TY - JOUR T1 - Perceived sources of occupational burn-out and embitterment among front-line health workers for COVID-19 control in Gyeonggi province, South Korea: a qualitative study JF - Occupational and Environmental Medicine JO - Occup Environ Med SP - 245 LP - 252 DO - 10.1136/oemed-2021-107635 VL - 79 IS - 4 AU - Bee-Ah Kang AU - Sijoung Kwon AU - Myoungsoon You AU - Heeyoung Lee Y1 - 2022/04/01 UR - http://oem.bmj.com/content/79/4/245.abstract N2 - Objectives Front-line health workers (FHWs) for COVID-19 control in South Korea have implemented a labour-intensive contact tracing programme, which places them at high risk for mental health problems. However, a few studies have examined mental health conditions in this population. We employed a qualitative approach to understand the factors perceived as causes of burn-out and embitterment among temporary FHWs to provide recommendations for supporting the workforce.Methods We recruited 20 FHWs to participate in semistructured focus group interviews through purposive sampling. The sample size was determined on the basis of data saturation. We collected data from October to November 2020, audiorecording and transcribing the interviews. Data analysis was conducted manually, applying the principles of grounded theory.Results Five levels of perceived sources of occupational burn-out and embitterment emerged. FHWs showed considerable mistrust of patients and faced ethical dilemmas in accessing and disclosing personal information. Poor collaboration with community health centre workers and interested parties as well as inadequate organisational support aggravated their conditions. Lack of social recognition and employment instability also presented challenges for FHWs’ mental health.Conclusions The current pandemic response system imposes great moral and emotional burdens on the workforce, prompting the need for initiatives to safeguard the values and needs of those who represent the backbone of the system. This study suggests that multilevel strategies, including providing organisational support and establishing contingency plans for workforce management and resource distribution, may improve FHWs’ mental health outcomes as well as the health system for emergency preparedness.Data are available on reasonable request. There is no public access to the datasets generated and analysed in this study to preserve the privacy of the identities of the participants. The data are available from the corresponding author on reasonable request. ER -