Document Type : Original Research Article


KIIT Deemed to be University, Bhubaneswar, Odisha, India


The impact has been taken into account, especially for medical staff in the hospital. It is known that these healthcare workers have to endure stress and improper nutrition due to the internal pressure of their work. The purpose of this study is to analyze different variables that cause mental illnesses and their effects on healthcare professionals. An analysis is performed to understand the causes of mental illnesses and their impact on the person. Supervisors and physicians/physicians made the decisions for this study. Through a review and six discussion groups (each consisting of seven members), 43 characteristics of key data were identified. Following the study, 32 variables were retained from 54 participants. Irrespective of the category of participants, clinical staff feel that mental health leads to a lot of complications in life, and if this is not taken care of by the employer and the employee of the hospital, it will lead to a disaster.

Graphical Abstract

Mental health impact on clinical staff of private hospitals in india: An audit


Main Subjects



Clinical staff, also referred to as nursing staff, deliver medical services while being supervised by a physician. This term is commonly associated with nurses, doctors, physicians, and other personnel involved in patient treatment. However, it is frequently used to describe a qualified individual who holds direct responsibility for patient care, such as a physician. Doctors, nurses, and emergency room physicians all fall within this category. They alleviate doctors from the burden of conducting routine health examinations and managing medical records by performing routine diagnostic procedures, like collecting blood samples. In addition, they administer medical treatments such as injections or suturing wounds. Although not as extensive as the training required for doctors, it can contribute to preparing individuals to contemplate healthcare. In recent times, there has been a growing trend. attention to the mental health needs of healthcare providers, which is considered as a significant public health issue that can affect the quality of care. Healthcare workers encounter various stressors that can harm their well-being [1-3]. The projected global shortage of healthcare workers by 2030, as estimated by the World Health Organisation (WHO), amounts to 18 million with a concentration in lower-income countries. However, even wealthier nations struggle with the recruitment, retention, and support of their healthcare workforce [4]. Factors such as heavy workloads, long hours, fast pace, unsafe conditions, chronic patient needs, moral dilemmas, job insecurity, and workplace bullying can lead to psychological distress and result in burnout, anxiety, depression sleep disorders, along with various other ailments, can disrupt one's sleep patterns and overall health [5-8]. Identifying and mitigating these risk factors is essential in safeguarding the mental health and well-being of healthcare professionals, as work-related stress can have detrimental effects on their professionalism, care quality, productivity, and overall quality of life.

A study of US physicians from 2011 to 2017 found that physician burnout fluctuated during this period, with approximately 44% reporting burnout symptoms in 2017, compared to 54% in 2014 and 45% in 2011 [9]. However, burnout levels remained consistently high throughout this time. Even after adjusting for demographics and workload, physicians were more susceptible to burnout and less satisfied with work-life balance than other working US adults [10]. Research indicates that physicians face burnout risks from both work-related and structural factors. Work-related risks include issues such as patient volumes, inadequate resources, poor management, misaligned tasks, and work-home interference [11]. Structural factors encompass being a woman in solo practice during the initial stages of their professional journey, experiencing a sense of powerlessness towards events, and ascribing success to luck rather than competence [12-13]. Furthermore, within low-income nations, the inadequate proportion of healthcare personnel in the populace substantially amplifies the strain and exhaustion experienced by workers. In these particular contexts, female health workers on the frontline, who frequently occupy lower positions in hierarchies, face restricted independence and an elevated vulnerability to burnout [14].


Healthcare worker burnout can significantly impact patient care. Research shows that burnout is linked to suboptimal patient care practices [15-17], an increased risk of medical errors, higher odds of malpractice lawsuits, and a higher likelihood of major self-perceived medical errors [18-20]. Furthermore, burnout has been linked to a heightened likelihood of motor vehicle collisions among medical professionals, despite taking fatigue into account. Moreover, burnout leads to absenteeism, diminished organizational loyalty, increased staff turnover, and heightened patient discontentment [21]. Furthermore, healthcare professionals often suffer in silence due to the stigma around mental health issues and the fear of professional repercussions. This can prevent them from seeking help, lead to reliance on inadequate self-care, lack of support, and increased suicide risk. Global studies have also revealed high suicide rates among medical professionals, particularly women, in various countries [22].

