A saúde mental dos trabalhadores da saúde no contexto hospitalar e UTI durante a pandemia da COVID-19: revisão de escopo
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2025.225671Palavras-chave:
COVID-19, Saude Mental, Equipe de Enfermagem, Estresse PsicológicoResumo
Objetivo: mapear na literatura as alterações apresentadas na saúde mental dos trabalhadores da saúde. Metodologia: revisão de escopo seguindo o Joanna Briggs Institute Reviewers Manual for Scoping Reviews. A amostra do estudo incluiu equipes de Enfermagem, médica e fisioterapia que prestam assistência direta às pessoas com COVID-19 em contextos hospitalares e de Unidades
de Terapia Intensiva. Foram incluídos estudos que continham ao menos um descritor ou sinônimo relacionado à saúde mental e outros relacionados à COVID-19, no título ou no resumo. As fontes informacionais pesquisadas foram CINAHL, Embase, MEDLINE/PubMed, PsycInfo, BVS, Scopus e literatura cinzenta da Organização Mundial da Saúde. Os textos foram encaminhados para o Rayyan para auxiliar os pesquisadores na triagem dos artigos. Resultados: foram selecionados 72 estudos, com temas em ansiedade,
burnout, depressão e estresse traumático, com predominância de estudos asiáticos. Os principais achados indicaram que ser mulher enfermeira entre 30 e 50 anos está associado a problemas de saúde mental, enquanto fisioterapeutas com filhos têm maior risco de depressão e burnout. Médicos em hospitais-escola apresentam alto grau de ansiedade. Conclusão: o estudo concluiu que ser mulher em qualquer grupo profissional está fortemente associado a problemas de saúde mental. Este estudo destaca a importância de estratégias de prevenção, políticas públicas de proteção à saúde do trabalhador, terapias em momentos de crise, melhorando as condições de trabalho para implementar intervenções eficazes.
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Referências
Yıldırım M, Çağış ZG, Williams G. Fear of COVID-19, intolerance of uncertainty, psychological capital, and positive future expectations: Tests of mediating relationships with healthcare workers. Arch Psychiatr Nurs. 2023;45:158-63. https://doi.org/10.1016/j.apnu.2023.06.016
Li Y, Scherer N, Felix L, Kuper H. Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: A systematic review and meta-analysis. PloS One. 2021;16(3):e0246454. https://doi.org/10.1371/journal.pone.0246454
Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901-7. https://doi.org/10.1016/j.bbi.2020.05.026
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32. https://doi.org/10.1080/1364557032000119616
Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc. 2015;13(3):141-6. https://doi.org/10.1097/XEB.0000000000000050
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-73. https://doi.org/10.7326/m18-0850
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5:210. https://doi.org/10.1186/s13643-016-0384-4
Juan Y, Yuanyuan C, Qiuxiang Y, Cong L, Xiaofeng L, Yundong Z, et al. Psychological distress surveillance and related impact analysis of hospital staff during the COVID-19 epidemic in Chongqing, China. Compr Psychiatry. 2020;103:152198. https://doi.org/10.1016/j.comppsych.2020.152198
Shen Y, Zhan Y, Zheng H, Liu H, Wan Y, Zhou W. Anxiety and its association with perceived stress and insomnia among nurses fighting against COVID-19 in Wuhan: A cross-sectional survey. J Clin Nurs. 2021;30(17-18):2654-64. https://doi.org/10.1111/jocn.15678
