Exploring stress, fatigue, burnout, and resilience among healthcare personnel in Southeast Asia: A scoping review

Authors

Kelsey Trulik, Wayne State University School of MedicineFollow
Vijaya Arun Kumar, Wayne State University School of MedicineFollow
Wendy Wu, Shiffman Medical Library, Wayne State UniversityFollow
Muralidhar Varma, 4. Department of Infectious Disease, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, India
Mauli M. Patel, 5. Department of Internal Medicine/Pediatrics, Corewell Health West, Grand Rapids, MI
Kajol Manglani, 6. Department of Internal Medicine, MedStar Georgetown/Washington Hospital Center, Washington DC
Trini A. Mathew, 7. Center for Emerging and Infectious Diseases, Department of Internal Medicine, Wayne State University

Document Type

Article

Abstract

This study aims to compare methods used to measure burnout, fatigue, stress, and resilience, as well as resilience-building interventions among healthcare personnel (HCP) in Southeast Asia. Even before COVID-19, HCP faced high levels of burnout and stress, exacerbated by the pandemic. Identifying effective resilience-building strategies is essential to supporting a healthier workforce. Studies published from January 2016 to December 2021 focusing on burnout, stress, fatigue, and resilience in HCP in Southeast Asia. A comprehensive literature search of seven databases (Jan 2016-Dec 2021), using terms related to resilience, HCP, and Southeastern Asian countries identified relevant English-language studies. COVIDENCE software was used for screening, with a total of 55 studies included in the review. Of 55 studies, 51 measured burnout, stress, fatigue, or resilience, using 77 different instruments. The MBI-HSS (10 studies) and PSS-10 (5 studies) were the most common tools to assess burnout and stress, respectively. The BRS (8 studies), Brief-COPE (7 studies), and CD-RISC (7 studies) were the most common tools to measure individual resilience. Only four studies evaluated resilience interventions, with mindfulness training, meditation, progressive muscle relaxation, and yoga being effective tools to mitigate stress and improve mental health in high-pressure environments. Resilience, particularly during COVID-19, was a key protective factor in HCP well-being and quality patient care. There are many studies assessing burnout, fatigue, stress, and resilience among HCP in Southeast Asia, yet gaps remain in identifying effective resilience-building interventions. This review provides valuable insights into the mental health of HCP in Southeast Asia before and after the COVID-19 pandemic and provides a concise review of scales used to measure burnout, stress, fatigue, and resilience. Individual resilience plays a crucial role in addressing pandemic-related challenges, and further research is needed to assess the impact of individual resilience on health systems resilience.

Disciplines

Health and Medical Administration | Health Psychology | Mental and Social Health

Recommended Citation

Trulik, Kelsey; Kumar, Vijaya Arun; Wu, Wendy; Varma, Muralidhar; Patel, Mauli M.; Manglani, Kajol; and Mathew, Trini A., "Exploring stress, fatigue, burnout, and resilience among healthcare personnel in Southeast Asia: A scoping review" (2025). Global Health Research Collaborative. 1.
https://digitalcommons.wayne.edu/ghrc/1