REVIEW
Public Health Rev.
Exploring Stress, Fatigue, Burnout, and Resilience Among Healthcare Personnel in Southern and South-Eastern Asia: A Scoping Review
- KG
Kelsey Grace Trulik 1
- VA
Vijaya Arun Kumar 2
- WW
Wendy Wu 3
- MV
Muralidhar Varma 4
- MM
Mauli M Patel 5
- KM
Kajol Manglani 6
- TA
Trini A Mathew 7
1. School of Medicine, Wayne State University, Detroit, United States
2. School of Medicine, Wayne State University, Detroit, United States, Michigan, 48201
3. Shiffman Medical Library, Wayne State University, Detroit, United States
4. Department of Infectious Disease, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India, Karnataka, 576104
5. Department of Internal Medicine/Pediatrics, Corewell Health West, Michigan State University, Grand Rapids, United States, Michigan
6. Department of Internal Medicine, MedStar Georgetown University Hospital, Washington D.C., United States, District of Columbia, 20007
7. Center for Emerging and Infectious Diseases, Department of Internal Medicine, Wayne State University, Detroit, United States
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Abstract
Objectives: 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 Southern and South-eastern 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. Methods: Studies published from January 2016 to December 2021 focusing on burnout, stress, fatigue, and resilience were included. COVIDENCE software was used for screening. Results: A total of 55 studies were included in the review. Of these 55 studies, 51 measured burnout, stress, fatigue, or resilience, using 77 different instruments. The MBI-HSS, PSS-10, BRS, Brief-COPE, and CD-RISC were the most common tools to assess burnout, stress, and individual resilience. Four studies evaluated resilience interventions, using mindfulness training, meditation, progressive muscle relaxation, and yoga. Conclusion: There are many studies assessing burnout, stress, and resilience among HCP in Southern and South-eastern Asia, yet gaps remain in identifying effective resilience-building interventions. Further research is needed to assess the impact of individual resilience on health systems resilience.
Summary
Keywords
healthcare personnel, Healthcare workers, Southern Asia, South-eastern Asia, Mental Health
Received
10 April 2025
Accepted
02 September 2025
Copyright
© 2025 Trulik, Kumar, Wu, Varma, Patel, Manglani and Mathew. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Kelsey Grace Trulik, ktrulik@wayne.edu
Disclaimer
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.