Zheng R, Zhou Y, Fu Y, Xiang Q, Cheng F, Chen H, et al. Prevalence and associated factors of depression and anxiety among nurses during the outbreak of COVID-19 in China: A cross-sectional study. Int J Nurs Stud. 2021;114:103809. https://doi.org/10.1016/j.ijnurstu.2020.103809
Wang Y, Ma S, Yang C, Cai Z, Hu S, Zhang B, et al. Acute psychological effects of Coronavirus Disease 2019 outbreak among healthcare workers in China: a cross-sectional study. Transl Psychiatry. 2020;10(1):348. https://doi.org/10.1038/s41398-020-01031-w
Xiao X, Zhu X, Fu S, Hu Y, Li X, Xiao J. Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. J Affect Disord. 2020;274:405-10. https://doi.org/10.1016/j.jad.2020.05.081
Wang H, Dai X, Yao Z, Zhu X, Jiang Y, Li J, et al. The prevalence and risk factors for depressive symptoms in frontline nurses under COVID-19 pandemic based on a large cross-sectional study using the propensity score-matched method. BMC Psychiatry. 2021;21(1):152. https://doi.org/10.1186/s12888-021-03143-z
Ariapooran S, Ahadi B, Khezeli M. Depression, anxiety, and suicidal ideation in nurses with and without symptoms of secondary traumatic stress during the COVID-19 outbreak. Arch Psychiatr Nurs. 2022;37:76-81. https://doi.org/10.1016/j.apnu.2021.05.005
Zhang XB, Xiao W, Lei J, Li MX, Wang X, Hong YJ, et al. Prevalence and influencing factors of anxiety and depression symptoms among the first-line medical staff in Wuhan mobile cabin hospital during the COVID-19 epidemic: A cross-sectional survey. Medicine (Baltimore). 2021;100(21):e25945. https://doi.org/10.1097/MD.0000000000025945
ALGhasab NS, ALJadani AH, ALMesned SS, Hersi AS. Depression among physicians and other medical employees involved in the COVID-19 outbreak: A cross-sectional study. Medicine (Baltimore). 2021;100(15):e25290. https://doi.org/10.1097/MD.0000000000025290
Cui P pan, Wang P pan, Wang K, Ping Z, Wang P, Chen C. Post-traumatic growth and influencing factors among frontline nurses fighting against COVID-19. Occup Environ Med. 2021;78(2):129-35. https://doi.org/10.1136/oemed-2020-106540
Karabulut N, Gürçayır D, Aktaş YY, Kara A, Kızıloğlu B, Arslan B, et al. The effect of perceived stress on anxiety and sleep quality among healthcare professionals in intensive care units during the coronavirus pandemic. Psychol Health Med. 2021;26(1):119-30. https://doi.org/10.1080/13548506.2020.1856897
Song X, Fu W, Liu X, Luo Z, Wang R, Zhou N, et al. Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China. Brain Behav Immun. 2020;88:60-5. https://doi.org/10.1016/j.bbi.2020.06.002
Alnazly E, Khraisat OM, Al-Bashaireh AM, Bryant CL. Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PloS One. 2021;16(3):e0247679. https://doi.org/10.1371/journal.pone.0247679
Dal’Bosco EB, Floriano LSM, Skupien SV, Arcaro G, Martins AR, Anselmo ACC. Mental health of nursing in coping with COVID-19 at a regional university hospital. Rev Bras Enferm. 2020;73(suppl 2):e20200434. https://doi.org/10.1590/0034-7167-2020-0434
Obando Zegarra Martina. Ansiedad, estrés y depresión en enfermeros de emergencia Covid-19. Index Enferm [Internet]. 2020 [cited 2024 Aug 04];29(4):225-9. Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962020000300008&lng=es
Abu-Elenin MM. Immediate psychological outcomes associated with COVID-19 pandemic in frontline physicians: a cross-sectional study in Egypt. BMC Psychiatry. 2021;21(1):215. https://doi.org/10.1186/s12888-021-03225-y
