Navigating dual crises: mental health of Czech health care workers during the Ukrainian refugee influx and COVID-19 pandemic

Background: European health care workers recently experienced serious challenges to their mental health. Following the extremely stressful experience of the COVID-19 pandemic, the war in Ukraine caused a humanitarian influx of refugees in need of social and healthcare. We aimed to explore: (1) how w...

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Main Authors: Miroslava Janoušková, Jana Šeblová, Pavla Brennan Kearns, Matěj Kučera, Marie Kuklová, Jaroslav Pekara, Dominika Seblova
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:European Journal of Psychotraumatology
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Online Access:https://www.tandfonline.com/doi/10.1080/20008066.2025.2455247
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author Miroslava Janoušková
Jana Šeblová
Pavla Brennan Kearns
Matěj Kučera
Marie Kuklová
Jaroslav Pekara
Dominika Seblova
author_facet Miroslava Janoušková
Jana Šeblová
Pavla Brennan Kearns
Matěj Kučera
Marie Kuklová
Jaroslav Pekara
Dominika Seblova
author_sort Miroslava Janoušková
collection DOAJ
description Background: European health care workers recently experienced serious challenges to their mental health. Following the extremely stressful experience of the COVID-19 pandemic, the war in Ukraine caused a humanitarian influx of refugees in need of social and healthcare. We aimed to explore: (1) how working with refugees has affected the mental well-being of health care workers in the context of the COVID-19 pandemic, and (2) the nature of health care workers’ emotional strain related to the refugee situation and the war in Ukraine.Methods: We used a combination of quantitative regression analyses and qualitative content analysis to assess data collected by an online questionnaire in 2022. The study included 1121 health care workers from the Czech arm of the international HEROES Study.Results: Quantitative findings did not indicate that working with Ukrainian refugees was reliably associated with a greater occurrence of symptoms of depression, anxiety, distress, or burnout. Qualitative analysis revealed five categories of emotional strain: impacts on working conditions, emotional reactions to refugees and the war, comparisons with the COVID-19 pandemic, and coping strategies.Conclusions: This study highlights the resilience of health care workers but also points to the need for ongoing support to address the complex emotional challenges they face during health crises.
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spelling doaj-art-72f1bb65e0804110b39eb56389ecbd2e2025-02-04T12:39:17ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662025-12-0116110.1080/20008066.2025.2455247Navigating dual crises: mental health of Czech health care workers during the Ukrainian refugee influx and COVID-19 pandemicMiroslava Janoušková0Jana Šeblová1Pavla Brennan Kearns2Matěj Kučera3Marie Kuklová4Jaroslav Pekara5Dominika Seblova6Second Faculty of Medicine, Department of Epidemiology, Charles University, Prague, CzechiaSecond Faculty of Medicine, Department of Epidemiology, Charles University, Prague, CzechiaSecond Faculty of Medicine, Department of Epidemiology, Charles University, Prague, CzechiaSecond Faculty of Medicine, Department of Epidemiology, Charles University, Prague, CzechiaSecond Faculty of Medicine, Department of Epidemiology, Charles University, Prague, CzechiaSecond Faculty of Medicine, Department of Epidemiology, Charles University, Prague, CzechiaSecond Faculty of Medicine, Department of Epidemiology, Charles University, Prague, CzechiaBackground: European health care workers recently experienced serious challenges to their mental health. Following the extremely stressful experience of the COVID-19 pandemic, the war in Ukraine caused a humanitarian influx of refugees in need of social and healthcare. We aimed to explore: (1) how working with refugees has affected the mental well-being of health care workers in the context of the COVID-19 pandemic, and (2) the nature of health care workers’ emotional strain related to the refugee situation and the war in Ukraine.Methods: We used a combination of quantitative regression analyses and qualitative content analysis to assess data collected by an online questionnaire in 2022. The study included 1121 health care workers from the Czech arm of the international HEROES Study.Results: Quantitative findings did not indicate that working with Ukrainian refugees was reliably associated with a greater occurrence of symptoms of depression, anxiety, distress, or burnout. Qualitative analysis revealed five categories of emotional strain: impacts on working conditions, emotional reactions to refugees and the war, comparisons with the COVID-19 pandemic, and coping strategies.Conclusions: This study highlights the resilience of health care workers but also points to the need for ongoing support to address the complex emotional challenges they face during health crises.https://www.tandfonline.com/doi/10.1080/20008066.2025.2455247Migrationpsychological distressRussian-Ukrainian warCOVID-19 pandemicemotional strainMigración
spellingShingle Miroslava Janoušková
Jana Šeblová
Pavla Brennan Kearns
Matěj Kučera
Marie Kuklová
Jaroslav Pekara
Dominika Seblova
Navigating dual crises: mental health of Czech health care workers during the Ukrainian refugee influx and COVID-19 pandemic
European Journal of Psychotraumatology
Migration
psychological distress
Russian-Ukrainian war
COVID-19 pandemic
emotional strain
Migración
title Navigating dual crises: mental health of Czech health care workers during the Ukrainian refugee influx and COVID-19 pandemic
title_full Navigating dual crises: mental health of Czech health care workers during the Ukrainian refugee influx and COVID-19 pandemic
title_fullStr Navigating dual crises: mental health of Czech health care workers during the Ukrainian refugee influx and COVID-19 pandemic
title_full_unstemmed Navigating dual crises: mental health of Czech health care workers during the Ukrainian refugee influx and COVID-19 pandemic
title_short Navigating dual crises: mental health of Czech health care workers during the Ukrainian refugee influx and COVID-19 pandemic
title_sort navigating dual crises mental health of czech health care workers during the ukrainian refugee influx and covid 19 pandemic
topic Migration
psychological distress
Russian-Ukrainian war
COVID-19 pandemic
emotional strain
Migración
url https://www.tandfonline.com/doi/10.1080/20008066.2025.2455247
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