The mental health care of healthcare workers: an analysis of knowledge production through a scoping review
DOI:
https://doi.org/10.15343/0104-7809.202650e18002025IKeywords:
Review, Healthcare Professional, Occupational Health, Mental Health, DisastersAbstract
Globally, studies have devoted considerable attention to the psychosocial aspects of work and to the ways in which these factors impact healthcare workers across different levels of care. Findings indicate the need for improvements in overall working conditions and in the provision of social support to healthcare professionals, while also highlighting the paradox of illness among professionals whose work objective is the care of themselves and others. The present article was motivated by the psychological demands faced by professionals, including long and intense working hours, professional devaluation, interpersonal conflicts, and emotional overload resulting from patient care. The study aimed to analyze actions and strategies for promotion, prevention, screening, and care in mental health among healthcare professionals. This study consists of a scoping review on the mental health of healthcare professionals, focusing on promotion, prevention, screening, and care, through the identification and presentation of available data in national and international literature. The method proposed by the Joanna Briggs Institute was employed. A total of 1211 articles were identified, of which 157 were included, covering the period from 2007 to 2022. Considering the entire set of articles, 94 studies identified the need for mental and/or physical health interventions with healthcare professionals, among which 60 (63.83%) occurred in disaster and catastrophe contexts. The low number of interventional studies (14.28%) becomes concerning when considering research that demonstrates healthcare workers’ reluctance to seek mental health assistance in the workplace. The importance of interventions during pandemics is highlighted, including support and welcoming approaches, as well as the use of technologies. It is concluded that there is a scarcity of studies prior to 2020 and of intervention-based research aimed at understanding and addressing the impacts on mental health, well-being, and quality of life among healthcare professionals. The use of information technologies is understood to assume particular relevance for future research, as well as for guiding actions in health management.
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This article is a translation in English of the article:
O cuidado com a saúde mental de trabalhadores da saúde: uma análise da produção de conhecimento por meio de uma revisão de escopo
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Mattos AIS, Araújo TMD, Almeida MMGD. Interação entre demanda-controle e apoio social na ocorrência de transtornos mentais comuns. Rev Saude Publica. 2017;51:48.
Guizardi FL, Cavalcanti FOL. O conceito de cogestão em saúde: reflexões sobre a produção de democracia institucional. Physis (Rio J). 2010;20(4):1245 65.
Sá MC, Azevedo CS. Subjetividade e gestão: explorando as articulações psicossociais no trabalho gerencial e no trabalho em saúde. Ciênc Saúde Colet. 2010;15(5):2345-54.
Imbrizi JM, Aguiar FBT, Fajardo A, Hirato JHB, Kawagoe K, Miyaura AK. Condições de trabalho na Estratégia de Saúde da Família: relato de experiência de extensão universitária com agentes comunitários de saúde. Cad Psicol Soc Trab. 2012;15(1):153-69.
Leal RMAC, Bandeira MB, Azevedo KRN. Avaliação da qualidade de um serviço de saúde mental na perspectiva do trabalhador: satisfação, sobrecarga e condições de trabalho dos profissionais. Psicol Teor Prat. 2012;14(1):15-25.
Miranda FMD, Santana LL, Pizzolato AC, Saquis LMM. Condições de trabalho e o impacto na saúde dos profissionais de enfermagem frente à COVID-19. Cogitare Enferm. 2020;25:e72702.
Hirata H. Globalização, trabalho e gênero. Rev Polit Publicas. 2005;9(1):111-128.
Teixeira CFS, Soares CM, Souza EA, Lisboa ES, Pinto ICM, Andrade L, et al. A saúde dos profissionais de saúde no enfrentamento da pandemia de Covid-19. Cien Saude Colet. 2020;25(9):3466-3474. doi:10.1590/1413-81232020259.19562020.
Chigwedere OC, Sadath A, Kabir Z, Arensman E. The impact of epidemics and pandemics on the mental health of healthcare workers: a systematic review. Int J Environ Res Public Health. 2021;18(13):6695. doi:10.3390/ijerph18136695.
Nações Unidas. Marco de Sendai para a redução do risco de desastres 2015-2030. Geneva: UNDRR; 2015.
Vizheh M, Qorbani M, Arzaghi SM, Muhidin S, Javanmard Z, Esmaeili M. The mental health of healthcare workers in the COVID-19 pandemic: a systematic review. J Diabetes Metab Disord. 2020;19(2):1967-1978. doi:10.1007/s40200-020-00643-9.
Ceccim RB, Feuerwerker LCM. O quadrilátero da formação para a área da saúde: ensino, gestão, atenção e controle social. Physis. 2004;14(1):41-65. doi:10.1590/S0103-73312004000100004.
Marengo LL, Kozyreff AM, Moraes FS, Maricato LLG, Barberato-Filho S. Tecnologias móveis em saúde: reflexões sobre desenvolvimento, aplicações, legislação e ética. Rev Panam Salud Publica. 2022;46:e37. doi:10.26633/RPSP.2022.37.
Peters MDJ, Godfrey C, McInerney P, Soares CB, Khalil H, Parker D. Chapter 11: Scoping reviews. In: Aromataris E, Munn Z, editors. Joanna Briggs Institute Reviewer’s Manual. Adelaide: JBI; 2017.
Gil, AC. Como Elaborar Projetos de Pesquisa. 4. ed. São Paulo: Atlas, 2002.
Fernandes AJNL, Fassina F, Allegretti M, Barbosa Neto JB, Martini LC. Estratégias de promoção, prevenção, rastreio e cuidado em saúde mental entre profissionais de saúde: um protocolo de revisão de escopo. 2022.
Maunder RG, Heeney ND, Kiss A, Hunter JJ, Jeffs LP, Ginty L, et al. Psychological impact of the COVID-19 pandemic on hospital workers over time: relationship to occupational role, living with children and elders, and modifiable factors. Gen Hosp Psychiatry. 2021;71:88-94. doi:10.1016/j. genhosppsych.2021.04.012.
Cruz SP, Cruz JC, Cabrera JH, Abellán MV. Fatores relacionados à probabilidade de sofrer problemas de saúde mental em profissionais de emergência. Rev Latino-Am Enfermagem. 2019;27:e3144. doi:10.1590/1518-8345.3079.3144.
Zerbini G, Ebigbo A, Reicherts P, Kunz M, Messmann H. Psychosocial burden of healthcare professionals in times of COVID-19 – a survey conducted at the University Hospital Augsburg. GMS Ger Med Sci. 2020;18:Doc05. doi:10.3205/000281.
Lopes MCC, Oliva CCC, Bezerra NMS, Silva MT, Galvão TF. Relationship between depressive symptoms, burnout, job satisfaction and patient safety culture among workers at a university hospital in the Brazilian Amazon region. Sao Paulo Med J. 2022;140(3):412-21. doi:10.1590/1516-3180.2021.0596. R1.15092021.
Kamali M, Azizi M, Moosazadeh M, Mehravaran H, Ghasemian R, Reskati MH, et al. Occupational burnout in Iranian health care workers during the COVID-19 pandemic. BMC Psychiatry. 2022;22(1):365. doi:10.1186/s12888-022-03988-4.
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Fernandes, A. J. N. L., Martini, L. C., Fassina, F. C. L., da Cruz, M. G., Rodrigues, R. C. P., Barbosa, M. M. A., & Neto, J. B. B. (2026). The mental health care of healthcare workers: an analysis of knowledge production through a scoping review. O Mundo Da Saúde, 50. https://doi.org/10.15343/0104-7809.202650e18002025I
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