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. 2022 Jun 1;19(11):6783.
doi: 10.3390/ijerph19116783.

The Work Environment during Coronavirus Epidemics and Pandemics: A Systematic Review of Studies Using Quantitative, Qualitative, and Mixed-Methods Designs

Affiliations

The Work Environment during Coronavirus Epidemics and Pandemics: A Systematic Review of Studies Using Quantitative, Qualitative, and Mixed-Methods Designs

Anna Nyberg et al. Int J Environ Res Public Health. .

Abstract

We aimed to provide an overview of how work environment and occupational health are affected, and describe interventions designed to improve the work environment during epidemics and pandemics. The guidelines on Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) were followed. The databases Cinahl, Medline, PsycInfo, and Web of Science were searched for population: working population; exposure: coronavirus epidemic or pandemic; and outcome: work environment, in articles published until October 2020. Quality assessment was based on a modified version of the Mixed Methods Appraisal Tool (MMAT). After deduplication 3711 articles remained, of which 530 were selected for full-text screening and 119 for quality assessment. After the exclusion of studies that were low quality, 95 remained, of which 85 focused on healthcare personnel and 10 on employees in other industries; 73 used quantitative methods and 22 used qualitative or mixed methods; the majority were based on cross-sectional data. Healthcare staff experienced increased job demands, poor leadership, and lack of resources (personal protective equipment, personnel, and competence). High demands and work with infected patients were associated with negative mental health outcomes. There was a lack of studies assessing interventions, studies from industries other than healthcare, and studies of high quality.

Keywords: PPE; epidemic; mental health; occupational health; pandemic; work environment.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of the selection and exclusion of articles.
Figure 2
Figure 2
Studies of the healthcare industry sorted by research question and methodology. Research questions (RQs): During an epidemic or pandemic caused by a coronavirus: (1) How is the work environment affected? (2) What are the associations between work environment factors and employee health? (3) What are the effects of interventions to improve the work environment or health?
Figure 3
Figure 3
Studies of industries other than healthcare, sorted by research question and methodology. Research questions (RQs): During an epidemic or pandemic caused by a coronavirus: (1) How is the work environment affected? (2) What are the associations between work environment factors and employee health? (3) What are the effects of interventions to improve the work environment or health?

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