Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic.

Journal Article (Journal Article)


To assess maternal and neonatal healthcare workers (HCWs) perspectives on well-being and patient safety amid the COVID-19 pandemic.

Study design

Anonymous survey of HCW well-being, burnout, and patient safety over the prior conducted in June 2020. Results were analyzed by job position and burnout status.


We analyzed 288 fully completed surveys. In total, 66% of respondents reported symptoms of burnout and 73% felt burnout among their co-workers had significantly increased. Workplace strategies to address HCW well-being were judged by 34% as sufficient. HCWs who were "burned out" reported significantly worse well-being and patient safety attributes. Compared to physicians, nurses reported higher rates of unprofessional behavior (37% vs. 14%, p = 0.027) and difficulty focusing on work (59% vs. 36%, p = 0.013).


Three months into the COVID-19 pandemic, HCW well-being was substantially compromised, with negative ramifications for patient safety.

Full Text

Duke Authors

Cited Authors

  • Haidari, E; Main, EK; Cui, X; Cape, V; Tawfik, DS; Adair, KC; Sexton, BJ; Profit, J

Published Date

  • May 1, 2021

Published In

Volume / Issue

  • 41 / 5

Start / End Page

  • 961 - 969

PubMed ID

  • 33727700

Pubmed Central ID

  • PMC7962434

Electronic International Standard Serial Number (EISSN)

  • 1476-5543

International Standard Serial Number (ISSN)

  • 0743-8346

Digital Object Identifier (DOI)

  • 10.1038/s41372-021-01014-9


  • eng