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Research article

The impact of self-reported burnout and work-related quality of life on nurses' intention to leave the profession during the COVID-19 pandemic: A cross-sectional study

  • The challenges of maintaining an effective and sustainable healthcare workforce include the recruitment and retention of skilled nurses. COVID-19 exacerbated these challenges, but they persist beyond the pandemic. We explored the impact of work-related quality of life and burnout on reported intentions to leave a variety of healthcare professions including nursing. We collected data at five time-points from November 2020 to February 2023 via an online survey. The validated measures used included the Copenhagen Burnout Inventory and Work-Related Quality of Life (WRQoL) scale; with subscales for Job-Career Satisfaction, General Wellbeing, Control at work, Stress at work, Working conditions, and Home-work interface. Our findings showed that 47.6% of nursing respondents (n = 1780) had considered changing their profession throughout the study period, with the 30–39-year age group most likely to express intentions to leave. Regression analysis reveale that for WRQoL, lower general wellbeing and job-career satisfaction scores predicted intentions to leave when controlling for demographic variables (p < 0.001). When burnout was added to the regression model, both work-related and client-related burnout were predictive of intentions to leave (p < 0.001). These findings highlighted that significant numbers of nurses considered leaving their profession during and shortly after the pandemic and the need for interventions to improve nurses' wellbeing and reduce burnout to improve their retention.

    Citation: Susan McGrory, John Mallett, Justin MacLochlainn, Jill Manthorpe, Jermaine Ravalier, Heike Schroder, Denise Currie, Patricia Nicholl, Rachel Naylor, Paula McFadden. The impact of self-reported burnout and work-related quality of life on nurses' intention to leave the profession during the COVID-19 pandemic: A cross-sectional study[J]. AIMS Public Health, 2024, 11(4): 1082-1104. doi: 10.3934/publichealth.2024056

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  • The challenges of maintaining an effective and sustainable healthcare workforce include the recruitment and retention of skilled nurses. COVID-19 exacerbated these challenges, but they persist beyond the pandemic. We explored the impact of work-related quality of life and burnout on reported intentions to leave a variety of healthcare professions including nursing. We collected data at five time-points from November 2020 to February 2023 via an online survey. The validated measures used included the Copenhagen Burnout Inventory and Work-Related Quality of Life (WRQoL) scale; with subscales for Job-Career Satisfaction, General Wellbeing, Control at work, Stress at work, Working conditions, and Home-work interface. Our findings showed that 47.6% of nursing respondents (n = 1780) had considered changing their profession throughout the study period, with the 30–39-year age group most likely to express intentions to leave. Regression analysis reveale that for WRQoL, lower general wellbeing and job-career satisfaction scores predicted intentions to leave when controlling for demographic variables (p < 0.001). When burnout was added to the regression model, both work-related and client-related burnout were predictive of intentions to leave (p < 0.001). These findings highlighted that significant numbers of nurses considered leaving their profession during and shortly after the pandemic and the need for interventions to improve nurses' wellbeing and reduce burnout to improve their retention.



    The equation:

    {tu+xf(u)β22xu+δ3xu+κu+γ2|u|u=0,0<t<T,xR,u(0,x)=u0(x),xR, (1.1)

    was originally derived in [14,17] with f(u)=au2 focusing on microbubbles coated by viscoelastic shells. These structures are crucial in ultrasound diagnosis using contrast agents, and the dynamics of individual coated bubbles are explored, taking into account nonlinear competition and dissipation factors such as dispersion, thermal effects, and drag force.

    The coefficients β2, δ, κ, and γ2 are related to the dissipation, the dispersion, the thermal conduction dissipation, and to the drag force, repsctively.

    If κ=γ=0, we obtain the Kudryashov-Sinelshchikov [18] Korteweg-de Vries-Burgers [3,20] equation

    tu+axu2β22xu+δ3xu=0, (1.2)

    that models pressure waves in liquids with gas bubbles, taking into account heat transfer and viscosity. The mathematical results on Eq (1.2) are the following:

    ● analysis of exact solutions in [13],

    ● existence of the traveling waves in [2],

    ● well-posedness and asymptotic behavior in [7,11].

    If β=0, we derive the Korteweg-de Vries equation:

    tu+axu2+δ3xu=0, (1.3)

    which describes surface waves of small amplitude and long wavelength in shallow water. Here, u(t,x) represents the wave height above a flat bottom, x corresponds to the distance in the propagation direction, and t denotes the elapsed time. In [4,6,10,12,15,16], the completele integrability of Eq (1.3) and the existence of solitary wave solutions are proved.

    Through the manuscript, we will assume

    ● on the coefficients

    β,δ,κ,γR,β,δ,γ0; (1.4)

    ● on the flux f, one of the following conditions:

    f(u)=au2+bu3, (1.5)
    fC1(R),|f(u)|C0(1+|u|),uR, (1.6)

    for some positive constant C0;

    ● on the initial value

    u0H1(R). (1.7)

    The main result of this paper is the following theorem.

    Theorem 1.1. Assume Eqs (1.5)–(1.7). For fixed T>0, there exists a unique distributional solution u of Eq (1.1), such that

    uL(0,T;H1(R))L4(0,T;W1,4(R))L6(0,T;W1,6(R))2xuL2((0,T)×R). (1.8)

    Moreover, if u1 and u2 are solutions to Eq (1.1) corresponding to the initial conditions u1,0 and u2,0, respectively, it holds that:

    u1(t,)u2(t,)L2(R)eC(T)tu1,0u2,0L2(R), (1.9)

    for some suitable C(T)>0, and every, 0tT.

    Observe that Theorem 1.1 gives the well-posedness of (1.1), without conditions on the constants. Moreover, the proof of Theorem 1.1 is based on the Aubin-Lions Lemma [5,21]. The analysis of Eq (1.1) is more delicate than the one of Eq (1.2) due to the presence of the nonlinear sources and the very general assumptions on the coefficients.

    The structure of the paper is outlined as follows. Section 2 is dedicated to establishing several a priori estimates for a vanishing viscosity approximation of Eq (1.1). These estimates are crucial for proving our main result, which is presented in Section 3.

