Predictors of Physical and Mental Health in Healthcare Teams Working with COVID-19 patients: a scoping review protocol.

IntroductionAs a result of the current pandemic (COVID-19), many clinical teams are exposed to stressful situations that may lead to physical and mental issues for clinical staff themselves (we exclude the effects of personal infection with the virus). Recent studies suggest some predictors could depend on context, notably country and the type of the health system. Methods and AnalysisThis protocol was follows using the PRISMA-ScR guideline (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews), which was revised and approved by the research team. This study aims to identify factors and evidence of the physical, behavioural and mental consequences of sustained clinical practice in a continuing pandemic. Our research seeks to fill this gap in the literature, and the results may suggest to governments, healthcare authorities and healthcare providers appropriate measures to mitigate risks to healthcare workers during a pandemic response. Dissemination and ethicsThe current research design is based on the use of publicly available information and does not require ethical approval. The findings will be disseminated in conferences. Results will be published and additionally shared with relevant local and national authorities. Strengths and Limitations of the studyThis will be the first scoping review to identify factors and evidence of the physical, behavioural and mental consequences of sustained clinical practice in a continuing pandemic with health impacts for clinical staff. The search strategy includes six electronic databases with peer-reviewed literature, as well as a broad range of grey literature sources. Although this study will not require a quality appraisal, which is consistent with the framework proposed by Arksey and OMalley, the current study will formally assess the studies quality. This scoping review study has been registered with Open Science Framework to enhance its transparency. The search strategy proposed is broad, but the search strategy is limited to articles published in English, Spanish, Portuguese or Italian.