Strategies and Interventions for Supporting the Holistic Well-Being of Clinicians and Nurses

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Healthcare Organizations, Systems, and Providers".

Deadline for manuscript submissions: 21 October 2026 | Viewed by 3098

Special Issue Editors

iHealth4Well-being Research Unit, CESPU, CRL—Cooperativa de Ensino Superior Politécnico e Universitário, Rua Central de Gandra, 1317, Gandra, 4585-116 Paredes, Portugal
Interests: elderly and dementia; Alzheimer disease; chronical disease; well-being; quality of life; spirituality; mindfulness; burnout and mobbing

E-Mail Website
Guest Editor
iHealth4Well-being Research Unit, CESPU, CRL—Cooperativa de Ensino Superior Politécnico e Universitário, Rua Central de Gandra, 1317, Gandra, 4585-116 Paredes, Portugal
Interests: clinical and health psychology; validation studies; mental health; delirium
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
iHealth4Well-being Research Unit, CESPU, CRL—Cooperativa de Ensino Superior Politécnico e Universitário, Rua Central de Gandra, 1317, Gandra, 4585-116 Paredes, Portugal
Interests: nursing; nursing education; mental health; emotional competence

Special Issue Information

Dear Colleagues,

Healthcare workers are at risk of mental health illnesses, such as burnout, stress, and depression, due to a variety of stress factors in the workplace, including long working hours, shift work, workplace violence, and a lack of social support at work, among other things. This may lead to adverse outcomes, limited not just to an individual level, but which can also affect an organization’s productivity and the quality of care.

In view of the persistent occupational stressors and the many challenges involved in providing healthcare, attention to the well-being of these workers has increased. Well-being is a complex and multifaceted construct that can be described as optimal human experience and psychological functioning, involving subjective experiences and objective conditions that reflect physical and psychosocial wellness.

Over the past few decades, research evidence has supported a relationship between greater well-being and better overall physical and mental health outcomes in healthcare workers, which reinforces the need to define and implement strategies and interventions to improve well-being.

This Special Issue aims to offer the most current evidence that has been developed in this area, with special interest in original research articles and reviews. A range of methodologies, including quantitative, qualitative, and mixed, are welcome.

Topics of interest include, but are not limited to, the following:

  • Clinicians’ and nurses’ well-being;
  • Well-being, physical, and mental health of healthcare workers;
  • Psychological interventions;
  • Mindfulness-based approaches;
  • Workplace-based organizational interventions;
  • Emotional regulation and mental health;
  • Other approaches to improve well-being.

We look forward to receiving your contributions.

Dr. Sara Lima
Dr. Sonia Martins
Dr. Ana Isabel Carvalho Teixeira
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-blind 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

  • well-being
  • healthcare workers
  • occupational stress
  • mental health
  • quality of life
  • mindfulness-based and psychological interventions
  • workplace-based organizational interventions
  • mobbing

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

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

Published Papers (4 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Jump to: Other

