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of depersonalization remained the same from 2013 to 2020. The quantitative study conducted in Spain found that 6.4% of the participants experienced burnout but over half of the healthcare professionals were emotional exhausted (Martinez-Lopez et. al, 2021). Participants also experienced higher rates of depersonalization and lower rates of personal accomplishment. All ofthe results from these studies prove that nurses and other healthcare professionals are suffering burnout and mental health problems while caring for COVID-19 patients. This information can be presented to hospital administration as evidence to demonstrate the need for schedule changes, decrease workloads, and scheduled time off. Qualitative There were three main themes that emerged from the study conducted in Hubei China. First, the participants described feeling a call to duty. They expressed feeling responsible for the patients and had a desire to provide care in the difficult conditions. Next, they described challenges they faced working in COVID-19 wards. This included feeling overwhelmed and exhausted due to heavy workloads and fear of the virus. Lastly, participants expressed grief and a8
sense of powerlessness from the loss of patients. They admitted to using multiple support systems and coping skills to deal with the stress of patient loss. The qualitative study conducted by the University of Kaohsiung found that over half of the healthcare workers that completed thequestionnaire scored moderately to severe for personal and work- related burnout (Lin et. al, 2021). Nurses experienced higher rates of burnout and mood disorders than other healthcare professionals. Many nurses admitted to feeling anxiety, depression, and sleep disturbances due totheir stressful work environment. Lastly, the study showed that almost every participant needed mental or financial assistance from the hospital, or more time off from work. Both of these studies provide useful insights into the effects nurses are undergoing while caring for COVID-19patients. This information can be presented to hospital administration as evidence to demonstratethe need for schedule changes, decrease workloads, and scheduled time off. Ethical Considerations All research studies must be guided by ethical guidelines and considerations. Ethical considerations are an accumulation of values and principles that are used to protect the dignity ofparticipants and the publication of information in research (Fouka et. al, 2015). One ethical consideration is informed consent. Informed consent is a process where participants are informedof their rights, the purpose of the study, procedures that will take place during the study, potentialrisks of participation, the duration of the study, and confidentiality of information (Nijhawan et. al, 2013). Both quantitative and qualitative studies obtained informed consent from all participants. Other ethical consideration includes beneficence and non-maleficence. Beneficence is the act of balancing the benefit of treatment against the risks involved. Non-maleficence is act of doing no harm. All of the studies were aimed to better the lives of the participants and no harmwas done during the research process.