The National Academies are responding to the COVID-19 pandemic.

Visit our resource center >>

In the face of the unprecedented challenges created by the COVID-19 pandemic and the accompanying global public health emergency, the National Academy of Medicine’s Action Collaborative on Clinician Well-Being and Resilience is giving its attention to this issue.

Even before the COVID-19 outbreak, many clinicians already faced burnout, as well as stress, anxiety, depression, substance abuse, and even suicidality. Now this crisis is presenting clinicians with even greater workplace hardships and moral dilemmas that are very likely to exacerbate existing levels of burnout and related mental health problems.

The following resources offer more information on how to support the health and well-being of clinicians during public health emergencies, including the COVID-19 response. 

Featured Resources

Taking Action Against Clinician Burnout: Leadership Commitment During COVID-19 and Beyond 

 

In October 2019, the NAM released Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. As COVID-19 places unprecedented demands on clinicians, the report’s recommendations remain paramount to addressing substantial workplace burdens affecting the health care workforce and patient care. The need for actions to support and improve clinician well-being are more urgent than ever.
 
To support health care leaders facing immense challenges during and beyond the pandemic, the National Academies of Sciences, Engineering, and Medicine is disseminating new resources for leaders striving to implement systems approaches to the problems that health care workers face. 

Stigma Compounds the Consequences of Clinician Burnout During COVID-19: A Call to Action to Break the Culture of Silence

 

Dr. Lorna Breen was the head of the Emergency Department at New York-Presbyterian Allen Hospital in New York City. She dedicated her career to helping others and tirelessly treated patients with COVID-19 at the height of the outbreak, eventually contracting COVID-19 herself. Dr. Breen died by suicide after telling her family that she was reluctant to seek help or ask for assistance for overwhelming work-related stress because she feared that she would lose her medical license or be ostracized by her colleagues. Dr. Breen’s sister and brother-in-law reflect on the final weeks of their sister’s life and work and make an impassioned call to break the culture of silence that surrounds mental health support and assistance for clinicians.

Preventing a Parallel Pandemic – A National Strategy to Protect Clinicians’ Well-Being

 

Like those who flooded into Manhattan after the September 11 attacks and volunteers who responded to other past national public health emergencies, the health care professionals working on the front lines of the COVID-19 pandemic will be remembered by history as heroes. Just as the nation rallied to care for September 11 first responders who suffered long-term health effects, we must take responsibility for the mental and emotional well-being of clinician first responders to COVID-19 – now and in the long run. The NAM Clinician Well-Being Collaborative calls for several immediate actions to lay the groundwork for a clear and accountable national strategy to safeguard the health and well-being of our clinician workforce.

Resources to Support the Health and Well-Being of Clinicians During COVID-19 by Source

U.S. Government Agencies

 

U.S. Department of Health and Human Services, U.S. Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health

Managing Fatigue During Times of Crisis: Guidance for Nurses, Managers, and Other Healthcare Workers

Guidance for employers on the protection of workers from COVID-19

Highlights resources available for the protection of workers in business, health care, laboratory, and transportation settings

Includes information on infection control and personal protective equipment in healthcare and non-healthcare settings

Resources for Emergency Responders

Traumatic incident stress

Long work hours, and fatigue training for emergency responders

Emergency responder health monitoring and surveillance

The Physiological Burden of Prolonged PPE Use on Healthcare Workers during Long Shifts

 

U.S. Department of Health and Human Services, U.S. Centers for Disease Control and Prevention, Coronavirus Disease 2019

Mental Health and Coping During COVID-19

Emergency Responders: Tips for taking care of yourself

Reducing Stigma

 

U.S Department of Health and Human Services, Health Resources and Services Administration

Webinar Series: Workforce Grand Rounds – Combating Healthcare Provider Burnout in Clinical Settings (Presentation Slides)

Webinar: Health Center Program Updates (Presentation Slides)

 

U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration 

Coping with Stress During Infectious Disease Outbreaks

Taking Care of Your Behavioral Health During an Infectious Disease Outbreak

Preventing and Managing Stress: Tips for Disaster Responders

Understanding Compassion Fatigue: Tips for Disaster Responders

Returning to Work: Tips for Disaster Responders

Helping Staff Manage Stress When Returning to Work

Tips for Survivors: Coping with Grief After a Disaster or Traumatic Event

Disaster Distress Helpline (brochure)

SAMHSA Disaster App (including help for survivors of infectious disease epidemics)

SAMHSA Disaster App YouTube video

Disaster Behavioral Health Preparedness and Response Resources

Identifying Substance Misuse in the Responder Community

Tips for Survivors of a Disaster or Traumatic Event: What to Expect in Your Personal, Family, Work, and Financial Life

Having Trouble Coping After a Disaster? Talk With Us. Disaster Distress Helpline Wallet Card.