    To establish existence, we utilize a vanishing viscosity approximation of equation (1.1), as discussed in [19]. Let 0<ε<1 be a small parameter, and denote by uεC([0,T)×R) the unique classical solution to the following problem [1,9]:

    {tuε+xf(uε)β22xuε+δ3xuε+κu+γ2|u|u=ε4xuε,0<t<T,xR,uε(0,x)=uε,0(x),xR, (2.1)

    where uε,0 is a C approximation of u0, such that

    uε,0H1(R)u0H1(R). (2.2)

    Let us prove some a priori estimates on uε, denoting with C0 constants which depend only on the initial data, and with C(T) the constants which depend also on T.

    We begin by proving the following lemma:

    Lemma 2.1. Let T>0 be fixed. There exists a constant C(T)>0, which does not depend on ε, such that

    uε(t,)2L2(R)+2γ2e|κ|tt0Re|κ|su2ε|uε|dsdx+2β2e|κ|tt0e|κ|sxuε(s,)2L2(R)ds+2εe|κ|tt0e|κ|s2xuε(s,)2L2(R)C(T), (2.3)

    for every 0tT.

    Proof. For 0tT. Multiplying equations (2.1) by 2uε, and integrating over R yields

    ddtuε(t,)2L2(R)=2Ruεtuεdx=2Ruεf(uε)xuεdx=0+2β2Ruε2xuεdx2δRuε3xuεdxκuε(t,)2L2(R)2γ2R|uε|u2εdx2εRuε4xuεdx=2β2xuε(t,)2L2(R)+2δRxuε2xuεdxκuε(t,)2L2(R)2γ2R|uε|u2εdx+2εRxuε3xuεdx=2β2xuε(t,)2L2(R)κuε(t,)2L2(R)2γ2R|uε|u2εdx2ε2xuε(t,)2L2(R).

    Thus, it follows that

    ddtuε(t,)2L2(R)+2β2xuε(t,)2L2(R)+2γ2R|uε|u2εdx+2ε2xuε(t,)2L2(R)=κuε(t,)2L2(R)|κ|uε(t,)2L2(R).

    Therefore, applying the Gronwall's lemma and using Eq (2.2), we obtain

    uε(t,)2L2(R)+2β2e|κ|tt0e|κ|sxuε(s,)2L2(R)ds+2γ2e|κ|tt0Re|κ|t|uε|u2εdsdx+2ε2xuε(t,)2L2(R)+2εe|κ|tt0e|κ|s2xuε(s,)2L2(R)dsC0e|κ|tC(T),

    which gives Eq (2.3).

    Lemma 2.2. Fix T>0 and assume (1.5). There exists a constant C(T)>0, independent of ε, such that

    uεL((0,T)×R)C(T), (2.4)
    xuε(t,)2L2(R)+β2t02xuε(s,)2L2(R)ds (2.5)
    +2εt03xuε(s,)2L2(R)dsC(T),t0xuε(s,)4L4(R)dsC(T), (2.6)

    holds for every 0tT.

    Proof. Let 0tT. Consider A,B as two real constants, which will be specified later. Thanks to Eq (1.5), multiplying Eq (2.1) by

    22xuε+Au2ε+Bu3ε,

    we have that

    (22xuε+Au2ε+Bu3ε)tuε+2a(22xuε+Au2ε+Bu3ε)uεxuε+3b(22xuε+Au2ε+Bu3ε)u2εxuεβ2(22xuε+Au2ε+Bu3ε)2xuε+δ(22xuε+Au2ε+Bu3ε)3xuε+κ(22xuε+Au2ε+Bu3ε)uε+γ2(22xuε+Au2ε+Bu3ε)|uε|uε=ε(22xuε+Au2ε+Bu3ε)4xuε. (2.7)

    Observe that

    R(22xuε+Au2ε+Bu3ε)tuεdx=ddt(xuε(t,)2L2(R)+A3Ru3εdx+B4Ru4εdx),2aR(22xuε+Au2ε+Bu3ε)uεxuεdx=4aRuεxuε2xuεdx,3bR(22xuε+Au2ε+Bu3ε)u2εxuεdx=6bRu2εxuε2xuεdx,β2R(22xuε+Au2ε+Bu3ε)2xuεdx=2β22xuε(t,)2L2(R)+2Aβ2Ruε(xuε)2dx+3Bβ2Ru2ε(xuε)2dx,δR(22xuε+Au2ε+Bu3ε)3xuεdx=2AδRuεxuε2xuεdx3BδRu2εxuε2xuεdx,κR(22xuε+Au2ε+Bu3ε)uεdx=2κxuε(t,)2L2(R)+AκRu3εdx+BκRu4εdx,γ2R(22xuε+Au2ε+Bu3ε)|uε|uεdx=2γ2R|uε|uε2xuεdx+Aγ2R|u|u3εdx+Bγ2R|uε|u4dx,εR(22xuε+Au2ε+Bu3ε)4xuεdx=2ε3xuε(t,)2L2(R)+2AεRuεxuε3xuεdx+3BεRu2εxuε3xuεdx=2ε3xuε(t,)2L2(R)AεR(xuε)3dx6BεRuε(xuε)22xuεdx3Bεuε(t,)2xuε(t,)2L2(R)=2ε3xuε(t,)2L2(R)AεR(xuε)3dx+2BεR(xuε)4dx3Bεuε(t,)2xuε(t,)2L2(R).

    Therefore, an integration on R gives

    ddt(xuε(t,)2L2(R)+A3Ru3εdx+B4Ru4εdx)+β22xuε(t,)2L2(R)+2ε3xuε(t,)2L2(R)=(4a+Aδ)Ruεxuε2xuεdx3(2b+Bδ)Ru2εxuε2xuεdx2Aβ2Ruε(xuε)2dx3Bβ2Ru2ε(xuε)2dxκxuε(t,)2L2(R)Aκ3Ru3εdxBκ4Ru4εdx+2γ2R|uε|uε2xuεdxAγ2R|uε|u3εdxBγ2R|uε|u4εdxAεR(xuε)3dx+2BεR(xuε)4dx3Bεuε(t,)2xuε(t,)2L2(R).

