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Innovative Approaches to Healthcare Worker Wellbeing
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Innovative Approaches to Healthcare Worker Wellbeing

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 16 March 2027 | Viewed by 5346

Editors

Dr. María José Membrive Jiménez

E-Mail Website
Guest Editor
Faculty of Health Science, University of Granada, 18004 Granada, Spain
Interests: health habits and lifestyles; teaching innovation and gamification; burnout syndrome in oncology and palliative care services
Special Issues, Collections and Topics in MDPI journals
Dr. Luis Albendín-García

E-Mail Website
Guest Editor
Centro de Salud Casería de Montijo, Granada-Metropolitan Primary Care District, Andalusian Health Service, 18015 Granada, Spain
Interests: clinical practice; primary care; nursing; dietetic care; nutrition; burnout syndrome
Special Issues, Collections and Topics in MDPI journals
Dr. Guillermo A. Cañadas-De la Fuente

E-Mail Website1 Website2
Guest Editor
1. Faculty of Health Sciences, University of Granada, Av. Ilustración 60, 18016 Granada, Spain
2. Brain, Mind and Behaviour Research Centre (CIMCYC), University of Granada, Campus Universitario de Cartuja s/n, 18011 Granada, Spain
Interests: general and internal medicine; health habits and lifestyles; burnout syndrome in health professionals
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are pleased to invite you to submit your manuscript to this Special Issue of Healthcare, in which we will talk about the health and wellbeing of healthcare providers and health science university students.

This Special Issue will provide an in-depth exploration of the health of health science university students and healthcare providers. Occupational health is a major problem in modern work environments. According to the World Health Organization (WHO), workplace health risks cause occupational diseases and can aggravate other health problems. As a result, the incidence of occupational disorders and problems has increased in workers in recent years. Analyzing different variables related to more common occupational diseases is important in dealing with them efficiently.

For this Special Issue, we hope to receive studies related to health variables among healthcare providers and health science university students, for example, burnout, anxiety, stress, and depression. This Special Issue will also include articles on disorders linked to the work environment and possibly related variables, specifically in relation to burnout syndrome.

We hope to receive not only original studies but also reviews and meta-analyses.

We look forward to receiving your contributions.

Dr. María José Membrive Jiménez
Dr. Luis Albendín-García
Prof. Dr. Guillermo A. Cañadas-De la Fuente
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • nursing administration research
  • nursing staff
  • nursing education research
  • nursing students
  • depression
  • anxiety
  • burnout
  • occupational health

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (4 papers)

