Mental Workload and Wellbeing of Healthcare Workers During COVID-19

Summary

The COVID-19 pandemic placed unprecedented cognitive and emotional demands on healthcare workers worldwide. Escalating patient numbers, heightened infection control procedures and prolonged use of protective equipment intensified mental workload, leading to fatigue, sleep disturbances and elevated stress. Wellbeing in this context encompasses psychological health, job satisfaction and the capacity to sustain performance under pressure. Emerging studies employ tools such as the NASA Task Load Index and validated mental health questionnaires to quantify workload dimensions—mental demand, temporal pressure, effort and frustration—and to assess outcomes including burnout, anxiety and reduced quality of work life. Research has highlighted the complex interplay between individual factors (experience, resilience, coping skills) and organisational determinants (shift patterns, staffing levels, managerial support). Practical interventions range from optimised rostering and peer support programmes to resilience‐building workshops and digital monitoring of workload. This body of work underscores the global imperative to safeguard healthcare worker wellbeing, both to maintain quality of care during crises and to strengthen health systems’ resilience against future public health emergencies.

Research from Nature Portfolio

No recent Nature Portfolio content available.

Mental Workload and Wellbeing of Healthcare Workers During COVID-19 publication trend

The graph below shows the total number of articles in mental workload and wellbeing of healthcare workers during covid-19 across all publications each year (not limited to Nature Index journals).

Technical terms

Mental workload: The total cognitive and attentional resources required to perform work tasks under given conditions.

Quality of work life: A multidimensional measure of an employee’s satisfaction with job conditions, including safety, compensation and work–life balance.

NASA Task Load Index (NASA-TLX): A subjective assessment tool that rates perceived workload across six subscales: mental demand, physical demand, temporal demand, performance, effort and frustration.

Job burnout: A psychological syndrome marked by emotional exhaustion, depersonalisation and reduced sense of personal accomplishment.

Work engagement: A positive, fulfilling state of mind at work characterised by vigour, dedication and absorption in tasks.

References

  1. The association between workload and quality of work life of nurses taking care of patients with COVID-19. BMC Nursing (2023).
  2. How Did Work-Related Depression, Anxiety, and Stress Hamper Healthcare Employee Performance during COVID-19? The Mediating Role of Job Burnout and Mental Health. International Journal of Environmental Research and Public Health (2022).
  3. Factoring and correlation in sleep, fatigue and mental workload of clinical first-line nurses in the post-pandemic era of COVID-19: A multi-center cross-sectional study. Frontiers in Psychiatry (2022).
Nature Strategy Reports
Turn complex research questions into confident strategic decisions 

When you're under pressure to set direction, justify investment, or understand your competitive position, you need more than raw data — you need trusted insights you can act on.

  • Benchmark your performance against global peers using robust, methodologically sound analysis.

  • Combine quantitative metrics with qualitative expert insight to uncover strengths, gaps and emerging opportunities.

  • Gain tailored, decision-ready recommendations aligned to your strategic priorities.

Talk to us to learn more about our data dashboards and bespoke strategy reports.

Nature Masterclasses
Grow research skills, confidence and careers with training built for every stage of the research lifecycle.

Developed with Nature Portfolio journal Editors and internationally renowned experts. Discover three ways to learn:

  • Self-paced, online courses in convenient bite-sized units, covering key skills across scientific writing, publishing, grant writing, data analysis, and more.

  • Expert trainer-led workshops with hands-on exercises and real-time feedback across core research skills, delivered via interactive group sessions.

  • Editor-led workshops combining core principles in writing and publishing, personalised 1:1 feedback from Nature Portfolio Editors and hands-on exercises.

Explore course catalogues and workshop agendas, enquire about the options or request institutional pricing.