e9dent sur le syst\u00e8me de sant\u00e9, entra\u00eenant une hausse marqu\u00e9e de l\u2019\u00e9puisement professionnel chez le personnel soignant. Les r\u00e9percussions de cette crise sur la sant\u00e9 mentale des professionnels \u0153uvrant dans des milieux o\u00f9 les ressources sont limit\u00e9es demeurent peu document\u00e9es. Cette \u00e9tude \u00e9value l\u2019impact de la pand\u00e9mie sur l\u2019\u00e9puisement professionnel et la r\u00e9silience du personnel de la sant\u00e9 travaillant dans des communaut\u00e9s rurales du Nord de l\u2019Ontario.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>M\u00e9thodes:<\/jats:title>\n                    <jats:p>\n                      Une enqu\u00eate a \u00e9t\u00e9 men\u00e9e aupr\u00e8s de membres du personnel de la sant\u00e9 provenant de 15 communaut\u00e9s rurales du Nord ontarien. Nous avons recueilli des donn\u00e9es d\u00e9mographiques, professionnelles, ainsi que des mesures d\u2019\u00e9puisement professionnel et de r\u00e9silience. Des tests du khi carr\u00e9 (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      ) ont permis d\u2019examiner les variations selon les caract\u00e9ristiques sociod\u00e9mographiques et professionnelles. Des ANOVA ont \u00e9t\u00e9 utilis\u00e9es pour comparer les moyennes. Le coefficient de corr\u00e9lation de Pearson a \u00e9valu\u00e9 la relation entre l\u2019\u00e9puisement professionnel et la r\u00e9silience, et des associations lin\u00e9aires ont \u00e9t\u00e9 analys\u00e9es \u00e0 l\u2019aide du test de Mantel-Haenszel.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>R\u00e9sultats:<\/jats:title>\n                    <jats:p>\n                      Parmi les 99 membres du personnel de la sant\u00e9 provenant de 15 communaut\u00e9s rurales \u00e0 qui l\u2019enqu\u00eate a \u00e9t\u00e9 envoy\u00e9e, 76 ont r\u00e9pondu (77%). Cinquante-cinq pour cent des r\u00e9pondants ont indiqu\u00e9 vivre de l\u2019\u00e9puisement professionnel, et 81% l\u2019ont qualifi\u00e9 de mod\u00e9r\u00e9ment s\u00e9v\u00e8re ou pire. Les personnes ayant grandi dans la communaut\u00e9 o\u00f9 elles travaillent rapportaient des taux d\u2019\u00e9puisement plus \u00e9lev\u00e9s, tandis que 73% des participants pr\u00e9sentaient une forte r\u00e9silience. Les liens communautaires \u00e9tablis durant l\u2019enfance \u00e9taient associ\u00e9s \u00e0 une r\u00e9silience plus faible, alors qu\u2019une r\u00e9silience \u00e9lev\u00e9e \u00e9tait li\u00e9e \u00e0 une s\u00e9v\u00e9rit\u00e9 moindre de l\u2019\u00e9puisement professionnel. Les m\u00e9decins affichaient \u00e9galement des scores inf\u00e9rieurs au Conor-Davidson Resilience Scale\n                      <jats:sup>\u00a9<\/jats:sup>\n                      (CD-RISC 2) comparativement aux PDG d\u2019h\u00f4pitaux.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Malgr\u00e9 des niveaux \u00e9lev\u00e9s d\u2019\u00e9puisement professionnel, les participants pr\u00e9sentaient une r\u00e9silience notable. La corr\u00e9lation entre r\u00e9silience et s\u00e9v\u00e9rit\u00e9 de l\u2019\u00e9puisement sugg\u00e8re qu\u2019une meilleure r\u00e9silience att\u00e9nue l\u2019impact de l\u2019\u00e9puisement, renfor\u00e7ant la capacit\u00e9 \u00e0 faire face au stress et \u00e0 l\u2019adversit\u00e9. Les r\u00e9sultats soulignent l\u2019importance de consid\u00e9rer des facteurs tels que l\u2019occupation et l\u2019ancrage communautaire dans l\u2019\u00e9valuation du risque d\u2019\u00e9puisement et dans la conception d\u2019interventions pour soutenir le bien-\u00eatre.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/cjrm.cjrm_2_25","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T10:00:14Z","timestamp":1770458414000},"page":"15-24","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The impact of the COVID-19 pandemic on burnout and resilience amongst healthcare personnel in rural Northern Ontario: A cross-sectional study"],"prefix":"10.4103","volume":"31","author":[{"given":"Iain R.","family":"Lamb","sequence":"first","affiliation":[{"name":"Division of Clinical Sciences, Northern Ontario School of Medicine University, Thunder Bay, ON, 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