In the above fugure-1, mental health position of a employee presented.


To understand the factors such as social, environmental, and ancillary that lead to the poor mental health of clinical staff in private hospitals. To study the impact on health-related issues and relationships along with others among the clinical staff in private hospitals.    

Statement of the problem or crucial issues

Mental health issues exist in all sectors but the dynamics of these will be different in the health care sector as compared to other sectors. These mental issues not only reduce the efficiency in the performance, but at the same time, a lot of other relevant challenges are being encountered by these health care workers. The present paper tries to decode the various impacts on health-related issues and relations with others.

Need for the study

Healthcare workers are the most vulnerable group in healthcare and are on the front lines of healthcare. The same thing has been tried and tested in recent epidemics. However, few studies have focused on their effects on mental health. This motivates the authors to conduct this research.

 Even though earlier studies tried to focus on mental health issues in the study areas, not many studies were undertaken concerning nursing staff and technicians.

Scope of the study

The study at hand has certain restrictions. It covers the nurses, therapists, and technicians in the selected private hospitals in the capital region of Odisha, India. It includes both male and female respondents who served a minimum of 3 years of service in the selected private hospitals. To ensure confidentiality, the hospitals' names are not disclosed.


This study utilized both primary and secondary data. The identification of research gaps was accomplished through the analysis of secondary data. Sampling was done in both cluster and snowball modes. Through document review and six discussion groups (each consisting of seven members), 43 characteristics of key data were identified. Following the search, 32 variables were retained from 54 participants. In this study, Likert's five-point scale method was used to calculate data and create differences between variables. Agree (CA) is 4 points, agree (A) is 3 points, neutral (N) is 2 points, disagree is 1 point (DA), and 0 means it is not considered perfect (CDA). Profiles on five parameters are calculated with perceptual weights.

Sample size determination

The sample size for this study was determined to be between 1:4 and 1:10 (Rummel 1970; Schwab 1980). Based on this model, the minimum sample size should be 4 times the item frequency, while the maximum sample size should be 10 times the item frequency. Since we are examining 32 items, 18 items, and 14 effects, the minimum and the maximum standards should be 128 and 320, respectively.

After eliminating biases, we collected 146 observations that met the criteria of falling within the minimum and maximum values of the sample. According to the guidelines set by Rummel (1970) and Schwab (1980), a sample size of 146 individuals was deemed sufficient for this study.The present study considered cluster and snowball sampling for the collection of data.

According to Table 1, the number of male nurses therapists, and technicians was 31 and 30, respectively. Similarly, female respondents for the same were 43 and 42 numbers.

Based on Table 2, 61 were male and 85 were female. In case of age 76 were under 30 and 70 were over 30 years.


Concerning education, 76 were under the diploma category and the rest were under others and above diploma. For the family background, 62 were single and 84 were living with family. Similarly, regarding marital status 82 were married and the rest were unmarried.


Data Analysis

The maximum possible weight = number of respondents’ X maximum weight X number of variables. The least possible weight = number of respondents’ X least weight X number of var iable.

With refence to Table 3, it represents maximum and minimum weigh for the factors leads to mental health  for the MN, FN, MTT and FTT presented.

The maximum possible weight = number of respondents’ X maximum weight X number of variables. The least possible weight = number of respondents’ X least weight X number of variable.

With refence to Table 4, it represents maximum and minimum weigh for the impact on health related issues and impact on relations and others for the MN, FN, MTT and FTT.

In the above Figure 2, the perentage of total actual weight to maximum possible weight be presented for various category of medical staff along with the average weight for the socal factors under consideration.

In the above Figure 3, the perentage of total actual weight to maximum possible weight be presented for various category of medical staff along with the average weight for the environmental and ancillary factors.

With reference to Figure 4, it represents percentage of actual weight to mazximum possible weight  for the impact on health related issues presented.