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15 pages, 617 KB  
Article
General Health (GHQ-28/CGHQ-28) and Psychosocial Risks (COPSOQ-ISTAS21) in Prehospital Emergency Professionals: A Pre-COVID-19 Cross-Sectional Study in Southern Spain
by José Antonio Morales-García, Francisco Manuel Ocaña-Peinado, Víctor Javier Costela-Ruiz, Elvira De Luna-Bertos, Javier Ramos-Torrecillas and Olga García-Martínez
Healthcare 2026, 14(1), 41; https://doi.org/10.3390/healthcare14010041 - 23 Dec 2025
Viewed by 951
Abstract
Background: Prehospital emergency professionals are exposed to high psychosocial demands that may impact their mental health, but pre-COVID-19 baseline data from Spanish services are scarce. This study aimed to assess the general health and psychosocial risk factors in a regional prehospital emergency service [...] Read more.
Background: Prehospital emergency professionals are exposed to high psychosocial demands that may impact their mental health, but pre-COVID-19 baseline data from Spanish services are scarce. This study aimed to assess the general health and psychosocial risk factors in a regional prehospital emergency service before the COVID-19 pandemic. Methods: We conducted a cross-sectional descriptive study (September–December 2019) including 51 physicians, nurses, and emergency medical technicians working at the 061 Health Emergency Center in Granada (Andalusia, Spain). General health and chronic problems were assessed with the Goldberg General Health Questionnaire (GHQ-28/CGHQ-28), and work-related psychosocial risks were evaluated using the COPSOQ-ISTAS21 questionnaire. Descriptive statistics, group comparisons, and exploratory Spearman correlations between health indicators and psychosocial dimensions were performed. Results: Most participants reported good self-perceived general health, but the chronic coding of the GHQ (CGHQ-28) indicated long-term difficulties mainly related to social dysfunction, somatic symptoms, and anxiety/insomnia. Exposure to unfavorable psychosocial risk was frequent, particularly in psychological demands, double presence (work–family conflict), and low esteem, with intermediate–unfavorable patterns in active job/development, insecurity, and social support/leadership. Exploratory correlations suggested that double presence was the psychosocial factor most consistently associated with chronic distress. Conclusions: In this pre-COVID-19 cohort of prehospital emergency professionals, good perceived general health coexisted with chronic psychological strain and high exposure to adverse psychosocial work factors. These findings support the need for organizational measures to reduce psychological demands and work–family conflict and to strengthen social support and leadership in prehospital emergency teams. Full article
(This article belongs to the Special Issue Innovative Approaches to Healthcare Worker Wellbeing)
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14 pages, 281 KB  
Article
Impact of Moral Distress, Person-Centred Care, and Nursing Professional Pride on Turnover Intention Among Intensive Care Unit Nurses in South Korea: A Cross-Sectional Study
by WonSuk Choi and Younjae Oh
Healthcare 2026, 14(1), 22; https://doi.org/10.3390/healthcare14010022 - 21 Dec 2025
Viewed by 1368
Abstract
Background/Objectives: Turnover intention among intensive care unit (ICU) nurses remains consistently higher than that observed in other clinical departments. A weakened professional identity and exposure to ethically challenging situations may further intensify nurses’ intention to leave. This study aimed to examine the influence [...] Read more.
Background/Objectives: Turnover intention among intensive care unit (ICU) nurses remains consistently higher than that observed in other clinical departments. A weakened professional identity and exposure to ethically challenging situations may further intensify nurses’ intention to leave. This study aimed to examine the influence of moral distress, person-centred care, and nursing professional pride on turnover intention among ICU nurses in South Korea. Methods: A descriptive cross-sectional design was employed using a convenience sample of 203 ICU nurses from three general hospitals in South Korea. Data were obtained between 26 September and 31 October 2024 and analysed using IBM SPSS Statistics for Windows, version 29.0.2.0, with t-tests, one-way analysis of variance, Pearson’s correlation coefficients, and stepwise multiple regression analysis. Results: Two subdomains of nursing professional pride—role satisfaction and willingness to stay—along with gender (male) and the futile care subdomain of moral distress were the main factors influencing turnover intention. These variables collectively explained 24.9% of the variance in turnover intention (F = 17.78, p < 0.001). Conclusions: Strengthening nursing professional pride—particularly role satisfaction and willingness to stay—and reducing futile care-related moral distress may help lower ICU nurses’ turnover intention. Organisational strategies, including ethical management programmes and supportive policies, are recommended to enhance nursing professional pride, alleviate moral distress, and promote long-term nurse retention. Full article
(This article belongs to the Special Issue Innovative Approaches to Healthcare Worker Wellbeing)
12 pages, 239 KB  
Article
Burnout, Work Engagement and Other Psychological Variables During the COVID-19 Pandemic Among Nursing Students with Clinical Experience: A Pre–Post Study
by María José Membrive-Jiménez, Almudena Velando-Soriano, Luis Albendín-García, Guillermo A. Cañadas-De la Fuente, José L. Gómez-Urquiza and Gustavo R. Cañadas-De la Fuente
Healthcare 2025, 13(19), 2446; https://doi.org/10.3390/healthcare13192446 - 26 Sep 2025
Viewed by 1396
Abstract
Aims: To analyze the psychological impact of the COVID-19 pandemic on nursing students who had just completed their first period of clinical placement and compare these results with a study previously conducted on the same students during their university education. Design: [...] Read more.
Aims: To analyze the psychological impact of the COVID-19 pandemic on nursing students who had just completed their first period of clinical placement and compare these results with a study previously conducted on the same students during their university education. Design: A pre–post design was used. Methods: Students who had already participated in a previous (February 2021) related study were sent a follow-up questionnaire (response rate = 52.8%) at the end of their clinical placement training period (June 2021). Descriptive analyses of the study variables were conducted, and burnout levels were estimated after the students had completed their clinical placement. Predictive models for the three dimensions of burnout were then obtained using multiple linear regression. Results: The study results suggest that a high proportion (47.2%) of nursing students who performed their first clinical placements during the COVID-19 pandemic experienced high levels of burnout. However, engagement was a protective factor against fear of COVID-19, anxiety, neuroticism, emotional exhaustion and reduced personal accomplishment. Conclusions: Nursing students who completed their first clinical placements during the COVID-19 pandemic were more likely to exhibit high levels of burnout and showed significant changes in their psychological dimensions. A risk profile should be established to identify the nursing students most vulnerable to developing high levels of burnout. Full article
(This article belongs to the Special Issue Innovative Approaches to Healthcare Worker Wellbeing)