Çelmeçe N, Menekay M. The Effect of Stress, Anxiety and Burnout Levels of Healthcare Professionals Caring for COVID-19 Patients on Their Quality of Life. Front Psychol. 2020;11:597624. https://doi.org/10.3389/fpsyg.2020.597624
Liu S, Xi HT, Zhu QQ, Ji M, Zhang H, Yang BX, et al. The prevalence of fatigue among Chinese nursing students in post-COVID-19 era. PeerJ. 2021;9:e11154. https://doi.org/10.7717/peerj.11154
Labrague LJ, de los Santos JAA. Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag. 2021;29(3):395-403. https://doi.org/10.1111/jonm.13168
Chen H, Sun L, Du Z, Zhao L, Wang L. A cross‐sectional study of mental health status and self‐psychological adjustment in nurses who supported Wuhan for fighting against the COVID‐19. J Clin Nurs. 2020;29(21-22):4161-70. https://doi.org/10.1111/jocn.15444
Crowe S, Howard AF, Vanderspank-Wright B, Gillis P, McLeod F, Penner C, et al. The effect of COVID-19 pandemic on the mental health of Canadian critical care nurses providing patient care during the early phase pandemic: A mixed method study. Intensive Crit Care Nurs. 2021;63:102999. https://doi.org/10.1016/j.iccn.2020.102999
Fang XH, Wu L, Lu LS, Kan XH, Wang H, Xiong YJ, et al. Mental health problems and social supports in the COVID-19 healthcare workers: a Chinese explanatory study. BMC Psychiatry. 2021;21(1):34. https://doi.org/10.1186/s12888-020-02998-y
Lorente L, Vera M, Peiró T. Nurses´ stressors and psychological distress during the COVID‐19 pandemic: The mediating role of coping and resilience. J Adv Nurs. 2021;77(3):1335-44. https://doi.org/10.1111/jan.14695
Sampaio F, Sequeira C, Teixeira L. Nurses’ Mental Health During the Covid-19 Outbreak: A Cross-Sectional Study. J Occup Environ Med. 2020;62(10):783-7. https://doi.org/10.1097/JOM.0000000000001987
Xie H, Cheng X, Song X, Wu W, Chen J, Xi Z, et al. Investigation of the Psychological disorders in the healthcare nurses during a coronavirus disease 2019 outbreak in China. Medicine (Baltimore). 2020;99(34):e21662. https://doi.org/10.1097/MD.0000000000021662
Ezzat A, Li Y, Holt J, Komorowski M. The global mental health burden of COVID-19 on critical care staff. Br J Nurs. 2021;30(11):634-42. https://doi.org/10.12968/bjon.2021.30.11.634
Liu YE, Zhai ZC, Han YH, Liu YL, Liu FP, Hu DY. Experiences of front-line nurses combating coronavirus disease-2019 in China: A qualitative analysis. Public Health Nurs. 2020;37(5):757-63. https://doi.org/10.1111/phn.12768
Tuna T, Özdin S. Levels and Predictors of Anxiety, Depression, and Burnout Syndrome in Physicians During the COVID-19 Pandemic. Int J Ment Health Addict. 2021;19(6):2470-83. https://doi.org/10.1007/s11469-021-00505-2
Yang S, Kwak SG, Ko EJ, Chang MC. The Mental Health Burden of the COVID-19 Pandemic on Physical Therapists. Int J Environ Res Public Health. 2020;17(10):3723. https://doi.org/10.3390/ijerph17103723
Zhu J, Sun L, Zhang L, Wang H, Fan A, Yang B, et al. Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against COVID-19 in Gansu. Front Psychiatry. 2020;11:386. https://doi.org/10.3389/fpsyt.2020.00386
Kandemir D, Temiz Z, Ozhanli Y, Erdogan H, Kanbay Y. Analysis of mental health symptoms and insomnia levels of intensive care nurses during the COVID‐19 pandemic with a structural equation model. J Clin Nurs. 2022;31(5-6):601-11. https://doi.org/10.1111/jocn.15918