    Taking

    (A,B)=(4aδ,2bδ),

    we get

    ddt(xuε(t,)2L2(R)4a3δRu3εdxbδRu4εdx)+2β22xuε(t,)2L2(R)+2ε3xuε(t,)2L2(R)=8aβ2δRuε(xuε)2dx+6bβ2δRu2ε(xuε)2dxκxuε(t,)2L2(R)+4aκ3δRu3εdx+bκ2Ru4εdx+2γ2R|uε|uε2xuεdx+4aγ2δR|uε|u3εdx+2bγ2δR|uε|u4εdx+4aεδR(xuε)3dx4bεδR(xuε)4dx+6bεδuε(t,)2xuε(t,)2L2(R). (2.8)

    Since 0<ε<1, due to the Young inequality and (2.3),

    8aβ2δR|uε|(xuε)2dx4Ru2ε(xuε)2dx+4a2β4δ2xuε(t,)2L2(R)4uε2L((0,T)×R)xuε(t,)2L2(R)+4a2β4δ2xuε(t,)2L2(R)C0(1+uε2L((0,T)×R))xuε(t,)2L2(R),|6bβ2δ|Ru2ε(xuε)2dx|6bβ2δ|uε2L((0,T)×R)xuε(t,)2L2(R),|4aκ3δ|R|uε|3dx|4aκ3δ|uεL((0,T)×R)uε(t,)2L2(R)C(T)uεL((0,T)×R),|bκ2|Ru4εdx|bκ2|uε2L((0,T)×R)uε(t,)2L2(R)C(T)uε2L((0,T)×R),2γ2R|uε|uε2xuεdx2R|γ2|uε|uεβ||β2xuε|dxγ4β2Ruε4dx+β22xuε(t,)2L2(R)γ4β2uε2L((0.T)×R)uε(t,)2L2(R)+β22xuε(t,)2L2(R)C(T)uε2L((0,T)×R)+β22xuε(t,)2L2(R),|4aγ2δ|R|uε||uε|3dx=|4aγ2δ|Ru4εdx|4aγ2δ|uε2L((0,T)×R)uε(t,)2L2(R)C(T)uε2L((0,T)×R),|2bγ2δ|R|uε|uε4dx|2bγ2δ|uε3L((0,T)×R)uε(t,)2L2(R)C(T)uε3L((0,T)×R),|4aεδ|R|xuε|3dx|4aεδ|xuε(t,)2L2(R)+|4aεδ|R(xuε)4dx|4aδ|xuε(t,)2L2(R)+|4aεδ|R(xuε)4dx.

    It follows from Eq (2.8) that

    ddt(xuε(t,)2L2(R)4a3δRu3εdxbδRu4εdx)+β22xuε(t,)2L2(R)+2ε3xuε(t,)2L2(R)C0(1+uε2L((0,T)×R))xuε(t,)2L2(R)+C(T)uεL((0,T)×R)+C(T)uε2L((0,T)×R)+C(T)uε3L((0,T)×R)+C0εR(xuε)4dx+C0εuε(t,)2xuε(t,)2L2(R)+C0xuε(t,)2L2(R). (2.9)

    [8, Lemma 2.3] says that

    R(xuε)4dx9Ru2ε(2xuε)2dx9uε2L((0,T)×R)2xuε(t,)2L2(R). (2.10)

    Moreover, we have that

    uε(t,)2xuε(t,)2L2(R)=Ru2ε(2xuε)2dxuε2L((0,T)×R)2xuε(t,)2L2(R). (2.11)

    Consequentially, by Eqs (2.9)–(2.11), we have that

    ddt(xuε(t,)2L2(R)4a3δRu3εdxbδRu4εdx)+β22xuε(t,)2L2(R)+2ε3xuε(t,)2L2(R)C0(1+uε2L((0,T)×R))xuε(t,)2L2(R)+C(T)uεL((0,T)×R)+C(T)uε2L((0,T)×R)+C(T)uε3L((0,T)×R)+C0εuε2L((0,T)×R)2xuε(t,)2L2(R)+C0xuε(t,)2L2(R).

    An integration on (0,t) and Eqs (2.2) and (2.3) give

    xuε(t,)2L2(R)4a3δRu3εdxbδRu4εdx+β2t02xuε(s,)2L2(R)ds+2εt03xuε(s,)2L2(R)dsC0(1+uε2L((0,T)×R))t0xuε(s,)2L2(R)ds+C(T)uεL((0,T)×R)t+C(T)uε2L((0,T)×R)t+C(T)uε3L((0,T)×R)t+C0εuε2L((0,T)×R)t02xuε(s,)2L2(R)ds+C0t0xuε(s,)2L2(R)dsC(T)(1+uεL((0,T)×R)+uε2L((0,T)×R)+uε3L((0,T)×R)).

    Therefore, by Eq (2.3),

    xuε(t,)2L2(R)+β2t02xuε(s,)2L2(R)ds+2εt03xuε(s,)2L2(R)dsC(T)(1+uεL((0,T)×R)+uε2L((0,T)×R)+uε3L((0,T)×R))+4a3δRu3εdx+bδRu4εdxC(T)(1+uεL((0,T)×R)+uε2L((0,T)×R)+uε3L((0,T)×R))+|4a3δ|R|uε|3dx+|bδ|Ru4εdxC(T)(1+uεL((0,T)×R)+uε2L((0,T)×R)+uε3L((0,T)×R))+|4a3δ|uεL((0,T)×R)uε(t,)2L2(R)+|bδ|uε2L((0,T)×R)uε(t,)2L2(R)C(T)(1+uεL((0,T)×R)+uε2L((0,T)×R)+uε3L((0,T)×R)). (2.12)

    We prove Eq (2.4). Thanks to the Hölder inequality,

    u2ε(t,x)=2xuεxuεdx2R|uε||xuε|dx2uε(t,)L2(R)xuε(t,)L2(R).

    Hence, we have that

    uε(t,)4L(R)4uε(t,)2L2(R)xuε(t,)2L2(R). (2.13)

    Thanks to Eqs (2.3) and (2.12), we have that

    uε4L((0,T)×R)C(T)(1+uεL((0,T)×R)+uε2L((0,T)×R)+uε3L((0,T)×R)). (2.14)

    Due to the Young inequality,

    C(T)uε3L((0,T)×R)12uε4L((0,T)×R)+C(T)uε2L((0,T)×R),C(T)uεL((0,T)×R)C(T)uε2L((0,T)×R)+C(T).

    By Eq (2.14), we have that

    12uε4L((0,T)×R)C(T)uε2L((0,T)×R)C(T)0,

    which gives Eq (2.4).

    Equation (2.5) follows from Eqs (2.4) and (2.12).

    Finally, we prove Eq (2.6). We begin by observing that, from Eqs (2.4) and (2.10), we have

    xuε(t,)4L4(R)C(T)2xuε(t,)2L2(R).

    An integration on (0,t) and Eqs (2.5) give Eq (2.6).