 

U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Mental Health

Shareable Resources on Coping with COVID-19

Video: Five Things About Staying Mentally Healthy During the COVID-19 Outbreak

Coping with Traumatic Events

 

U.S. Department of Health and Human Services, National Library of Medicine

LitCovid Literature Hub (Note: Search “well-being,” “wellbeing,” “wellness,” “burnout”)

 

U.S. Department of Health and Human Services, Office of Inspector General

Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020

 

U.S. Department of Labor, Occupational Safety and Health Administration (OSHA)

Resilience Resources for Emergency Response

 

U.S. Department of Defense, Military Health System, Uniformed Services University of the Health Sciences, Center for the Study of Traumatic Stress

COVID-19 Pandemic Response Resources

Sustaining the Well-Being of Healthcare Personnel During Coronavirus and Other Infectious Disease Outbreaks

Fight COVID-19 with Better Sleep Health: A Guide for Hospital Workers

Supporting Families of Healthcare Workers Exposed to COVID-19

Notifying Families After a COVID-19 Death

Mental Health and Behavioral Guidelines for Preparedness and Response to Coronavirus and Other Emerging Infectious Outbreaks

Psychological Effects of Quarantine During the Coronavirus Outbreak: What Healthcare Providers Need to Know

Grief Leadership During COVID-19

Psychological Effects of Quarantine During the Coronavirus Outbreak: What Public Health Leaders Need to Know

Leaders’ Guide to Risk Communication In The Face of Coronavirus and Other Emerging Public Health Threats

Coronavirus Preparedness & Response: Critical Elements for Business Planning

Associations and Organizations

 

Accreditation Council for Continuing Medical Education 

Webinar: Continuing Education in Action: Strategies for Accredited Providers in Challenging Times (Download Webinar Slides)

COVID-19 Educator Resources

COVID-19 Clinician Resources

Coronavirus Resources Submission Form

 

Accreditation Council for Graduate Medical Education

ACGME Honors the Sacrifices of Frontline Caregivers

Podcast: ACGME AWARE Well-Being Podcasts – Well-Being in the Time of COVID-19

ACGME Statement on the Shortage of Personal Protective Equipment

Guidebook for Promoting Well-Being during the COVID-19 Pandemic

ACGME Response to Pandemic Crisis

 

American Academy of Pediatrics

Resilience in Stressful Times and Connecting During Times of Trauma

 

American Academy of Physician Assistants

PA Andrea Lowe: Pandemic is a marathon, not a sprint

 

American Association of Critical-Care Nurses

AACN Position Statement: Moral Distress in Times of Crisis

AACN Position Statement: Ethical Triage and End-of-Life Care

Stress, Resilience and COVID-19

Facing Moral Distress During the COVID-19 Crisis

Shifting Ethics in a Crisis: Responding to COVID-19

Storytelling Project with DearWorld.org

Lack of PPE Poses Clear and Present Danger to Nurses and the Nation

 

American Association of Colleges of Nursing

Coronavirus Resources For Nurse Educators

 

American Association of Nurse Anesthetists

COVID-19 Well-Being Resources

 

American College of Emergency Physicians

Joint Statement on Supporting Clinician Health in the Post-COVID Pandemic Era

 

American College of Occupational and Environmental Medicine

Call on Congress to Protect Health Care Workers and First Responders from COVID-19

Webinar: Protecting Health Care Workers – Lessons Learned from Taiwan and Italy

American College of Physicians 

COVID-19: An ACP Physician’s Guide and Resources

Webinar: COVID-19: Practical Advice and Support from Internists on the Front Lines

Coronavirus Disease 2019 (COVID-19): Information for Internists

COVID-19 Telehealth Coding and Billing Information

American Council on Education

Webinar: Managing Well-Being During the COVID-19 Crisis (Note: Must create an account to view)

 

American Dental Education Association

A Pandemic Resource Guide for Dental Education (includes well-being and resiliency resources, Section X)

 

American Hospital Association

COVID-19: Stress and Coping Resources

 

