has increased tremendously, possibly leaving the worker feeling drained and unable to catch up. due to the stress from the coronavirus many nurses are facing compassion fatigue and burnout. part of burnout is due to a nursing shortage, there are more patients than nurses are used to taking care of at once. increasing workload has made longer shifts for most nurses, lack of enthusiasm, and many have become emotionally drained. in india, during the peak of the second wave of covid-19, a before-after image of an indian doctor named dr. sohil makwana wearing a ppe kit and drenched in sweat after removing the ppe kit went viral internationally. that image represented the condition of all doctors and frontline workers, and it created awareness about how cumbersome for doctors to work for unrealistically long hours inside ppe kits amid the rapid second wave of the coronavirus pandemic. the image clearly resonated with many, as it was retweeted nearly 17,000 times and received more than 132,000 likes. violence against healthcare workers healthcare workers have been subjected to violent crimes, such as assault. hospitals and governments have taken stricter measures to ensure the safety of their staff; however, many healthcare workers still face significant risk of physical injury. because of covid-19, healthcare personnel have experienced over 600 instances of negativity directed towards them in different forms. in pakistan, doctors were attacked by family members of a deceased patient who succumbed to covid-19. residents of a community in bangladesh forced a doctor who was covid-19 positive and his family to leave his home and the area by throwing bricks at their home. ethical decisions the conversation reports that healthcare workers will have to face 'moral injury' for making difficult decisions such as moving a patient off the ventilator or refusing an icu bed due to limited resources. covid-19 has forced healthcare workers to make many difficult ethical decisions. these include concerns for the safety of spreading covid-19 to their families since the risk is higher when they work and care for covid-19 patients, deciding how to distribute limited resources such as ventilators among many patients who all need it, and deciding at what point healthcare workers should stay home instead of continue to go to work if they suspect they might have been exposed to covid-19. two studies have shown that nurses during the pandemic are facing extreme stress. nurses are experiencing one of the highest rates of occupational stress compared to other professions. covid-19 has changed the way nurses care for patients, many patients needed to have virtual appointments rather than face to face care because of nurses caring for patients with covid-19. this also has been shown in several studies that isolation meant that nurses could not go home to their loved ones, making that a virtual experience too. they feared that they would infect their loved ones at home, so many did not see their families for extended periods of time. many nurses stated that they feel unsafe in their work environment, risking their own health, and a lack of support by their organization. impact on staff healthcare worker during the pandemic in chernivtsi, ukraine female staff globally, women make up 70 percent of workers in the health and social sector. women are playing a disproportionate role in responding to the disease, whether that be as front line healthcare workers, careers at home or community leaders and mobilisers. in some countries, covid-19 infections among female health workers are twice that of their male counterparts. women are still paid much less than their male counterparts in almost all countries and hold fewer leadership positions in the health sector. masks and other protective equipment designed and sized for men leave women at greater risk of exposure. during the covid-19 pandemic, rates of burnout are higher in female healthcare workers than male workers. the percentage of females enduring anxiety while working in healthcare if over twice as much as males. female healthcare workers were 55% more likely to report burnout compared to their male coworkers. all staff the pandemic caused the nursing community a lot of stress. a national cross-sectional survey found that “71.4% of doctors and 74.4% of nurses experienced moderate-to-severe perceived stress”. in another covid based study, the nurses all share common themes that include, working over hours, fear of contraction, limited supplies, endless patients, and self-sacrifice. similarly in a cross-sectional survey, the researchers concluded that a high percentage of the resilient nurses surveyed report high-stress levels and/or ptsd symptoms. the survey also identifies eight major themes, “revealed from nurses' free-text responses: (a) working in an isolated environment, (b) ppe shortage and the discomfort of pronged usage, (c) sleep problems, (d) intensity of workload, (e) cultural and language barriers, (f) lack of family support, (g) fear of being infected, and (h) insufficient work experiences with covid-19” a lot of these concerns are a direct result or exacerbated by the covid-19 pandemic. the recent shortage of nurses has caused a nursing burnout which is affecting individuals and their workloads. nurses are having an increase level of stress and mental disorders due to the increase in workload and number of patients they are getting. recommendations world health organization