The pandemic may have a long-term effect on psychological distress as well as wellness behaviors, especially for nurses. It is time to find out the clear policies and procedures to support health workers, for a sustainable health workforce. The aim of this research was to compile existing information on the effects of nurses’ mental health and wellness on their work in Indonesia and Thailand. A systematic review of mental health and psychological wellbeing following PRISMA guidelines was conducted through e-databases searching, including PubMed, EMBASE, Scopus, and Pubmed from 2020 up to 2023. The literature was screened via EndNote X21. A total of 4,015 studies were retrieved, 14 were deemed appropriate for inclusion (7 from Indonesia and 7 from Thailand). Our study indicates that COVID-19 has a considerable impact on the psychological wellbeing of nurses in community setting. In Thailand, the mental health outcomes included anxiety, panic, stress, isolation, fear, worthlessness, PTSD, and depression. The factors that affect the mental well-being of the respondents are education, finance, work pattern, and lifestyle changes. In Indonesia, the mental health outcomes included anxiety, stress, burnout, and depression. The most influential factor with the psychological well-being of nurses was psychological stress. Researching community nurses’ mental wellbeing and psychological distress post-COVID-19 in Indonesia and Thailand is crucial for promoting their resilience, well-being, and job retention. Implementation of holistic staff wellness policies that appeal to nursing staff’s physical and psychological well-being, along with psychological health support services, will effectively address the psychological issues experienced by nurses after the pandemic.

nurses; community; pandemic; coping; psychological effect; mental health and wellbeing

Ahmad, N. S., Hamsan, N., Sutatminigsih, R., et al. (2022). Inner Strength and Psychological Well-Being of Students in Malaysia and Indonesia During the Covid-19 Pandemic. Journal of Positive School Psychology, 6(10), 1085–1101.

Apisarnthanarak, A., Apisarnthanarak, P., Siripraparat, C., et al. (2020). Impact of anxiety and fear for COVID-19 toward infection control practices among Thai healthcare workers. Infection Control & Hospital Epidemiology, 41(9), 1093–1094. https://doi.org/10.1017/ice.2020.280

Aloweni, F., Ayre, T. C., Teo, I., et al. (2022). A year after COVID‐19: Its impact on nurses’ psychological well‐being. Journal of Nursing Management, 30(7), 2585–2596. https://doi.org/10.1111/jonm.13814

Asa, G. A., Fauk, N. K., Ratu, M., et al. (2022). The impact of working in COVID-19 hospital on indonesian nurses’ mental health and wellbeing: a qualitative study. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-01131-6

Barbisch, D., Koenig, K. L., & Shih, F. Y. (2015). Is There a Case for Quarantine? Perspectives from SARS to Ebola. Disaster Medicine and Public Health Preparedness, 9(5), 547–553. https://doi.org/10.1017/dmp.2015.38

Bourgeault, I. L., Maier, C. B., Dieleman, M., et al. (2020). The COVID-19 pandemic presents an opportunity to develop more sustainable health workforces. Human Resources for Health, 18(1). https://doi.org/10.1186/s12960-020-00529-0

Chinvararak, C., Kerdcharoen, N., Pruttithavorn, W., et al. (2022). Mental health among healthcare workers during COVID-19 pandemic in Thailand. PLOS ONE, 17(5), e0268704. https://doi.org/10.1371/journal.pone.0268704

Dhingra, V. & Dhingra, M. (2020). Effect of perceived stress on psychological well-being of health care workers during COVID-19: Mediating role of subjective happiness. European Journal of Molecular & Clinical Medicine, 7(02), 2020.

