author(s)
Maya M Nair, Pradeep VS and S Sarath

abstract
The COVID-19 pandemic has significantly impacted the mental health of healthcare workers, particularly nurses, due to prolonged exposure to infection risks, increased workloads, and emotional strain. This study assessed the psychosocial impact of the pandemic on 250 nurses across three districts in Kerala, India-Pathanamthitta, Alappuzha, and Kollam. Quantitative data were collected using validated psychometric tools. Results revealed high prevalence of stress, anxiety, depression, insomnia, and burnout, with younger nurses and females experiencing higher levels of psychological distress. Major stressors included fear of infection, inadequate training, long working hours, and lack of institutional support. Protective factors such as resilience, family support, and peer networks emerged as crucial in mitigating psychological harm. The findings underscore the urgent need for targeted mental health interventions and systemic organizational support to safeguard the well-being of healthcare workers during current and future health crises.