With reference to Figure 5, it represents percentage of actual weight to mazximum possible weight  for the impact on relationship and others  presented.


According to Table 5, when responding to questions related to social factors such as unhappiness and decreased enjoyment of life, family conflicts, relationship difficulties, social

isolation, and life situations that cause stress, such as financial difficulties, the loss of a loved one, or divorce, few friends or few healthy relationships, and unique pressures from relationships with the patient, family  members, and employers for the MN, FN, MTT, and FTT, the percentage of actual weight to the maximum possible weight was 75.58, 78.57, 77.5, 80.27 and average weight was 77.98. It shows that all the factors considered for social support have a support base of more than 75%, and it indicates that these are                playing a dominant role in the mental health of the clinical staff in private hospitals. Similarly, environmental and ancillary factors such as legal and financial problems, poverty, and homelessness, a persistent medical issue like diabetes, and traumatic brain injury, resulting from a significant impact to the head, have the potential to cause damage to the brain,  use of alcohol or recreational drugs, a childhood history of abuse or neglect, caring for sick individuals can lead to highly stressful and emotionally demanding situations, working conditions with an on-going risk of exposure to COVID-19 and other communicable diseases, as well as dangerous medications, long and often unpredictably scheduled hours of work and work hours that are long and often not planned for the MN, FN, MTT, and FTT, the percentage of actual weight to the maximum possible weight were 75.81, 79.55, 76.67, 77.38 and the average weight was 77.35. It shows that all the factors considered for environmental and ancillary have more than 75% support base, and it refers to the fact that these play a dominant role in the mental health of the clinical staff in private hospitals. According to Table 6 answering the questions of the impact of various variables on mental-related issues such as feeling sad or down, perplexed thinking or impaired ability to stay focused, excessive anxieties or concerns, intense sensations of remorse, dramatic changes in emotional well-being, experiencing both extreme highs and lows, difficulty in managing everyday challenges or pressures, sex drive changes, leads to chronic diseases such as diabetes, asthma, cancer, cardiovascular, etc. and suicidal thinking for the FTT, MTT, FN, and MN were 80.16, 79.63, 75.84, and 76.52, and the average weight was 78.04.Similarly, for the impact on relationships and others, such as withdrawal from friends and activity, difficulty comprehending and establishing connections with circumstances and individuals, excessive anger, hostility, or violence, impacts on performance, and increasing smoking and drinking habits for the FTT, MTT, FN, and MN were 75.71, 77.83, 76.51, and 74.35. The average weight was 76.10.


Mental health is a burning issue in the present world. The impact of this is so huge on the life of an individual that it takes everything from the person affected. The current investigation was limited to the medical personnel of private healthcare providers in the eastern region of India. The findings suggest that there is a need for immediate attention to the mental health issues of the staff in the hospitals under study.

 Two factors were considered contributory to mental health care: social factors as well as environmental and ancillary factors. Similarly, the impact was analyzed based on health-related issues, relationships, and others. Overall findings will help future researchers undertake similar studies in other sectors.


  • There is a need for continuous counseling for these clinical staff. Regular yoga or exercise will help to control the challenges of mental health. Adequate rest should be allowed so that sleeping disorders can be reduced.
  • Regular health checkup camps should be initiated by the concerned hospitals.
  • Support from family members and friends should be provided to counter the mental health challenges.

Limitations of the study

The present study has some limitations on number of respondents and geographical location. The outcome may be different with the change in respondents’ composition and locations. 

Contribution of the study

The findings of the present initiatives will surely help hospital staff and give a lead for the policyholders to overcome mental health challenges faced by these paramedic staff. In addition to this, the present study will be an additional contribution to the existing literature.


The authors would like to thank all the participants who not only helped to provide their perceptions, but also motivated the authors for this study work. Without their support, it would not been possible to complete the same. 

Conflict of interest

There is no such conflict of interest with any individual or organization. This is a perfect collaborative initiative of authors to contribute to the existing literature.


