A Review and meta-analysis in Human Resources for Health quantifies the widespread disruption of health worker education during the early phases of the COVID-19 pandemic and highlights the need for sufficient resources to support learners and faculty.
To our knowledge, this is the largest systematic review and meta-analysis exploring the impact of the pandemic on the education and mental health of health worker learners. The vast amount of data allowed us to perform multiple subgroup analyses and explore the potential differences in training disruption, mental health and perceptions on educational innovations. We included health worker learners from all regions of the world, all occupations, and all levels of training.
Quality assessment revealed mostly observational studies and self-reported outcomes. RCTs were scarce and a considerable subset of them at high risk of bias. Publication bias was also evident in one-fourth of our analyses, leading to potential overestimation of proportions . The above are consistent with the challenge in the education literature, which tends to capture mostly Kirkpatrick Level 1 data [] , instead of objective learning assessments or behavioral changes.
Our systematic review and meta-analysis quantified the widespread disruption of health worker education during the early phases of the COVID-19 pandemic. Clinical training was severely disrupted, with many learners being redeployed and some expressing a need to prolong their training. About one in three learners screened positive for anxiety, depression, burnout or insomnia.
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