A recent study conducted by researchers from Universidad San Francisco de Quito and Johns Hopkins University has revealed critical insights into the mental health of healthcare providers in Ecuador during the COVID-19 pandemic. Published in journal Disaster Medicine and Public Health Preparedness, this research examines the balance between compassion satisfaction, burnout, and secondary traumatic stress among healthcare professionals working in public institutions across Ecuador, a low-and middle-income country.
The study surveyed 2,873 healthcare providers from 111 public institutions across 23 provinces in Ecuador between February and July 2022. Using the Professional Quality of Life Scale Version-5 (ProQOL V5), researchers assessed self-reported levels of compassion satisfaction, burnout, and secondary traumatic stress. Key findings include high compassion satisfaction (84.9%), moderate burnout (57.1%, higher in the Amazon), and moderate secondary traumatic stress (59.6%), that correlated with burnout levels.
The study also highlighted significant differences based on gender, professional roles, and geographic regions. Male healthcare providers exhibited slightly higher burnout levels than their female counterparts, while physicians reported the highest burnout rates compared to other professions such as nurses and first responders.
“These findings underscore the urgent need for targeted mental health policies and interventions to support healthcare providers in low- and middle-income countries like Ecuador,” said Dr. Michelle Grunauer, lead author. “Despite high levels of compassion satisfaction, many professionals are grappling with moderate burnout and secondary traumatic stress, which can impact both their well-being and the quality of care they provide.”
The research calls for additional studies to explore factors contributing to burnout in resource-constrained settings and emphasizes the importance of developing mental health legislation tailored to the needs of healthcare providers in Ecuador and similar countries.
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About the Journal
Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. DMPHP is an official journal of the Society for Disaster Medicine and Public Health, Inc and is produced by Cambridge University Press.
About the Society
The Society for Disaster Medicine and Public Health, Inc aims to evolve a discipline around disaster medicine and public health. The society's goal is to improve global health security, with the involvement and development of global health professionals and others who are involved in responding to and or managing significant events. The mission of the SDMPH is to advance and promote excellence in education, training and research in disaster medicine and public health for all potential health system responders based on sound educational principles, scientific evidence and best clinical and public health practices.
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Characterizing Mental Health in an LMIC Context: Measuring Compassion Satisfaction, Burnout, and Secondary Traumatic Stress Among Health Care Providers in Ecuador During COVID-19 with the ProQOL V5 Questionnaire
2-May-2025