    Lemma 2.3. Fix T>0 and assume (1.6). There exists a constant C(T)>0, independent of ε, such that Eq (2.4) holds. Moreover, we have Eqs (2.5) and (2.6).

    Proof. Let 0tT. Multiplying Eq (2.1) by 22xuε, an integration on R gives

    ddtxuε(t,)2L2(R)=2R2xuεtuεdx=2Rf(uε)xuε2xuεdx2β22xuε(t,)2L2(R)2δR2xuε3xuεdx2κRuε2xuεdx2γ2R|uε|uε2xuεdx+2εR2xuε4xuεdx=2Rf(uε)xuε2xuεdx2β22xuε(t,)2L2(R)+2κxuε(t,)2L2(R)+2γ2R|uε|uε2xuεdx2ε3xuε(t,)2L2(R).

    Therefore, we have that

    ddtxuε(t,)2L2(R)+2β22xuε(t,)2L2(R)+2ε3xuε(t,)2L2(R)=2Rf(uε)xuε2xuεdx+2κxuε(t,)2L2(R)+2γ2R|uε|uε2xuεdx. (2.15)

    Due Eqs (1.6) and (2.3) and the Young inequality,

    2R|f(uε)||xuε||2xuε|dxC0R|xuε2xuε|dx+C0R|uεxuε||2xuε|dx=2R|C03xuε2β||β2xuε3|dx+2R|C03uεxuε2β||3β2xuε|dxC0xuε(t,)2L2(R)+C0Ru2ε(xuε)2dx+2β232xuε(t,)2L2(R)C0xuε(t,)2L2(R)+C0uε2L((0,T)×R)xuε(t,)2L2(R)+2β232xuε(t,)2L2(R)C0(1+uε2L((0,T)×R))xuε(t,)2L2(R)+2β232xuε(t,)2L2(R),2γ2R|uε|uε2xuεdx2γ2Ru2ε|2xuε|dx=2R|3γ2u2εβ||β2xuε3|dx3γ4β2Ru4εdx+β232xuε(t,)2L2(R)3γ4β2uε2L((0,T)×R)uε(t,)2L2(R)+β232xuε(t,)2L2(R)C(T)uε2L((0,T)×R)+β232xuε(t,)2L2(R).

    It follows from Eq (2.15) that

    ddtxuε(t,)2L2(R)+β22xuε(t,)2L2(R)+2ε3xuε(t,)2L2(R)C0(1+uε2L((0,T)×R))xuε(t,)2L2(R)+C(T)uε2L((0,T)×R).

    Integrating on (0,t), by Eq (2.3), we have that

    xuε(t,)2L2(R)+β2t02xuε(s,)2L2(R)ds+2εt03xuε(s,)2L2(R)C0+C0(1+uε2L((0,T)×R))t0xuε(s,)2L2(R)ds+C(T)uε2L((0,T)×R)tC(T)(1+uε2L((0,T)×R)). (2.16)

    Thanks to Eqs (2.3), (2.13), and (2.16), we have that

    uε4L((0,T)×R)C(T)(1+uε2L((0,T)×R)).

    Therefore,

    uε4L((0,T)×R)C(T)uε2L((0,T)×R)C(T)0,

    which gives (2.4).

    Equation (2.5) follows from (2.4) and (2.16), while, arguing as in Lemma 2.2, we have Eq (2.6).

    Lemma 2.4. Fix T>0. There exists a constant C(T)>0, independent of ε, such that

    t0xuε(s,)6L6(R)dsC(T), (2.17)

    for every 0tT.

    Proof. Let 0tT. We begin by observing that,

    R(xuε)6dxxuε(t,)4L(R)xuε(t,)2L2(R). (2.18)

    Thanks to the Hölder inequality,

    (xuε(t,x))2=2xxuε2xuεdy2R|xuε||2xuε|dx2xuε(t,)L2(R)2xuε(t,)2L2(R).

    Hence,

    u(t,)4L(R)4xuε(t,)2L2(R)2xuε(t,)2L2(R).

    It follows from Eq (2.18) that

    R(xuε)6dx4xuε(t,)4L2(R)2xuε(t,)2L2(R).

    Therefore, by Eq (2.5),

    R(xuε)6dxC(T)2xuε(t,)2L2(R).

    An integration on (0,t) and Eq (2.5) gives (2.17).

    This section is devoted to the proof of Theorem 1.1.

    We begin by proving the following result.

    Lemma 3.1. Fix T>0. Then,

    the family {uε}ε>0 is compact in L2loc((0,T)×R). (3.1)

    Consequently, there exist a subsequence {uεk}kN and uL2loc((0,T)×R) such that

    uεku in L2loc((0,T)×R) and a.e. in (0,T)×R. (3.2)

    Moreover, u is a solution of Eq (1.1), satisfying Eq (1.8).

    Proof. We begin by proving Eq (3.1). To prove Eq (3.1), we rely on the Aubin-Lions Lemma (see [5,21]). We recall that

    H1loc(R)↪↪L2loc(R)H1loc(R),

    where the first inclusion is compact and the second one is continuous. Owing to the Aubin-Lions Lemma [21], to prove Eq (3.1), it suffices to show that

    {uε}ε>0 is uniformly bounded in L2(0,T;H1loc(R)), (3.3)
    {tuε}ε>0 is uniformly bounded in L2(0,T;H1loc(R)). (3.4)

    We prove Eq (3.3). Thanks to Lemmas 2.1–2.3,

    uε(t,)2H1(R)=uε(t,)2L2(R)+xuε(t,)2L2(R)C(T).

    Therefore,

    {uε}ε>0 is uniformly bounded in L(0,T;H1(R)),

    which gives Eq (3.3).

    We prove Eq (3.4). Observe that, by Eq (2.1),

    tuε=x(G(uε))f(uε)xuεκuεγ2|uε|uε,

    where

    G(uε)=β2xuεδ2xuεε3xuε. (3.5)

    Since 0<ε<1, thanks to Eq (2.5), we have that

    β2xuε2L2((0,T)×R),δ22xuε2L2((0,T)×R)C(T),ε23xuε2L2((0,T)×R)C(T). (3.6)

    Therefore, by Eqs (3.5) and (3.6), we have that

    {x(G(uε))}ε>0 is bounded in L2(0,T;H1(R)). (3.7)

    We claim that

    T0R(f(uε))2(xuε)2dtdxC(T). (3.8)

    Thanks to Eqs (2.4) and (2.5),

    T0R(f(uε))2(xuε)2dtdxf2L(C(T),C(T))T0xuε(t,)2L2(R)dtC(T).