American Medical Association

Caring for Our Caregivers During COVID-19

Coping with COVID-19 for Caregivers – Monitoring Survey

Caring for the Healthcare Workforce Steps Forward module

Quick Guide to Telemedicine in Practice (includes billing information)

CPT Codes for COVID-19

Physician’s Guide to COVID-19

Professional Satisfaction & Practice Sustainability Webinar Series

 

American Nurses Association

COVID-19 Survey Responses: Find Out What 32,000 Nurses Want You to Know About Treating COVID-19

Nurse Suicide Prevention/Resilience 

 

American Organization for Nursing Leadership

Leading Through Crisis: A Resource Compendium for Nurse Leaders

American Psychiatric Association

Coronavirus and Mental Health: Taking Care of Ourselves During Infectious Disease Outbreaks

American Psychological Association

Recovering Emotionally from Disaster

 

American Student Dental Association

Dental Student Resources on Health and Wellness

 

American Society of Health System Pharmacists

Webinar: Caring for the Pharmacy Workforce During COVID-19 (Presentation Slide Deck)

 

Antares Foundation

Managing Stress in Humanitarian Workers: Guidelines for Good Practice

Association of American Medical Colleges

Coping with Sickness and Stress

 

Cenevia

Webinar: Preventing a Parallel Pandemic

 

Chaplaincy Innovation Lab

Resources for Chaplains During COVID-19

Coalition for Physician Accountability

Safeguard the Public, Protect our Health Care Workforce during the COVID-19 Pandemic

 

Disaster Responder Assets Network

Online Support Groups for Healthcare Professionals

 

International Society for Quality in Health Care

Webinar: Human Factors Systems Approach and the COVID-19 Healthcare Crisis

Mental Health America

Information and resources for Mental Health Providers

 

MissingLogic, LLC

Webinars: Rising Up Above the Crisis As a Resilient Healthcare Leader

 

National Alliance on Mental Illness

COVID-19 Resource and Information Guide

 

National League of Nursing

Coronavirus Resource Center

Taking Aim Webinar Series

Virtual Resources on COVID-19

Stories from the Frontlines

Tips and Advice for Protecting Yourselves, Your Students, and Your Program

 

National Student Response Network

Organizing and Mobilizing Health Students to Tackle COVID-19

 

Online MSW Programs

A Guide to Understanding and Coping with Compassion Fatigue

 

Physicians for Human Rights

Health Workers’ Voices and Safety Must Be Protected

Press Ganey

COVID-19 Caregiver Collaborative: Supporting Clinician Well-Being During COVID-19

Resources to Support COVID-19 Efforts

 

Sigma Theta Tau International

Sustainability and Outcomes of a Suicide Prevention Program for Nurses

Clinician Mental Health and Well-Being During Global Healthcare Crises: Evidence Learned From Prior Epidemics for COVID-19 Pandemic

 

Springer Publishing Company Connect

Empowerment Strategies for Nurses – Chapter 11: Maintaining Your Resilience

 

SurgeonMasters

Webinars: Surgeon Wellness During COVID-19 Community Focus Group

 

The Joint Commision

Webinar: COVID-19 Health Care Staff Trauma and Resilience Oriented Healing

 

The Schwartz Center for Compassionate Healthcare

Resources for Healthcare Professionals Coping with the COVID-19 Pandemic

Compassion in Action Webinar Series

 

Health Care Providers and Schools of Health Professions

 

Brigham and Women’s Hospital and Harvard T.H. Chan School of Public Health

Lessons from a different war for preventing moral injury among clinicians treating COVID-19

The COVID-19 Resilience Marathon

COVID-19 Crisis Mode: Building Resilience – Strategies for Leaders and Managers Infographic

 

Columbia University Department of Psychiatry and AllenComm

Managing Anxiety and Stress in the Time of COVID-19

 

Emory University

Course: Cultivating Our Best Selves in Response to COVID-19 (CNE activity: 1.0 contact hour by the Emory Nursing Professional Development Center)

 

Frank H. Netter MD School of Medicine

Video: Quick Tip for Healthcare Providers – Defusing on Shift

 

Harvard Medical School Teaching Hospital

Peer Support Fundamentals

 

Icahn School of Medicine at Mt. Sinai

System-Wide Well-Being Staff Resources During COVID-19

#REVAMP_CoV2: REVAMPing COVID-19 Individual and Community Well-Being and Resilience Campaign, initiated by medical trainees for health professionals

A hashtag (#REVAMP_CoV2) for social media, to share stories of positivity, gratitude, awe, and the inspiring acts that are happening all around us