Kim MY, Yang YY. Mental Health Status and Its Influencing Factors: The Case of Nurses Working in COVID-19 Hospitals in South Korea. Int J Environ Res Public Health. 2021;18(12):6531. https://doi.org/10.3390/ijerph18126531
Liu S, Yang L, Zhang C, Xu Y, Cai L, Ma S, et al. Gender differences in mental health problems of healthcare workers during the coronavirus disease 2019 outbreak. J Psychiatr Res. 2021;137:393-400. https://doi.org/10.1016/j.jpsychires.2021.03.014
Al Mutair A, Al Mutairi A, Ambani Z, Shamsan A, AlMahmoud S, Alhumaid S. The impact of COVID-19 pandemic on the level of depression among health care workers: cross-sectional study. PeerJ. 2021;9:e11469. https://doi.org/10.7717/peerj.11469
Shan Y, Shang J, Yan Y, Lu G, Hu D, Ye X. Mental workload of frontline nurses aiding in the COVID‐19 pandemic: A latent profile analysis. J Adv Nurs. 2021;77(5):2374-85. https://doi.org/10.1111/jan.14769
Marcomini I, Agus C, Milani L, Sfogliarini R, Bona A, Castagna M. COVID-19 and post-traumatic stress disorder among nurses: a descriptive cross-sectional study in a COVID hospital. Med Lav. 2021;112(3):241-9. https://doi.org/10.23749/mdl.v112i3.11129
Del Pozo-Herce P, Garrido-García R, Santolalla-Arnedo I, Gea-Caballero V, García-Molina P, Ruiz De Viñaspre-Hernández R, et al. Psychological Impact on the Nursing Professionals of the Rioja Health Service (Spain) Due to the SARS-CoV-2 Virus. Int J Environ Res Public Health. 2021;18(2):580. https://doi.org/10.3390/ijerph18020580
Elghazally SA, Alkarn AF, Elkhayat H, Ibrahim AK, Elkhayat MR. Burnout Impact of COVID-19 Pandemic on Health-Care Professionals at Assiut University Hospitals, 2020. Int J Environ Res Public Health. 2021;18(10):5368. https://doi.org/10.3390/ijerph18105368
Greenberg N, Weston D, Hall C, Caulfield T, Williamson V, Fong K. Mental health of staff working in intensive care during Covid-19. Occup Med. 2021;71(2):62-7. https://doi.org/10.1093/occmed/kqaa220
Stocchetti N, Segre G, Zanier ER, Zanetti M, Campi R, Scarpellini F, et al. Burnout in Intensive Care Unit Workers during the Second Wave of the COVID-19 Pandemic: A Single Center Cross-Sectional Italian Study. Int J Environ Res Public Health. 2021;18(11):6102. https://doi.org/10.3390/ijerph18116102
Zhan Y, Liu Y, Liu H, Li M, Shen Y, Gui L, et al. Factors associated with insomnia among Chinese front‐line nurses fighting against COVID‐19 in Wuhan: A cross‐sectional survey. J Nurs Manag. 2020 Oct;28(7):1525-35. https://doi.org/10.1111/jonm.13094
Arafa A, Mohammed Z, Mahmoud O, Elshazley M, Ewis A. Depressed, anxious, and stressed: What have healthcare workers on the frontlines in Egypt and Saudi Arabia experienced during the COVID-19 pandemic? J Affect Disord. 2021;278:365-71. https://doi.org/10.1016/j.jad.2020.09.080
Nie A, Su X, Zhang S, Guan W, Li J. Psychological impact of COVID‐19 outbreak on frontline nurses: A cross‐sectional survey study. J Clin Nurs. 2020;29(21-22):4217-26. https://doi.org/10.1111/jocn.15454
Saracoglu KT, Simsek T, Kahraman S, Bombaci E, Sezen Ö, Saracoglu A, et al. The Psychological Impact of COVID-19 Disease is more Severe on Intensive Care Unit Healthcare Providers: A Cross-sectional Study. Clin Psychopharmacol Neurosci. 2020;18(4):607-15. https://doi.org/10.9758/cpn.2020.18.4.607
Simonetti V, Durante A, Ambrosca R, Arcadi P, Graziano G, Pucciarelli G, et al. Anxiety, sleep disorders and self‐efficacy among nurses during COVID‐19 pandemic: A large cross‐sectional study. J Clin Nurs. 2021;30(9-10):1360-71. https://doi.org/10.1111/jocn.15685