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15 pages, 1098 KB  
Systematic Review
Shifts with Nights and Migraine Prevalence Among Nurses: A Systematic Review and Meta-Analysis
by Piedad Gómez-Torres, Azahara Ruger-Navarrete, Laura Lasso-Olayo, Isabel Blázquez-Ornat, David Peña-Otero and Sergio Galarreta-Aperte
Healthcare 2026, 14(6), 774; https://doi.org/10.3390/healthcare14060774 - 19 Mar 2026
Viewed by 860
Abstract
Background: Fixed night work and rotating schedules including nights may contribute to migraine via sleep disruption and circadian misalignment, but evidence is inconsistent and definitions vary. This systematic review and meta-analysis compared past-year migraine prevalence in nurses working night-inclusive schedules versus day-only [...] Read more.
Background: Fixed night work and rotating schedules including nights may contribute to migraine via sleep disruption and circadian misalignment, but evidence is inconsistent and definitions vary. This systematic review and meta-analysis compared past-year migraine prevalence in nurses working night-inclusive schedules versus day-only or non-night schedules. Methods: Following PRISMA 2020 and registered in PROSPERO (CRD420261304288), we searched PubMed, Scopus, Web of Science, CINAHL, and the Cochrane Library from inception to 3 February 2026 (English/Spanish). Observational studies in nurses (≥18 years) reporting past-year migraine prevalence by shift pattern were eligible. All included studies assessed past-year prevalence; pooled PRs reflect 1-year prevalence. Crude prevalence ratios (PRs) were calculated from contingency tables and pooled quantitatively. Risk of bias was assessed with the JBI prevalence checklist. Results: We identified 54 records; 4 studies were included (N = 3843) of which 3323 participants contributed to the comparative meta-analysis because complete disaggregated data were available to construct contingency tables. The pooled association between night-inclusive schedules and migraine prevalence was not statistically significant (PR = 0.95, 95% CI 0.82–1.10; I2 = 0%). Secondary intensity contrasts were inconclusive (high vs. low: PR = 1.24, 95% CI 0.46–3.36; high vs. zero nights: PR = 0.85, 95% CI 0.38–1.93). Conclusions: Current nurse-specific evidence does not show a statistically significant difference in migraine prevalence between night-inclusive and non-night schedules; however, the small evidence base and limited generalizability preclude firm conclusions. Future longitudinal studies are needed to clarify this association. Full article
(This article belongs to the Special Issue Innovative Approaches to Healthcare Worker Wellbeing)
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