Authors : Jimmy Focus Michael Maliro; Tengetile R. Mathunjwa-Dlamini

Volume/Issue : Volume 10 - 2025, Issue 10 - October

Google Scholar : https://tinyurl.com/amd6uce5

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DOI : https://doi.org/10.38124/ijisrt/25oct1421

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Abstract : The COVID-19 pandemic imposed severe psychological strain on healthcare workers (HCWs), particularly in resource-limited settings. This study explored the mental health and psychosocial impact of COVID-19 on HCWs in Eswatini’s main COVID-19 referral hospital, focusing on sources of distress and resilience. A qualitative descriptive phenomenological design was adopted within an interpretivist paradigm to capture the lived experiences and meanings HCWs attached to their work during the pandemic. Fifteen participants including nurses, physicians, a pharmacist, a radiographer, and a laboratory scientist, were purposively selected and interviewed using semi-structured guides. Data were analyzed thematically following Colaizzi’s framework. Findings revealed five major themes: emotional reactions, psycho-social distress and exhaustion, resilience and coping mechanisms, impact on quality of care and motivation, and recommendations for future preparedness. The study concludes that Eswatini’s HCWs endured profound psychological distress but also exhibited adaptive resilience. Strengthening institutional mental health support, ensuring continuous counseling, peer-support systems, and professional recognition are imperative to safeguard HCW well-being and enhance preparedness for future health crises.

Keywords : Healthcare Workers, COVID-19, Mental Health, Psychological Distress, Resilience, Job Demands–Resources Theory, Eswatini.

References :

1. Afzal, M., Imran, H., & Sarwar, H. (2023). Nurses’ motivation and duty during the COVID-19 pandemic in Pakistan. Journal of Nursing Management, 31(2), 456–         464.
2. Ardebili, M. E., Naserbakht, M., Bernstein, C., Alazmani-Noodeh, F., Hakimi, H., & Ranjbar, H. (2021). Healthcare providers’ experience of working during the COVID-19 pandemic: A qualitative study. Journal of Nursing Scholarship, 53(5),          752–760.
3. Bakker, A. B., & Demerouti, E. (2017). Job Demands–Resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273–285.
4. Boateng, W., & Asante, P. Y. (2021). COVID-19 and spiritual coping: Experiences of health workers in Africa. African Journal of Social Work, 11(3), 45–54.
5. Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Nurses’ burnout and associated risk factors during the COVID-19 pandemic: A systematic review           and meta-analysis. Journal of Advanced Nursing, 77(8), 3286–3302.
6. Greenberg, N., Docherty, M., Gnanapragasam, S., & Wessely, S. (2020). Managing mental health challenges faced by healthcare workers during the COVID-19 pandemic. BMJ, 368, m1211.
7. Hofmeyer, A., & Taylor, R. (2021). Strategies to support the psychological well-being of       frontline nurses during a pandemic. International Journal of Nursing Practice, 27(1), 129-136.
8. Hoover, J., Bolton, P., Clonchmore, A., Sussman, L., & Frymus, D. (2023). Responding          to the impact of COVID-19 on the mental health and well-being of health workers in LMICs. Cambridge Prisms: Global Mental Health, 1
9. Kisely, S., Warren, N., McMahon, L., Dalais, C., Henry, I., & Siskind, D. (2020). Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: Rapid review and meta-analysis. BMJ,       369, m1642.
10. Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., & Yang, B. X. (2020). The experiences of healthcare providers during the COVID-19 crisis in China: A qualitative study. The Lancet Global Health, 8(6), 790–798.
11. Ministry of Health (Eswatini). (2021). Health sector response to COVID-19: Lessons learned report. Government of Eswatini.
12. Mogale, R. S., Phiri, N., & Mahlangu, P. (2022). Mental health and well-being of healthcare workers during COVID-19 in South Africa. BMC Health Services Research, 22(1), 876.
13. Muchomba, E., Gachohi, J., & Mutua, M. (2021). Psychological distress among        healthcare workers in Kenya during the COVID-19 pandemic. Frontiers in Public Health, 9, 665611.
14. Mukumbang, F. C., Ambe, A. N., & Adebiyi, B. O. (2022). Unspoken inequality: How COVID-19 has exacerbated existing vulnerabilities of healthcare workers in Africa. Frontiers in Public Health, 10, 861843.
15. Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901–907.
16. Phiri, M., & Molefe, L. (2023). Workplace support and welfare of nurses in Botswana during COVID-19. BMC Nursing, 22(1), 150.
17. Rucker, A., Larsson, G., Börjesson, S., & Nygren, J. (2021). Moral distress and        psychosocial support needs among healthcare workers in Sweden during    COVID-19. Frontiers in Psychiatry, 12, 770205.
18. Salari, N., Hosseinian-Far, A., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Mohammadi, M., & Khaledi-Paveh, B. (2020). Prevalence of stress, anxiety, and depression among the general population during the COVID-19 pandemic: A systematic review and meta-analysis. Globalization and Health, 16(1), 57.
19. Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and addressing sources of          anxiety among healthcare professionals during the COVID-19 pandemic. JAMA, 323(21), 2133–2134.
20. Shongwe, K. T., & Huang, Y. (2021). Lived experiences of frontline nurses in Eswatini           during the COVID-19 pandemic. International Nursing Review, 68(4), 524–532.
21. Smallwood, N., Karimi, L., Pascoe, A., Bismark, M., Putland, M., Johnson, D., & Willis,        K. (2021). Coping strategies and mental health outcomes of frontline healthcare workers during COVID-19 in Australia. BMC Psychiatry, 21(1), 88.
22. Spoorthy, M. S. (2020). Factors associated with psychological outcomes among        healthcare workers during the COVID-19 outbreak: A rapid review. Indian Journal of Psychiatry, 62(3), 222–226.
23. Spoorthy, M. S., Pratapa, S. K., & Mahant, S. (2020). Mental health problems faced by healthcare workers due to the COVID-19 pandemic: A review. Asian Journal of Psychiatry, 51, 102119.
24. World Health Organization. (2021). Occupational health and safety for health workers in COVID-19: Interim guidance (WHO/2019-nCoV/HCW_health/2021.1). World Health Organization.
25. World Health Organization. (2022). Mental health and psychosocial support guidelines for health workers: Policy brief. World Health Organization & International Labor Organization.