Macía-Rodríguez C, Alejandre de Oña Á, Martín-Iglesias D, Barrera-López L, Pérez-Sanz MT, Moreno-Diaz J, et al. Burn-out syndrome in spanish internists during the covid-19 outbreak and associated factors: A cross-sectional survey. BMJ Open. 2021;11(2):e042966. https://doi.org/10.1136/bmjopen-2020-042966
Mo Y, Deng L, Zhang L, Lang Q, Pang H, Liao C, et al. Anxiety of Nurses to support Wuhan in fighting against COVID‐19 Epidemic and its Correlation With Work Stress and Self‐efficacy. J Clin Nurs. 2021;30(3-4):397-405. https://doi.org/10.1111/jocn.15549
Sharma M, Creutzfeldt CJ, Lewis A, Patel PV, Hartog C, Jannotta GE, et al. Health-care Professionals’ Perceptions of Critical Care Resource Availability and Factors Associated With Mental Well-being During Coronavirus Disease 2019 (COVID-19): Results from a US Survey. Clin Infect Dis. 2021;72(10):e566-76. https://doi.org/10.1093/cid/ciaa1311
Cho M, Kim O, Pang Y, Kim B, Jeong H, Lee J, et al. Factors affecting frontline Korean nurses’ mental health during the COVID‐19 pandemic. Int Nurs Rev. 2021;68(2):256-65. https://doi.org/10.1111/inr.12679
Azoulay E, Cariou A, Bruneel F, Demoule A, Kouatchet A, Reuter D, et al. Symptoms of Anxiety, Depression, and Peritraumatic Dissociation in Critical Care Clinicians Managing Patients with COVID-19. A Cross-Sectional Study. Am J Respir Crit Care Med. 2020;202(10):1388-98. https://doi.org/10.1164/rccm.202006-2568OC
Azoulay E, Pochard F, Reignier J, Argaud L, Bruneel F, Courbon P, et al. Symptoms of Mental Health Disorders in Critical Care Physicians Facing the Second COVID-19 Wave. Chest. 2021;160(3):944-55. https://doi.org/10.1016/j.chest.2021.05.023
Heesakkers H, Zegers M, Van Mol MMC, Van Den Boogaard M. The impact of the first COVID-19 surge on the mental well-being of ICU nurses: A nationwide survey study. Intensive Crit Care Nurs. 2021;65:103034. https://doi.org/10.1016/j.iccn.2021.103034
Kok N, van Gurp J, Teerenstra S, van der Hoeven H, Fuchs M, Hoedemaekers C, et al. Coronavirus Disease 2019 Immediately Increases Burnout Symptoms in ICU Professionals: A Longitudinal Cohort Study. Crit Care Med. 2021;49(3):419-27. https://doi.org/10.1097/CCM.0000000000004865
Buselli R, Corsi M, Baldanzi S, Chiumiento M, Del Lupo E, Dell’Oste V, et al. Professional Quality of Life and Mental Health Outcomes among Health Care Workers Exposed to Sars-Cov-2 (Covid-19). Int J Environ Res Public Health. 2020;17(17):6180. https://doi.org/10.3390/ijerph17176180
Khan N, Palepu A, Dodek P, Salmon A, Leitch H, Ruzycki S, et al. Cross-sectional survey on physician burnout during the COVID-19 pandemic in Vancouver, Canada: the role of gender, ethnicity and sexual orientation. BMJ Open. 2021;11(5):e050380. https://doi.org/10.1136/bmjopen-2021-050380
Galvão ALM, Oliveira E, Germani ACCG, Luiz ODC. Structural determinants of health, race, gender, and social class: a scope review. Saude Soc. 2021;30(2):e200743. https://doi.org/10.1590/S0104-12902021200743
Schraiber LB, Gomes R, Couto MT. Men and health as targets of the Public Health. Cien Saude Colet. 2005;10(1):7-17. https://doi.org/10.1590/S1413-81232005000100002
Aguirre P. Talking about COVID-19: contributions to the construction of a collective memory of the syndemic through the lens of food. Salud Colect. 2022;18:e4054. https://doi.org/10.18294/sc.2022.4054
