Mental Health Status and Its Determinants Among Nursing Staff in Saudi Arabia: An Analytical Review
Abstract
Introduction: Nursing is inherently stressful; globally, practitioners report high rates of psychological distress. This review synthesizes literature from 2015–2024 to analyze the prevalence and unique cultural-systemic determinants of mental health issues among Saudi Arabian nursing staff.
Methods: A systematic literature search was conducted across PubMed, Scopus, and regional databases using keywords like "nurse," "burnout," and "Saudi Arabia." Peer-reviewed quantitative and mixed-methods studies focusing on clinical and primary care settings between 2015 and 2024 were included and analyzed for prevalence, associated factors, and professional outcomes.
Results: Elevated mental health symptoms are pervasive among Saudi nurses: anxiety prevalence ranges from 20–60%, depression from 10–55%, and burnout particularly emotional exhaustion reaches 80% in high-acuity settings. Pandemic-related spikes saw stress levels reach 61%. Primary determinants include excessive workloads, staffing shortages, and long night shifts. Sociodemographic factors such as gender and nationality significantly influence outcomes; while some findings vary, elevated distress is notably reported among Saudi nationals and males in certain contexts. High distress levels are directly linked to increased medical errors, absenteeism, and compassion fatigue, ultimately compromising the quality of patient care.
Conclusion: Mental health disorders are widespread among Saudi nurses, driven by workplace pressures and cultural variables. Enhancing workforce well-being requires organizational reforms such as optimized staffing and managerial engagement combined with individual resilience training and accessible counseling to ensure healthcare sustainability.
Full text article
References
Abdoh, D. S., Shahin, M. A., Ali, A. K., Alhejaili, S. M., Kiram, O. M., Abdo, S., & Al, R. (2021). Prevalence and associated factors of stress among primary health care nurses in Saudi Arabia , a multi ‑ center study. Journal of Family Medicine and Primary Care, 6–10. https://doi.org/10.4103/jfmpc.jfmpc
Ahmed, A.-H., Fatimah, A.-O., Abdullah, A.-K., & Ali, A.-K. (2020). Prevalence of burnout syndrome and its related risk factors among physicians working in primary health care centers of the Ministry of Health, Al Ahsa region, Saudi Arabia, 2018–2019. Journal of Family Medicine and Primary Care, 9(2), 571–579.
Alharbi, K. A., Alharbi, A. A., Althunayyan, F. S., Suhaibani, K. A., Alharbi, H. A., Albahouth, I. S., Alyahya, A. O., Alrasheedi, A. A., & Aljurayyed, A. M. (2023). Anxiety and Depression among the Nursing Staff, Saudi Arabia. Global Journal of Health Science, 15(4), 1–49.
Alkubati, S. A., Alsaqri, S. H., Alrubaiee, G. G., Almoliky, M. A., Al-Qalah, T., Pasay-An, E., Almeaibed, H., & Elsayed, S. M. (2025). The influence of anxiety and depression on critical care nurses’ performance: a multicenter correlational study. Australian Critical Care, 38(1), 101064.
Almalki, A. H., Alzahrani, M. S., Alshehri, F. S., Alharbi, A., Alkhudaydi, S. F., Alshahrani, R. S., Alzaidi, A. H., Algarni, M. A., Alsaab, H. O., & Alatawi, Y. (2021). The psychological impact of COVID-19 on healthcare workers in Saudi Arabia: a year later into the pandemic. Frontiers in Psychiatry, 12, 797545.
Alreshidi, S. M., & Rayani, A. M. (2023). Predictors of compassion satisfaction, compassion fatigue, and burnout among nursing professionals in a medical City in Saudi Arabia. Risk Management and Healthcare Policy, 2883–2892.
Altwaijri, Y., Bilal, L., Almeharish, A., BinMuammar, A., DeVol, E., Hyder, S., Naseem, M. T., Alfattani, A., AlShehri, A. A., & Almatrafi, R. (2022). Psychological distress reported by healthcare workers in Saudi Arabia during the COVID-19 pandemic: A cross-sectional study. PloS One, 17(6), e0268976.
Batran, A. (2019). Work related stress among Saudi nurses working in intensive care units. Open Journal of Nursing, 9(11), 1143–1152.
Davies, J., & Yarrow, E. (2025). A narrative review of nursing in Saudi Arabia: prospects for improving social determinants of health for the female workforce. Frontiers in Public Health, 13, 1569440.
Maniea, M., Alsharekh, A., Mazi, A., Alanazi, K., Abdulaziz, M., Albulayhid, A., Saeed, M., & Almutairi, M. (2024). Pevalence and Management of Nurses Burnout in Saudi Arabia : A Systematic Review. Review of Contemporary Philosophy, 23(2), 79–87.
Woo, T., Ho, R., Tang, A., & Tam, W. (2020). Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. Journal of Psychiatric Research, 123, 9–20.
Authors
Copyright (c) 2025 Bashayer Abdullah Radad Alzahrani

This work is licensed under a Creative Commons Attribution 4.0 International License.