    Moreover, thanks to Eq (2.3),

    |κ|T0R(uε)2dxC(T). (3.9)

    We have that

    γ2T0R(|uε|uε)2dsdxC(T). (3.10)

    In fact, thanks to Eqs (2.3) and (2.4),

    γ2T0R(|uε|uε)2dsdxγ2uε2L((0,T)×R)T0R(uε)2dsdxC(T)T0R(uε)2dsdxC(T).

    Therefore, Eq (3.4) follows from Eqs (3.7)–(3.10).

    Thanks to the Aubin-Lions Lemma, Eqs (3.1) and (3.2) hold.

    Consequently, arguing as in [5, Theorem 1.1], u is solution of Eq (1.1) and, thanks to Lemmas 2.1–2.3 and Eqs (2.4), (1.8) holds.

    Proof of Theorem 1.1. Lemma 3.1 gives the existence of a solution of Eq (1.1).

    We prove Eq (1.9). Let u1 and u2 be two solutions of Eq (1.1), which verify Eq (1.8), that is,

    {tui+xf(ui)β22xui+δ3xui+κui+γ2|ui|ui=0,0<t<T,xR,ui(0,x)=ui,0(x),xR,i=1,2.

    Then, the function

    ω(t,x)=u1(t,x)u2(t,x), (3.11)

    is the solution of the following Cauchy problem:

    {tω+x(f(u1)f(u2))β22xω+δ2xω+κω+γ2(|u1|u1|u2|u2)=0,0<t<T,xR,ω(0,x)=u1,0(x)u2,0(x),xR. (3.12)

    Fixed T>0, since u1,u2H1(R), for every 0tT, we have that

    u1L((0,T)×R),u2L((0,T)×R)C(T). (3.13)

    We define

    g=f(u1)f(u2)ω (3.14)

    and observe that, by Eq (3.13), we have that

    |g|fL(C(T),C(T))C(T). (3.15)

    Moreover, by Eq (3.11) we have that

    ||u1||u2|||u1u2|=|ω|. (3.16)

    Observe that thanks to Eq (3.11),

    |u1|u1|u2|u2=|u1|u1|u1|u2+|u1|u2|u2|u2=|u1|ω+u2(|u1||u2|). (3.17)

    Thanks to Eqs (3.14) and (3.17), Equation (3.12) is equivalent to the following one:

    tω+x(gω)β22xω+δ3xω+κω+γ2|u1|ω+γ2u2(|u1||u2|)=0. (3.18)

    Multiplying Eq (3.18) by 2ω, an integration on R gives

    dtdtω(t,)2L2(R)=2Rωtω=2Rωx(gω)dx+2β2Rω2xωdx2δRω3xωdx2κω(t,)2L2(R)2γ2R|u1|ω2dx2γ2Ru2(|u1||u2|)ωdx=2Rgωxωdx2β2xω(t,)2L2(R)+2δRxω2xωdx2κω(t,)2L2(R)2γ2R|u1|ω2dx2γ2Ru2(|u1||u2|)ωdx=2Rgωxωdx2β2xω(t,)2L2(R)2κω(t,)2L2(R)2γ2R|u1|ω2dx2γ2Ru2(|u1||u2|)ωdx.

    Therefore, we have that

    ω(t,)2L2(R)+2β2xω(t,)2L2(R)+2γ2R|u1|ω2dx=2Rgωxωdxκω(t,)2L2(R)2γ2Ru2(|u1||u2|)ωdx. (3.19)

    Due to Eqs (3.13), (3.15) and (3.16) and the Young inequality,

    2R|g||ω||xω|dx2C(T)R|ω||xω|dx=2R|C(T)ωβ||βxω|dxC(T)ω(t,)2L2(R)+β2xω(t,)2L2(R),2γ2R|u2||(|u1||u2|)||ω|dx2γ2u2L((0,T)×R)R|(|u1||u2|)||ω|dxC(T)ω(t,)2L2(R).

    It follows from Eq (3.19) that

    ω(t,)2L2(R)+β2xω(t,)2L2(R)+2γ2R|u1|ω2dxC(T)ω(t,)2L2(R).

    The Gronwall Lemma and Eq (3.12) give

    ω(t,)2L2(R)+β2eC(T)tt0eC(T)sxω(s,)2L2(R)ds+2γ2eC(T)tt0ReC(T)s|u1|ω2dsdxeC(T)tω02L2(R). (3.20)

    Equation (1.9) follows from Eqs (3.11) and (3.20).

    Giuseppe Maria Coclite and Lorenzo Di Ruvo equally contributed to the methodologies, typesetting, and the development of the paper.

    The authors declare they have not used Artificial Intelligence (AI) tools in the creation of this article.

    Giuseppe Maria Coclite is an editorial boardmember for [Networks and Heterogeneous Media] and was not involved inthe editorial review or the decision to publish this article.

    GMC is member of the Gruppo Nazionale per l'Analisi Matematica, la Probabilità e le loro Applicazioni (GNAMPA) of the Istituto Nazionale di Alta Matematica (INdAM). GMC has been partially supported by the Project funded under the National Recovery and Resilience Plan (NRRP), Mission 4 Component 2 Investment 1.4 -Call for tender No. 3138 of 16/12/2021 of Italian Ministry of University and Research funded by the European Union -NextGenerationEUoAward Number: CN000023, Concession Decree No. 1033 of 17/06/2022 adopted by the Italian Ministry of University and Research, CUP: D93C22000410001, Centro Nazionale per la Mobilità Sostenibile, the Italian Ministry of Education, University and Research under the Programme Department of Excellence Legge 232/2016 (Grant No. CUP - D93C23000100001), and the Research Project of National Relevance "Evolution problems involving interacting scales" granted by the Italian Ministry of Education, University and Research (MIUR Prin 2022, project code 2022M9BKBC, Grant No. CUP D53D23005880006). GMC expresses its gratitude to the HIAS - Hamburg Institute for Advanced Study for their warm hospitality.

    The authors declare there is no conflict of interest.


