Workload Factors Influencing Mental Health and the Intent to Leave Job During the COVID-19 Pandemic: A Survey Analysis of Healthcare Workers Handling Mass Fatalities in the United States

This study examines the impact of workload demands on mental distress and job retention among healthcare workers (HCWs) handling mass fatalities during the COVID-19 pandemic. We utilized a cross-sectional validated survey to collect self-reported data from 206 HCWs in the United States between April and May of 2023. The survey measured various dimensions of workload, including mental, physical, and temporal demands, as well as frustration, and their effects on mental distress and the intent to leave their job. Partial Least Squares Structural Equation Modeling was employed to analyze the relationships among these variables, providing robust insights into the direct and indirect effects of workload demands on mental distress and job retention. Our findings reveal significant associations between mental, physical, and temporal demands, frustration, and increased mental distress, which in turn heightened the intent to leave their job. Mental distress emerged as a critical mediator, linking workload demands to job retention decisions. This study highlights the cycle of understaffing and workload intensification, exacerbated during pandemics, which contributes to higher turnover rates. It underscores the need for targeted interventions to alleviate workload pressures, especially the physical exertion and mental distress associated with handling dead bodies. This support can help improve HCWs’ mental health and job retention, ultimately enhancing the resilience of healthcare systems in crisis situations.