Diener, E., Heintzelman, S. J., Kushlev, K., et al. (2017). Findings all psychologists should know from the new science on subjective well-being. Canadian Psychology/Psychologie Canadienne, 58(2), 87–104. https://doi.org/10.1037/cap0000063

Drissi, N., Ouhbi, S., Marques, G., et al. (2021). A Systematic Literature Review on e-Mental Health Solutions to Assist Health Care Workers During COVID-19. Telemedicine and E-Health, 27(6), 594–602. https://doi.org/10.1089/tmj.2020.0287

Galehdar, N., Kamran, A., Toulabi, T., et al. (2020). Exploring nurses’ experiences of psychological distress during care of patients with COVID-19: a qualitative study. BMC Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-02898-1

Hamza Shuja, K., Aqeel, M., Jaffar, A., et al. (2020). COVID-19 pandemic and impending global mental health implications. Psychiatria Danubina, 32(1), 32–35. https://doi.org/10.24869/psyd.2020.32

Holton, S., Wynter, K., Trueman, M., et al. (2020). Psychological well-being of Australian hospital clinical staff during the COVID-19 pandemic. Australian Health Review, 45(3), 297–305. https://doi.org/10.1071/ah20203

Husna, C., Safitri, N. A., & Amalia, R. (2022). Psychological Conditions among Nurses in Caring for the COVID-19 Patients: A Study from Referral Hospitals of Aceh, Indonesia. The Open Nursing Journal, 16(1). https://doi.org/10.2174/18744346-v16-e221214-2022-119

Jaibun, R., Terdpaopong, K., & Chawananon, K. (2021). Mental Wellbeing of Thai People During the COVID-19 Pandemic. Science Proceedings Series, 3(1), 37–40. https://doi.org/10.31580/sps.v3i1.1940

Kasap, S. (2021). Mental well-being and foreign language anxiety. Multicultural Education, 7(4), 226–2230.

Komwong, D., Prasanthanakul, J., Phanasathit, M., et al. (2022). Prevalence of mental health problems and associated factors of Thai healthcare workers during the first wave of COVID-19 pandemic. Journal of Public Health and Development. https://doi.org/10.55131/jphd/2022/200109

Luo, M., Guo, L., Yu, M., et al. (2020). The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public—A systematic review and meta-analysis. Psychiatry Research, 291, 113190. https://doi.org/10.1016/j.psychres.2020.113190

Lorber, M., & Dobnik, M. (2022). The Importance of Monitoring the Psychological Wellbeing and Mental Health of Nursing Staff for Sustainable Management. Sustainability, 14(14), 8300. https://doi.org/10.3390/su14148300

Margaretha, S., Effendy, C., Kusnanto, H., et al. (2020). Determinants psychological distress of indonesian health care providers during COVID-19 pandemic. Profession, 116, 1–17.

Marthoenis, M., Fathiariani, L., & Nassimbwa, J. (2021). Investigating the burden of mental distress among nurses at a provincial COVID-19 referral hospital in Indonesia: A cross-sectional study. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00596-1

Ministry of Health Republic Indonesia. (2020). Guidelines for the Prevention and Control of Corona Virus Diseases (COVID-19) (Indonesian). Available online: https://covid19.kemkes.go.id/protokol-covid-19 (accessed on 18 June 2024).

Mukhtar, S., & Rana, W. (2020). COVID-19 and individuals with mental illness in psychiatric facilities. Psychiatry Research, 289, 113075. https://doi.org/10.1016/j.psychres.2020.113075

Muliantino, M. R., Huriani, E., Krisdianto, B. F., et al. (2021). Psychological Responses Among Indonesian Nurses In The Outbreak Of Covid-19 Pandemic. Journal of Nursing Care, 4(2). https://doi.org/10.24198/jnc.v4i2.31195

Nasrullah, D., Natsir, M., Twistiandayani, R., et al. (2021). Psychological impact among health workers in effort to facing the COVID-19 in Indonesia. International Journal of Public Health Science (IJPHS), 10(1), 181. https://doi.org/10.11591/ijphs.v10i1.20524

National Task Force for COVID-19. (2021). COVID-19 Situation (Indonesian). Available online: https://www.covid19.go.id (accessed on 18 June 2024).