Primpal Kaur Rasha:

Patnaik, B.Chandra Mohan *:

Ipseeta Satpathy:


How to cite this article: Primpal Kaur Rasha, Patnaik, B.Chandra Mohan *, Ipseeta Satpathy, Mental health impact on clinical staff of private hospitals in india: an audit . Journal of Medicinal and Pharmaceutical Chemistry Research, 2024, 6(5), 537-547. Link:


Copyright © 2024 by SPC (Sami Publishing Company) + is an open access article distributed under the Creative Commons Attribution License(CC BY)  license  (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

[1]. Y. Hayashino, M. Utsugi-Ozaki, M.D. Feldman, S. Fukuhara, Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study, PLoS One2012, 7, 35585 [Crossref], [Google Scholar], [Publisher]‎
[2]. a) P. Khanal,  N. Devkota, M. Dahal, K. Paudel, D. Joshi, Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal, Globalization and health2020, 16, 1-12 [Google Scholar], [Publisher]‎ b) M. Milani Fard, A. Norouzi, S. Shirzad, E. Horri, F. Esfandiary, A.M. Milani Fard, B. Mahmoodiyeh, A Brief Study of a Comprehensive Meta-Analysis Study of the Birth Outcomes of Corona Mothers in Iran. Journal of Chemical Reviews, 2021, 3, 181-195. [Crossref], [Google Scholar], [Publisher]‎
[3] a) A.E. Muller, E.V. Hafstad, J.P.W. Himmels, G. Smedslund, S. Flottorp, S.Ø. Stensland, S. Stroobants, S. Van de Velde, G.E. Vist, The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review,  Psychiatry research2020, 293, 113441 [Crossref], [Google Scholar], [Publisher]‎ b) B. hosouna, H. Malek, S.M. Abdelsalam, Z. Ahwidy, Computational study of the effectiveness of natural herbal derivatives on COVID-19 virus, Advanced Journal of Chemistry-Section B: Natural Products and Medical Chemistry, 2021, 3, 323-332. [Crossref], [Google Scholar], [Publisher]‎
[4] T. Woo, R.  Ho, A. Tang, W. Tam, Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis, Journal of psychiatric research2020, 123, 9-20 [Crossref], [Google Scholar], [Publisher]‎
[5] a) M. Vizheh, M. Qorbani, S.M. Arzaghi, S. Muhidin, Z. Javanmard, M. Esmaeili, The mental health of healthcare workers in the COVID-19 pandemic: A systematic review, Journal of Diabetes & Metabolic Disorders2020, 19, 1967-1978 [Google Scholar], [Publisher]‎ b) K.R. Surana, L.V. Savale, J.S. Aher, S.N. Aher, D.D. Sonawane, D.M. Patil, Nutraceuticals for the COVID-19 Prevention and Treatment, International Journal of Advanced Biological and Biomedical Research, 2023, 11, 247-260. [Crossref], [Publisher]‎ c) A. R. Lotfi, H. Owaysee Osquee, Investigating Factors Affecting Hospitalization of Patients with Mucormycosis After Contracting Covid-19: A Systematic Review, International Journal of Advanced Biological and Biomedical Research, 2023, 11, 35-47. [Crossref], [Google Scholar], [Publisher]‎
[6] M. Linzer, M. Rosenberg, J.E. McMurray, J. Glassroth, Respecting the lifecycle: Rational workforce planning for a section of general internal medicine,  The American journal of medicine2002, 113, 443-448 [Crossref], [Google Scholar], [Publisher]‎
[7] A.J. Ramirez, J. Graham, M.A. Richards, A. Cull, W.M. Gregory, M.S. Leaning, D.C. Snashall, A.R. Timothy, Burnout and psychiatric disorder among cancer clinicians,  British journal of cancer1995, 71, 1263-1269 [Crossref], [Google Scholar], [Publisher]‎
[8] K.M. Swetz, S.E. Harrington, R.K. Matsuyama, T.D. Shanafelt, L.J. Lyckholm, Strategies for avoiding burnout in hospice and palliative medicine: peer advice for physicians on achieving longevity and fulfillment,  Journal of palliative medicine2009, 12, 773-777 [Crossref], [Google Scholar], [Publisher]‎