14 pages, 288 KB  
Article
Burnout Among Healthcare Workers: Insights for Holistic Well-Being
by Carina Fernandes, Carla Barros and Pilar Baylina
Healthcare 2025, 13(24), 3298; https://doi.org/10.3390/healthcare13243298 - 16 Dec 2025
Viewed by 179
Abstract
Background/Objectives: In the healthcare sector, burnout has become a critical concern due to high job demands and emotional strain. The main objective of the study is to examine the predictive role of psychosocial work-related risks in the development of burnout. Methods: [...] Read more.
Background/Objectives: In the healthcare sector, burnout has become a critical concern due to high job demands and emotional strain. The main objective of the study is to examine the predictive role of psychosocial work-related risks in the development of burnout. Methods: A cross-sectional study was conducted, using a snowball recruitment method, from May to September 2025, among 154 healthcare workers. Data were collected using the psychosocial risk factors scale (INSAT_ERPS) and the Burnout Assessment Tool (BAT) and analyzed with descriptive and inferential statistics to analyze the predictive role of the psychosocial risk on burnout dimensions. Results: Psychosocial risk factors are consistently linked to the development of burnout symptoms. For exhaustion, the predictors included Working Hours (β = 0.312, p < 0.001), Social Work Relations (β = 0.196, p = 0.026), and Emotional Demands (β = 0.295, p = 0.002). For mental distance, the predictors included Work Intensity (β = −0.193, p = 0.049), Emotional Demands (β = 0.294, p = 0.004), and Work Values (β = 0.348, p = 0.003). For cognitive impairment, Work Values (β = 0.240, p = 0.042) and for emotional impairment, Employment Relations (β = 0.182, p = 0.038) emerged only one significant positive predictor. Conclusions: Findings underscore a crucial understanding: the development of burnout is not solely determined by the workload intensity, or the number of hours worked, the quality of working life and the dynamics within the workplace play pivotal roles in predicting burnout. A multidomain evaluation aligns with a holistic well-being approach to well-being by emphasizing that enhancing healthcare workers’ health demands systemic interventions addressing psychosocial work environment. Full article
13 pages, 246 KB  
Article
Perceived Noise Sources and Their Association with Nurses’ Health and Work Performance in Intensive Care Units: A Multicenter Study
by Biljana Filipović, Tea Bernardić, Snježana Čukljek, Adriano Friganović, Danijela Kundrata and Sanja Ledinski
Healthcare 2025, 13(21), 2790; https://doi.org/10.3390/healthcare13212790 - 3 Nov 2025
Viewed by 840
Abstract
Background: Modern healthcare environments expose staff to various occupational stressors, with noise being among the most common and harmful stressors. In intensive care units (ICUs), both patients and nurses are frequently exposed to unsafe noise levels, which can adversely affect well-being, recovery, and [...] Read more.
Background: Modern healthcare environments expose staff to various occupational stressors, with noise being among the most common and harmful stressors. In intensive care units (ICUs), both patients and nurses are frequently exposed to unsafe noise levels, which can adversely affect well-being, recovery, and work performance. Objective: This study aimed to identify sources of noise and their adverse effects from the perspective of ICU nurses, and to examine associations between noise perception, demographic and job-related variables, and outcomes across four domains: subjective, emotional, physiological, and work performance. Methods: A cross-sectional study was conducted from February to September 2023 among 100 ICU nurses employed in three Croatian hospitals: Zagreb, Pula and Slavonski Brod. Data were collected using a validated three-part questionnaire and analyzed with descriptive and inferential statistics. Results: Nurses reported that monitor and ventilator alarms were the most prominent sources of internal noise. Noise perception within and outside ICUs differed significantly depending on the type of institution, ICU, and number of beds (p < 0.05). Significant relationships were found between noise exposure and outcomes across all four domains. Conclusions: Noise in ICUs poses a health risk to both patients and nurses, impairing well-being and work performance. Implementing effective noise reduction strategies should be prioritized in critical care settings. Full article
19 pages, 247 KB  
Article
Enduring Effects of the COVID-19 Pandemic on the Mental Health of Physicians in Pakistan: A Mixed-Methods Study
by Syed Ahmed Shahzaeem Hussain, Syed Ahmed Shahzain Hussain, Muhammad Hasnain Haider, Mustafa Sohail Butt, Anas Zahid and Umair Majid
Healthcare 2025, 13(16), 2009; https://doi.org/10.3390/healthcare13162009 - 15 Aug 2025
Cited by 2 | Viewed by 745
Abstract
Background: The COVID-19 pandemic caused lasting disruption to healthcare systems and the mental health of frontline workers. Though the acute crisis has passed, many healthcare workers (HCWs) continue to experience long-term psychological effects, including anxiety, grief, and burnout. This mixed-methods study investigates [...] Read more.
Background: The COVID-19 pandemic caused lasting disruption to healthcare systems and the mental health of frontline workers. Though the acute crisis has passed, many healthcare workers (HCWs) continue to experience long-term psychological effects, including anxiety, grief, and burnout. This mixed-methods study investigates the enduring effects of the COVID-19 pandemic on the mental health of physicians in a low-resource country. Methods: Drawing on data from the ear, nose, and throat (ENT) or otolaryngology department at a tertiary care hospital in Pakistan, the study employed an explanatory mixed-methods design, combining structured surveys and semi-structured interviews. The Hospital Anxiety and Depression Scale, the Perceived Stress Scale, and the Brief COPE Inventory were administered to 42 ENT specialists, trainees, and house officers, alongside semi-structured interviews with eight ENT physicians. Results: Survey results revealed moderate to high levels of anxiety, depression, and stress that persisted beyond the acute crisis phase of the pandemic. Interviews provided nuanced insights into the emotional burden experienced by physicians, including persistent concerns about contagion risk, professional isolation, and increased workload. Physicians described maladaptive responses and employed active coping strategies, such as seeking peer support and utilizing adaptive problem solving. Conclusions: The COVID-19 pandemic has had enduring effects on the mental well-being of physicians. Targeted interventions and policy reforms that address the ongoing pressures frontline physicians face in resource-constrained environments may help mitigate these burdens, support healthcare professionals more effectively, and improve their mental health. Full article

Other

Jump to: Research

17 pages, 290 KB  
Essay
Retaining Those Who Care: Ethical Climate, Leadership, and Workforce Sustainability in Healthcare
by Ana Poeira and Lucília Nunes
Healthcare 2025, 13(23), 3014; https://doi.org/10.3390/healthcare13233014 - 21 Nov 2025
Viewed by 783
Abstract
Background/Objectives: The global shortage of healthcare professionals has exacerbated ethical and organizational challenges that threaten the sustainability of health systems. High turnover rates, combined with the emigration and attrition of qualified nurses, make it essential to understand how institutional factors affect professional well-being [...] Read more.
Background/Objectives: The global shortage of healthcare professionals has exacerbated ethical and organizational challenges that threaten the sustainability of health systems. High turnover rates, combined with the emigration and attrition of qualified nurses, make it essential to understand how institutional factors affect professional well-being and workforce retention. This essay examines how organizational ethics—particularly ethical climate, organizational justice, and ethical leadership—influence healthcare professionals’ experiences and their intentions to remain in or leave the sector. Methods: The discussion adopts a conceptual and reflective approach, drawing on key theories and empirical findings from the literature on organizational ethics and turnover. It explores the relationships between ethical environments, professional recognition, and moral well-being within healthcare organizations. Results: Evidence suggests that ethical and fair organizational climates strengthen trust, professional commitment, and long-term retention. Conversely, perceptions of injustice, lack of recognition, or moral distress tend to increase dissatisfaction and the intention to leave the profession. Conclusions: The essay underscores ethics as a central component of workforce sustainability in healthcare and calls for leadership and policy actions that move beyond individual coping strategies toward systemic ethical practices promoting fairness, recognition, and well-being at work. Full article
Back to TopTop