    Acknowledgments



    The authors thank all respondents, and the Northern Ireland Social Care Council (NISCC) and the Southern Health and Social Care Trust in Northern Ireland for seed funding for the survey. Also, thanks to Community Care ©, Northern Ireland Practice and Education Council for Nursing and Midwifery, Royal College of Nursing, Royal College of Midwifery, Royal College of Occupational Therapists, British Dietetic Association, College of Podiatry and the NISCC for advertising and promoting the study.
    This study was funded by HSC R&D Division of the Public Health Agency, Northern Ireland (COVID Rapid Response Funding Scheme COM/5603/20), the Northern Ireland Social Care Council (NISCC) and the Southern Health and Social Care Trust, with support from England's National Institute for Health and Care Research (NIHR) Policy Research Unit in Health and Social Care Workforce—PR–PRU–1217–21002.

    Authors' contribution



    Conceptualization; Paula McFadden, John Mallett, Susan McGrory, Jill Manthorpe, Jermaine Ravalier. Statistical Analysis; Susan McGrory, John Mallett and Justin MacLochlainn. Original manuscript drafting; Susan McGrory, John Mallett, Justin MacLochlainn and Paula McFadden. Review and editing; Jill Manthorpe, Heike Schroder, Rachel Naylor, Jermaine Ravalier, Patricia Nicholl, and Denise Currie. All authors read and approved the final manuscript.

    Conflict of interest



    The authors declare there are no conflicts of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