Ni’matuzahroh, N. M., Ningrum, V., Widayat, W., et al. (2021). The COVID-19 pandemic and healthcare workers psychological well‐being: A cross‐sectional survey in Indonesia. Nursing Open, 8(6), 3212–3221. https://doi.org/10.1002/nop2.1034

Nie, A., Su, X., Zhang, S., et al. (2020). Psychological impact of COVID‐19 outbreak on frontline nurses: A cross‐sectional survey study. Journal of Clinical Nursing, 29(21–22), 4217–4226. https://doi.org/10.1111/jocn.15454

Nittayasoot, N., Suphanchaimat, R., Namwat, C., et al. (2021). Public health policies and health-care workers’ response to the COVID-19 pandemic, Thailand. Bulletin of the World Health Organization, 99(4), 312–318. https://doi.org/10.2471/blt.20.275818

Nochaiwong, S., Ruengorn, C., Awiphan, R., et al. (2020). Mental health circumstances among health care workers and general public under the pandemic situation of COVID-19 (HOME-COVID-19). Medicine, 99(26), e20751. https://doi.org/10.1097/md.0000000000020751

Organization, W. H. (2015). The Kingdom of Thailand health system review. Health Systems in Transition, 5(5).

Patricia, H., & Apriyeni, E. (2021). Determinant factors of psychological well being nurses on the frontline against the Covid-19 pandemic. In: Proceedings of the 2nd Syedza Saintika International Conference on Nursing, Midwifery, Medical Laboratory Technology, Public Health, and Health Information Management (SeSICNiMPH 2021).

Saleha, N., Delfina, R., Nurlaili, N., et al. (2020). Social support and spiritual intelligence as factors influencing Nurses’ stress during the Covid-19 pandemic (Indonesian). NURSCOPE: Jurnal Penelitian Dan Pemikiran Ilmiah Keperawatan, 6(2), 57. https://doi.org/10.30659/nurscope.6.2.57-65

Serafini, G., Parmigiani, B., Amerio, A., et al. (2020). The psychological impact of COVID-19 on the mental health in the general population. Oxford University Press.

Shmerling, R. (2020). What’s it like to be a healthcare worker in a pandemic. Harvard Health.

Sunjaya, D. K., Herawati, D. M. D., & Siregar, A. Y. M. (2021). Depressive, anxiety, and burnout symptoms on health care personnel at a month after COVID-19 outbreak in Indonesia. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10299-6

Thakur, V., & Jain, A. (2020). COVID 2019-suicides: A global psychological pandemic. Brain, Behavior, and Immunity, 88, 952–953. https://doi.org/10.1016/j.bbi.2020.04.062

Turner, R. M., Bird, S. M., & Higgins, J. P. T. (2013). The Impact of Study Size on Meta-analyses: Examination of Underpowered Studies in Cochrane Reviews. PLoS ONE, 8(3), e59202. https://doi.org/10.1371/journal.pone.0059202

Wong, L. P., Hung, C.-C., Alias, H., et al. (2020). Anxiety symptoms and preventive measures during the COVID-19 outbreak in Taiwan. BMC Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-02786-8

Wongtim, S., & Siritarungsri, B. (2020). Impact of Covid-19 Pandemic on Professional Quality of Life and Coping Strategy among Nurses in Thailand. ASEAN Journal of Open and Distance Learning.

Xu, X., Zhang, J., Fang, R., et al. (2023). Evaluation of the mental health status of community frontline medical workers after the normalized management of COVID-19 in Sichuan, China. Front Psychiatry, 14, 1198822.

Yayla, A., & Eskici İlgin, V. (2021). The relationship of nurses’ psychological well‐being with their coronaphobia and work–life balance during the COVID‐19 pandemic: A cross‐sectional study. Journal of Clinical Nursing, 30(21–22), 3153–3162. https://doi.org/10.1111/jocn.15783

Yubonpunt, P., Kunno, J., Supawattanabodee, B., et al. (2022). Prevalence of perceived stress and coping strategies among healthcare workers during the COVID-19 outbreak at Bangkok metropolitan, Thailand. PLOS ONE, 17(7), e0270924. https://doi.org/10.1371/journal.pone.0270924