Evidence map›Paper›PMID 40735205›Full record

ArticleFrontiers in public health2025

Commonalities and differences in healthcare workers' perceptions of mental burden in Brazil, Colombia, and Germany during the COVID-19 pandemic: a qualitative cross-country study.

Andrea Tenorio Correia da Silva, Felix Sisenop, Alexandra Restrepo Henao, Miriam Regina Souza, Beatriz Atti, Maria Paula Ruiz, Evaldo Marchi, Jutta Lindert

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrea Tenorio Correia da SilvaDepartment of Primary Care, Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.
Felix SisenopDepartment of Social Work and Health, University of Applied Sciences Emden/Leer, Emden, Germany.
Alexandra Restrepo HenaoEpidemiology Research Group, University of Antioquia, Colombia, and Postdoctoral Researcher, The City University of New York, New York, NY, United States.
Miriam Regina SouzaDepartment of Primary Care, Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.
Beatriz AttiDepartment of Primary Care, Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.
Maria Paula RuizEpidemiology Research Group, University of Antioquia, Colombia, and Postdoctoral Researcher, The City University of New York, New York, NY, United States.
Evaldo MarchiFaculty of Medicine of Jundiaí, Jundiaí, Brazil.
Jutta LindertDepartment of Social Work and Health, University of Applied Sciences Emden/Leer, Emden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess healthcare workers' (HCWs) perceptions of commonalities and differences in stressors affecting their mental health during the COVID-19 pandemic in Brazil, Colombia, and Germany. Method: We conducted a qualitative cross-country study between April and September 2022. HCWs from primary and secondary care centers and hospitals participated. The focus groups were recorded, transcribed verbatim, and analyzed using content analysis. Results: 63 HCWs participated in the study. Factors affecting HCWs' mental health were categorized into three levels: healthcare system, facility, and individual. Common stressors across all three countries included: a rapid increase in patients and disease severity at the healthcare system level; frequent updates to COVID-19 protocols, staff shortages, and service unpreparedness at the facility-level; and dealing with a new virus and workplace violence at the individual-level. In Brazil and Colombia, constraints in the healthcare system and insufficient personal protective equipment were reported. Additionally, in Brazil, financial strain and working in deprived areas also impacted HCWs' mental health. Conclusion: Improving healthcare system preparedness, reducing inequities across facilities, and combating misinformation and violence are crucial for alleviating the mental burden on HCWs in future global crises.

Indexed as

COVID-19Health PersonnelMental HealthAdultBrazilColombiaFemaleFocus GroupsGermanyHumansMaleMiddle AgedPandemicsQualitative ResearchSARS-CoV-2community health workersCOVID-19cross-country studyhealthcare workersmental healthmisinformationpsychological distressworkplace violence

Identifiers

PMID40735205
PMCPMC12303911

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.