    [1] International Council of NursesICN international workforce forum calls for urgent action from governments to address global nursing shortage (2019). Available from: https://www.icn.ch/news/icn-international-workforce-forum-calls-urgent-action-governments-address-global-nursing
    [2] Catton H (2021) COVID-19: The future of nursing will determine the fate of our health services. Int Nurs Rev 68: 9-11. https://doi.org/10.1111/inr.12673
    [3] Bell M, Sheridan A (2020) How organisational commitment influences nurses' intention to stay in nursing throughout their career. Int J Nurs Stud Adv 2: 100007. https://doi.org/10.1016/j.ijnsa.2020.100007
    [4] Said RM, El-Shafei DA (2021) Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during COVID-19 pandemic in Zagazig City, Egypt. Environ Sci Pollut Res 28: 8791-8801. https://doi.org/10.1007/s11356-020-11235-8
    [5] Nursing and Midwifery Council2023 NMC Register Leavers Survey (2023). Available from: https://www.nmc.org.uk/globalassets/sitedocuments/data-reports/may-2023/annual-data-report-leavers-survey-2023.pdf
    [6] Shembavnekar N, Kelly E (2023) Retaining NHS nurses: What do trends in staff turnover tell us?. USA: The Health Foundation. Available from: https://www.health.org.uk/news-and-comment/charts-and-infographics/retaining-nhs-nurses-what-do-trends-in-staff-turnover-tell-us
    [7] Lo WY, Chien LY, Hwang FM, et al. (2018) From job stress to intention to leave among hospital nurses: A structural equation modelling approach. J Adv Nurs 74: 677-688. https://doi.org/10.1111/jan.13481
    [8] Hasselhorn HM, Müller BH, Tackenberg P, et al. (2005) Nursing in Europe: Intention to leave the nursing profession. NEXT Scientific Report : 17-24. Available from: https://www.researchgate.net/publication/260592268_Next_Scientific_Report_July_2005
    [9] Duffield CM, Roche MA, Homer C, et al. (2014) A comparative review of nurse turnover rates and costs across countries. J Adv Nurs 70: 2703-2712. https://doi.org/10.1111/jan.12483
    [10] Falatah R (2021) The impact of the coronavirus disease (COVID-19) pandemic on nurses' turnover intention: An integrative review. Nurs Rep 11: 787-810. https://doi.org/10.3390/nursrep11040075
    [11] Kaddourah B, Abu-Shaheen AK, Al-Tannir M (2018) Quality of nursing work life and turnover intention among nurses of tertiary care hospitals in Riyadh: A cross-sectional survey. BMC Nurs 17: 43. https://doi.org/10.1186/s12912-018-0312-0
    [12] Al-Hamdan Z, Nussera H, Masa'deh R (2016) Conflict management style of Jordanian nurse managers and its relationship to staff nurses' intent to stay. J Nurs Manag 22: e137-e145. https://doi.org/10.1111/jonm.12314
    [13] Albougami AS, Almazan JU, Cruz JP, et al. (2020) Factors affecting nurses' intention to leave their current jobs in Saudi Arabia. Int J Health Sci 14: 33-40.
    [14] Sasso L, Bagnasco A, Catania G, et al. (2019) Push and pull factors of nurses' intention to leave. J Nurs Manag 27: 946-954. https://doi.org/10.1111/jonm.12745
    [15] Kantorski LP, Oliveira MMD, Alves PF, et al. (2022) Intention to leave nursing during the COVID-19 pandemic. Rev Lat Am Enfermagem 30: e3613. https://doi.org/10.1590/1518-8345.5815.3549
    [16] Engström M, Jarnheden SH, Tham P (2023) Staff quality of working life and turnover intentions in municipal nursing care and social welfare: A cross-sectional study. BMC Nurs 22: 171. https://doi.org/10.1186/s12912-023-01339-0
    [17] Heinen MM, van Achterberg T, Schwendimann R, et al. (2013) Nurses intention to leave their profession: A cross-sectional observational study in 10 European countries. Int J Nurs Stud 50: 174-184. https://doi:10.1016/j.ijnurstu.2012.09.019
    [18] Raso R, Fitzpatrick JJ, Masick K (2021) Nurses' intent to leave their position and the profession during the COVID-19 pandemic. J Nurs Adm 51: 488-494. https://doi.org/10.1097/NNA.0000000000001052
    [19] Nantsupawat A, Kunaviktikul W, Nantsupawat R, et al. (2017) Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. Int Nurs Rev 64: 91-98. https://doi.org/10.1111/inr.12342
    [20] Lavoie-Tremblay M, Gélinas C, Aubé T, et al. (2022) Influence of caring for COVID-19 patients on nurse's turnover, work satisfaction and quality of care. J Nurs Manag 30: 33-43. https://doi.org/10.1111/jonm.13462
    [21] Aiken LH, Sermeus W, McKee M, et al. (2024) Physician and nurse well-being, patient safety and recommendations for interventions: Cross-sectional survey in hospitals in six European countries. BMJ Open 14: e079931. https://doi.org/10.1136/bmjopen-2023-079931
    [22] Maslach C, Jackson S, Leiter M (1996) Maslach Burnout Inventory Manual. Palo Alto, CA: Consulting Psychologists Press 192.
    [23] Kristensen TS, Borritz M, Villadsen E, et al. (2005) The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work Stress 19: 192-207. https://doi.org/10.1080/02678370500297720
    [24] Kelly LA, Gee PM, Butler RJ (2021) Impact of nurse burnout on organizational and position turnover. Nurs Outlook 69: 96102. https://doi.org/10.1016/j.outlook.2020.06.008
    [25] Meneguin S, Ignácio I, Pollo FC, et al. (2023) Burnout and quality of life in nursing staff during the COVID-19 pandemic. BMC Nurs 22: 14. https://doi.org/10.1186/s12912-022-01168-7
    [26] Gillen P, Neill RD, Manthorpe J, et al. (2022) Decreasing wellbeing and increasing use of negative coping strategies: The effect of the COVID-19 pandemic on the UK health and social care workforce. Epidemiologia 3: 26-39. https://doi.org/10.3390/epidemiologia3010003
    [27] Lee MM, Gensimore MM, Maduro RS, et al. (2021) The impact of burnout on emergency nurses' intent to leave: A cross-sectional survey. J Emerg Nurs 47: 892-901. https://doi.org/10.1016/j.jen.2021.07.004
    [28] Hämmig O (2018) Explaining burnout and the intention to leave the profession among health professionals–a cross-sectional study in a hospital setting in Switzerland. BMC Health Serv Res 18: 785. https://doi.org/10.1186/s12913-018-3556-1
    [29] Moloney W, Boxall P, Parsons M, et al. (2018) Factors predicting Registered Nurses' intentions to leave their organization and profession: A job demands-resources framework. J Adv Nurs 74: 864-875. https://doi.org/10.1111/jan.13497
    [30] Labrague LJ, De Los Santos JAA, Falguera CC, et al. (2020) Predictors of nurses' turnover intention at one and five years' time. Int Nurs Rev 67: 191-198. https://doi.org/10.1111/inr.12581
    [31] Slater P, Roos M, Eskola S, et al. (2021) Challenging and redesigning a new model to explain intention to leave nursing. Scan J Car Sci 35: 626-635. https://doi.org/10.1111/scs.12884
    [32] Bratt C, Gautun H (2018) Should I stay, or should I go? Nurses' wishes to leave nursing homes and home nursing. J Nurs Manag 26: 1074-1082. https://doi.org/10.1111/jonm.12639
    [33] Zhang Y, Wu J, Fang Z, et al. (2017) Newly graduated nurses' intention to leave in their first year of practice in Shanghai: A longitudinal study. Nurs Outlook 65: 202-211. https://doi.org/10.1016/j.outlook.2016.10.007
    [34] Bae SH (2023) Comprehensive assessment of factors contributing to the actual turnover of newly licensed registered nurses working in acute care hospitals: A systematic review. BMC Nurs 22: 31. https://doi.org/10.1186/s12912-023-01190-3
    [35] Flinkman M, Isopahkala-Bouret U, Salanterä S (2013) Young registered nurses' intention to leave the profession and professional turnover in early career: A qualitative case study. ISRN Nurs 2013: e.916061. https://doi.org/10.1155/2013/916061
    [36] Mulud ZA, Mohamad N, Rozi HSZA, et al. (2022) The impacts of stress and resilience on intentions to leave the nursing profession among newly graduated nurses. Proceedings 82: 100. https://doi.org/10.3390/proceedings2022082100
    [37] Nayak T, Sahoo CK (2015) Quality of work life and organizational performance. J Health Manag 17: 263-273. https://doi.org/10.1177/0972063415589236
    [38] van Laar D, Edwards JA, Easton S (2007) The work-related quality of life scale for healthcare workers. J Adv Nurs 60: 325-333. https://doi.org/10.1111/j.1365-2648.2007.04409.x
    [39] Holland P, Tham TL, Sheehan C, et al. (2019) The impact of perceived workload on nurse satisfaction with work-life balance and intention to leave the occupation. App Nurs Res 49: 70-76. https://doi.org/10.1016/j.apnr.2019.06.001