Sultana N, Asaduzzaman Md, Siddique AB, Khatun H, Bari FS, Islam N, et al. Job insecurity and mental health related outcomes among the humanitarian workers during COVID-19 pandemic: a cross-sectional study. BMC Psychol. 2022;10(1):265. https://doi.org/10.1186/s40359-022-00974-7
Cubitt LJ, Im YR, Scott CJ, Jeynes LC, Molyneux PD. Beyond PPE: a mixed qualitative–quantitative study capturing the wider issues affecting doctors’ well-being during the COVID-19 pandemic. BMJ Open. 2021;11(3):e050223. https://doi.org/10.1136/bmjopen-2021-050223
Han L, Wong FKY, She DLM, Li SY, Yang YF, Jiang MY, et al. Anxiety and Depression of Nurses in a North West Province in China During the Period of Novel Coronavirus Pneumonia Outbreak. J Nurs Scholarsh. 2020;52(5):564-73. https://doi.org/10.1111/jnu.12590
Compton MT, Shim RS. The Social Determinants of Mental Health. Focus. 2015;13(4):419-25. https://doi.org/10.1176/appi.focus.20150017
Rezio LA, Oliveira E, Queiroz AM, Sousa AR, Zerbetto SR, Marcheti PM, et al. Neoliberalism and precarious work in nursing in the COVID-19 pandemic: repercussions on mental health. Rev Esc Enferm USP. 2022;56:e20210257. https://doi.org/10.1590/1980-220X-REEUSP-2021-0257
Pniak B, Leszczak J, Adamczyk M, Rusek W, Matłosz P, Guzik A. Occupational burnout among active physiotherapists working in clinical hospitals during the COVID-19 pandemic in south-eastern Poland. Work. 2021;68(2):285-95. https://doi.org/10.3233/WOR-203375
The Lancet. COVID-19: protecting health-care workers. Lancet. 2020;395(10228):922. https://doi.org/10.1016/s0140-6736(20)30644-9
Chew QH, Chia FLA, Ng WK, Lee WCI, Tan PLL, Wong CS, et al. Perceived Stress, Stigma, Traumatic Stress Levels and Coping Responses amongst Residents in Training across Multiple Specialties during COVID-19 Pandemic—A Longitudinal Study. Int J Environ Res Public Health. 2020;17(18):6572. https://doi.org/10.3390/ijerph17186572
Shechter A, Diaz F, Moise N, Anstey DE, Ye S, Agarwal S, et al. Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. Gen Hosp Psychiatry. 2020;66:1-8. https://doi.org/10.1016/j.genhosppsych.2020.06.007
Andrechuk CRS, Caliari JS, Santos MA, Pereira FH, Oliveira HC, Ceolim MF. The impact of the COVID-19 pandemic on sleep disorders among Nursing professionals. Rev. Latino-Am. Enfermagem. 2023;31:e3795. https://doi.org/10.1590/1518-8345.6043.3795
Sagherian K, Steege LM, Cobb SJ, Cho H. Insomnia, fatigue and psychosocial well‐being during COVID‐19 pandemic: A cross‐sectional survey of hospital nursing staff in the United States. J Clin Nurs. 2023;32(15-16):5382-95. https://doi.org/10.1111/jocn.15566
Portela MC, Reis LGC, Lima SML, editors. Covid-19: desafios para a organização e repercussões nos sistemas e serviços de saúde [Internet]. Rio de Janeiro: Fiocruz; 2022 [cited 2024 May 23]. Available from: https://doi.org/10.7476/9786557081587
Costa NNG, Servo MLS, Figueredo WN. COVID-19 and the occupational stress experienced by health professionals in the hospital context: integrative review. Ver Bras Enferm. 2022;75(Suppl 1):e20200859. https://doi.org/10.1590/0034-7167-2020-0859
Sousa MLA, Shimizu IS, Patino CM, Torres-Duque CA, Zabert I, Zabert GE, et al. COVID-19 knowledge, attitudes, and practices among health care workers in Latin America. J Bras Pneumol. 2022;48(5):e20220018. https://doi.org/10.36416/1806-3756/e20220018
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