An Instagram account (@REVAMP_CoV2) for updates, tagging, building community, a place to turn to seek advice or wisdom on how to be well during this time

A Facebook page (Revamp_CoV2) for all of the above

Pandemic Workforce Well-Being: A Comprehensive Toolkit For Supporting Our Own During COVID-19

 

John Hopkins University

Moral Resilience Rounds

Video: Worst Case Scenarios: COVID-19, Ethics, and Triage

WIKI Wisdom Frontline Nurses Forum

Resources for frontline clinicians

Q&A: In Fight Against COVID-19, Nurses Face High-Stakes Decisions, Moral Distress

 

Montefiore Medical Center/Albert Einstein College of Medicine

Psychological PPE: Enhancing Resilience in the Face of Crisis

 

Physician Support Line

Physician Support Line Service

Rush University System for Health

Creating Wellness in a Pandemic: A Practical Toolkit for Health Systems Responding to COVID-19

Five wellness task force tactics designed to prioritize physician health

 

The Ohio State University, Office of the Chief Wellness Officer

Staying Calm and Well in the Midst of the COVID-19 Storm Webinar Series

Coping with COVID-19 Resources

Well-Being Hub for Travel Nurses during the COVID-19 crisis

University of North Carolina Department of Psychiatry

Webinar: Mental Health and Well-Being Survival Guide for COVID-19

 

University of North Carolina School of Medicine

Heroes Health Initiative App

 

University of Portland School of Nursing

Health Care Self-Care Webinar

 

University of Utah Health Hospitals and Clinics

Coronavirus Employee Well-Being Resources

 

Vanderbilt University Medical Center

Tip Sheets for Providers

 

Peer-Reviewed Journals, Textbooks, and Trade Press

 

Annals of Internal Medicine

Supporting Clinicians During the COVID-19 Pandemic

 

Cambridge University Press, Textbook of Disaster Psychiatry

Chapter – “Pandemics: Health Care Emergencies”

Disaster Prevention and Management

Evaluation of an organization-based psychological first aid intervention

 

Health Affairs

Health Workers in Crisis – Efforts Toward Normalizing A Sustainable Workplace Culture

 

JAMA

Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic 

Supporting the Health Care Workforce During the COVID-19 Global Epidemic

Older Clinicians and the Surge in Novel Coronavirus Disease 2019 (COVID-19)

The Mental Health Consequences of COVID-19 and Physical Distancing

Factors associated with mental health outcomes among healthcare workers exposed to coronavirus disease 2019

 

Journal of Hospital Medicine

When Grief and Crises Intersect: Perspectives of a Black Physician in the Time of Two Pandemics

 

Journal of Medical Regulation

Update on the UC San Diego Healer Education Assessment and Referral (HEAR) Program

 

NEJM Catalyst

Creating Wellness in a Pandemic: A Practical Framework for Health Systems Responding to COVID-19

Physician Burnout, Interrupted

 

New York Magazine

Medical Workers’ Looming Mental-Health Crisis

 

New York Times

‘I Can’t Turn My Brain Off’: PTSD and Burnout Threaten Medical Workers

Opinion: I’m a Health Care Worker. You Need to Know How Close We Are to Breaking. 

‘I Couldn’t Do Anything’: The Virus and an E.R. Doctor’s Suicide

Psychiatric Times

The Role of Psychiatrists During the Coronavirus Outbreak

 

Ricochet

Police Brutality, COVID-19 and Racism take Heavy Toll on Black Mental Health

 

Science Magazine

Health care workers seek to flatten COVID-19’s ‘second curve’ – their rising mental anguish

 

Tradeoffs

Podcast: Coping with COVID – Part 1 | Part 2

 

U.S. News & World Report

Addressing Burnout Among the Nation’s Front-Line Health Care Professionals

 

Washington Post

Some fear COVID-19’s emotional trauma will have lasting effects for health-care workers

 

Worldviews on Evidence-Based Nursing

A Longitudinal Analysis of Nurse Suicide in the United States (2005–2016) With Recommendations for Action

 

We will continue to expand our knowledge and update these resources to strengthen the health care and public health community’s response to the challenges ahead. 

For questions on the Action Collaborative on Clinician Well-Being and Resilience’s response to COVID-19, contact ClinicianWellBeing@nas.edu.  

 

Join the clinician well-being and coronavirus mailing lists for related updates. 


Join Our Community

Sign up for NAM email updates