    [40] Senek M, Robertson S, King R, et al. (2023) Should I stay or should I go? Why nurses are leaving community nursing in the UK. BMC Health Serv Res 23: 164. https://doi.org/10.1186/s12913-023-09163-7
    [41] Chen YC, Guo YLL, Chin WS, et al. (2019) Patient–nurse ratio is related to nurses' intention to leave their job through mediating factors of burnout and job dissatisfaction. Int J Environ Res Public Health 16: 4801. https://doi.org/10.3390/ijerph16234801
    [42] Labrague LJ, de Los Santos JAA (2021) Fear of Covid-19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag 29: 395-403. https://doi.org/10.1111/jonm.13168
    [43] Chegini Z, Asghari Jafarabadi M, Kakemam E (2019) Occupational stress, quality of working life and turnover intention amongst nurses. Nurs Crit Car 24: 283-289. https://doi.org/10.1111/nicc.12419
    [44] Easton S, Van Laar D (2018) User manual for the Work-Related Quality of Life (WRQoL) Scale: A measure of quality of working life. UK: University of Portsmouth 8-67. https://doi.org/10.17029/EASTON2018
    [45] Creedy DK, Sidebotham M, Gamble J, et al. (2017) Prevalence of burnout, depression, anxiety and stress in Australian midwives: A cross-sectional survey. BMC Pregnancy Childbirth 17: 13. https://doi.org/10.1186/s12884-016-1212-5
    [46] Guttman L (1954) Some necessary conditions for common factor analysis. Psychometrika 19: 149-161. https://doi.org/10.1007/BF02289162
    [47] Kaiser HF (1960) The application of electronic computers to factor analysis. Educ Psychol Meas 20: 141-151. https://doi.org/10.1177/001316446002000116
    [48] Coste J, Bouée S, Ecosse E, et al. (2005) Methodological issues in determining the dimensionality of composite health measures using principal component analysis: Case illustration and suggestions for practice. Qual Life Res 14: 641-654. https://doi.org/10.1007/s11136-004-1260-6
    [49] Osborne JW (2015) Best practices in logistic regression. Los Angeles: Sage 98-99.
    [50] Kim JH (2019) Multicollinearity and misleading statistical results. Korean J Anesthesiology 72: 558-569. https://doi.org/10.4097/kja.19087
    [51] Taylor LM, Eost-Telling CL, Ellerton A (2019) Exploring preceptorship programmes: Implications for future design. J Clin Nur 28: 1164-1173. https://doi.org/10.1111/jocn.14714
    [52] Nursing and Midwifery CouncilPrinciples of preceptorship (2023). Available from: https://www.nmc.org.uk/standards/guidance/preceptorship/
    [53] Barrett R (2020) Changing preceptorship to achieve better quality training and less attrition in newly qualified nurses. Brit J Nurs 29: 706-709. https://doi.org/10.12968/bjon.2020.29.12.706
    [54] Forrest B (2023) Men in nursing; smoke and mirrors. Brit J Nurs 32: 234-234. https://doi.org/10.12968/bjon.2023.32.5.234
    [55] Institute for GovernmentTimeline of UK government coronavirus lockdowns and measures, March 2020 to December 2021 (2022). Available from: https://www.instituteforgovernment.org.uk/data-visualisation/timeline-coronavirus-lockdowns
    [56] Farhadi A, Bagherzadeh R, Moradi A, et al. (2021) The relationship between professional self-concept and work-related quality of life of nurses working in the wards of patients with COVID-19. BMC Nurs 20: 75. https://doi.org/10.1186/s12912-021-00595-2
    [57] Neill RD, McFadden P, Manthorpe J, et al. (2023) Changing responses during the COVID-19 pandemic: a comparison of psychological wellbeing and work-related quality of life of UK health and social care workers. BioMed 3: 369-386. https://doi.org/10.3390/biomed3030030
    [58] MacLochlainn J, Manthorpe J, Mallett J, et al. (2023) The COVID-19 pandemic's impact on UK older people's social workers: A mixed-methods study. Brit J Soc Work 53: 3838-3859. https://doi.org/10.1093/bjsw/bcad139
    [59] UK GovtCOVID-19 response: Living with Covid (2022). Available from: https://www.gov.uk/government/publications/covid-19-response-living-with-covid-19/
    [60] National Council of State Boards of NursingNCSBN research projects significant nursing workforce shortages and crisis, 2023 (2023). Available from: https://www.ncsbn.org/news/ncsbn-research-projects-significant-nursing-workforce-shortages-and-crisis
    [61] Poon Y-SR, Lin YP, Griffiths P, et al. (2022) A global overview of healthcare workers' turnover intention amid COVID-19 pandemic: A systematic review with future directions. Hum Resour Health 20: 70. https://doi.org/10.1186/s12960-022-00764-7
    [62] Payne A, Koen L, Niehaus DJH, et al. (2020) Burnout and job satisfaction of nursing staff in a South African acute mental health setting. S Afr J Psychiat 26: 1454. https://doi.org/10.4102/sajpsychiatry.v26i0.1454
    [63] Al Zamel LG, Lim Abdullah K, Chan CM, et al. (2020) Factors influencing nurses' intention to leave and intention to stay: An integrative review. Home Health Care Manag Prac 32: 218-228. https://doi.org/10.1177/1084822320931363
    [64] Montgomery AP, Azuero A, Patrician PA (2021) Psychometric properties of Copenhagen Burnout Inventory among nurses. Res Nurs Health 44: 308-318. https://doi.org/10.1002/nur.22114
    [65] RCNValuing nursing in the UK (2023). Available from: https://www.rcn.org.uk/Professional-Development/publications/valuing-nursing-in-the-uk-uk-pub-010-695#:~:text=Despite%20public%20support%20for%20the,to%20leave%20the%20profession%20altogether
    [66] Burmeister EA, Kalisch BJ, Xie B, et al. (2019) Determinants of nurse absenteeism and intent to leave: An international study. J Nurs Manag 27: 143-153. https://doi.org/10.1111/jonm.12659
    [67] Senek M, Robertson S, Ryan T, et al. (2020) Determinants of nurse job dissatisfaction-findings from a cross-sectional survey analysis in the UK. BMC Nurs 19: 1-10. https://doi.org/10.1186/s12912-020-00481-3
    [68] Montgomery AP, Azuero A, Baernholdt M, et al. (2021) Nurse burnout predicts self-reported medication administration errors in acute care hospitals. J Healthc Qual 43: 13-23. https://doi.org/10.1097/JHQ.0000000000000274
    [69] Lee YH, Lin MH (2019) Exploring the relationship between burnout and job satisfaction among clinical nurses. Eur Sci J 15: 449-460. http://dx.doi.org/10.19044/esj.2019.v15n3p449
    [70] Catania G, Zanini M, Cremona MA, et al. (2024) Nurses' intention to leave, nurse workload and in-hospital patient mortality in Italy: A descriptive and regression study. Health Policy 143: 105032. https://doi.org/10.1016/j.healthpol.2024.105032
    [71] Dall'Ora C, Ball J, Reinius M, et al. (2020) Burnout in nursing: A theoretical review. Hum Resour Health 18: 41. https://doi.org/10.1186/s12960-020-00469-9
    [72] Church E Nursing UCAS applications fall for third year running (2024). Available from: https://www.nursingtimes.net/news/workforce/nursing-ucas-applications-fall-for-third-year-running-15-02-2024/#:~:text=A%20total%20of%2031%2C100%20people,%2C%20and%208%25%20in%20Scotland
    [73] Labrague LJ, Nwafor CE, Tsaras K (2020) Influence of toxic and transformational leadership practices on nurses' job satisfaction, job stress, absenteeism and turnover intention: A cross-sectional study. J Nurs Manag 28: 1104-1113. https://doi.org/10.1111/jonm.13053
    [74] Gnanapragasam SN, Hodson A, Smith LE, et al. (2021) COVID-19 survey burden for healthcare workers: Literature review and audit. Public Health 206: 94-101. https://doi.org/10.1016/j.puhe.2021.05.006
    [75] Patel SS, Webster RK, Greenberg N, et al. (2020) Research fatigue in COVID-19 pandemic and post-disaster research: Causes, consequences and recommendations. Disaster Prev Manag Int J 29: 445-455. https://doi.org/10.1108/DPM-05-2020-0164
    [76] Bornstein MH, Jager J, Putnick DL (2013) Sampling in developmental science: Situations, shortcomings, solutions, and standards. Dev Res 33: 357-370. https://doi.org/10.1016/j.dr.2013.08.003
    [77] Scriven A, Smith-Ferrier S (2003) The application of online surveys for workplace health research. J R Soc Promot Health 123: 95-101. https://doi.org/10.1177/146642400312300213
    [78] Wise J (2023) Covid-19: WHO declares end of global health emergency. BMJ 381: 1041. https://doi.org/10.1136/bmj.p1041
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