[9] J. Firth-Cozens, J. Greenhalgh, Doctors' perceptions of the links between stress and lowered clinical care, Social science & medicine1997, 44, 1017-1022 [Crossref], [Google Scholar], [Publisher]‎
[10] T.D. Shanafelt, K.A. Bradley, J.E. Wipf, A.L. Back, Burnout and self-reported patient care in an internal medicine residency program,  Annals of internal medicine2002, 136, 358-367 [Crossref], [Google Scholar], [Publisher]‎
[11] E.S. Williams, L.B.  Manwell, T.R. Konrad, M. Linzer,  The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study, Health care management review2007, 32, 203-212 [Crossref], [Google Scholar], [Publisher]‎
[12] S. De Hert, Burnout in healthcare workers: prevalence, impact and preventative strategies,  Local and regional anesthesia, 2020, 171-183 [Crossref], [Google Scholar], [Publisher]‎
[13] C.M. Balch, M.R. Oreskovich, L.N. Dyrbye, J.M. Colaiano, D.V. Satele, J.A. Sloan, T.D. Shanafelt, Personal consequences of malpractice lawsuits on American surgeons,  Journal of the American College of Surgeons2011, 213, 657-667 [Crossref], [Google Scholar], [Publisher]‎
[14] C.P. West, L.N. Dyrbye, T.D. Shanafelt, Physician burnout: contributors, consequences and solutions  Journal of internal medicine2018, 283, 516-529 [Crossref], [Google Scholar], [Publisher]‎
[15] C.P. West, A.D. Tan, T.D.  Shanafelt, December. Association of resident fatigue and distress with occupational blood and body fluid exposures and motor vehicle incidents, In Mayo Clinic Proceedings , 201287, 1138-1144 [Crossref], [Google Scholar], [Publisher]‎
[16] S.S. Mehta, M.L. Edwards, Suffering in silence: mental health stigma and physicians' licensing fears, American Journal of Psychiatry Residents' Journal2018, 13, 2-4 [Crossref], [Google Scholar], [Publisher]‎     
[17] S. Knaak, E. Mantler, A. Szeto, March. Mental illness-related stigma in healthcare: Barriers to access and care and evidence-based solutions, In Healthcare management forum, Sage CA: Los Angeles, CA: SAGE Publications, 2017,  30, 111-116 [Crossref], [Google Scholar], [Publisher]‎
[18] F. Dutheil, C. Aubert, B. Pereira, M. Dambrun, F. Moustafa, M. Mermillod, J.S. Baker, M. Trousselard, F.X. Lesage, V. Navel,  Suicide among physicians and health-care workers: A systematic review and meta-analysis,  PloS one2019, 14, 226361 [Crossref], [Google Scholar], [Publisher]‎
[19] O. Hämmig, Explaining burnout and the intention to leave the profession among health professionals–a cross-sectional study in a hospital setting in Switzerland BMC health services research, 2018, 18, 1-11 [Crossref], [Google Scholar], [Publisher]‎
[20] D.  Smart, A. English, J. James, M. Wilson, K.B. Daratha, B. Childers, C. Magera, Compassion fatigue and satisfaction: A cross‐sectional survey among US healthcare workers,  Nursing & health sciences2014, 16, 3-10  [Crossref], [Google Scholar], [Publisher]‎
[21] J.G. Nooney, L. Unruh,  M.M. Yore, Should I stay or should I go? Career change and labor force separation among registered nurses in the US,  Social science & medicine2010, 70, 1874-1881 [Crossref], [Google Scholar], [Publisher]‎
[22] A. Yehya, A. Sankaranarayanan, A. Alkhal, H. Al Naemi, N. Almeer, A. Khan, S.  Ghuloum, Job satisfaction and stress among healthcare workers in public hospitals in Qatar,  Archives of environmental & occupational health, 2020,  75, 10-17 [Crossref], [Google Scholar], [Publisher]‎