Burnout and Perceived Nursing Competence in the COVID-19 Situation: An Analysis for Developing Preventive Strategies toward Sustainable Development

This descriptive study aimed to examine burnout among professional nurses, assess their perceived competence in nursing practice during the COVID-19 pandemic, and identify strategies for prevention and sustainable workforce development. (SDG 3, SDG 8). The study sample comprised 180 registered nurses working in tertiary government hospitals in Health Region 8 (Udon Thani, Sakon Nakhon, and Nong Bua Lamphu provinces), selected purposively according to predefined criteria. Data were collected between March and May 2025 using a six-part researcher-developed questionnaire covering demographic information, health status, work conditions, mental health, burnout, perceived competence, (SDG 4) and preventive approaches. The instruments demonstrated strong psychometric properties, with a content validity index of 0.86 and a reliability coefficient of 0.95. Data were analyzed using descriptive statistics and qualitative content analysis. Findings revealed that most nurses experienced low overall burnout (54.83%), while 32.32% reported high levels and 12.97% moderate levels. Emotional exhaustion and depersonalization were predominantly low, whereas reduced personal accomplishment was considerably high (78.89%, M = 19.40, SD = 12.59). Key contributing factors included heavy workload, long working hours, risk of infection, and family responsibilities. Conversely, access to protective equipment, adequate staffing, and supportive supervision were identified as protective factors mitigating burnout severity. The study highlights the importance of systemic and organizational interventions to safeguard nurses’ well-being. (SDG 3)Recommended strategies include flexible shift scheduling, improved welfare benefits, and sustained mental health support programs. (SDG 8)Additionally, enhancing peer support, strengthening managerial leadership, and reducing non-essential administrative tasks are critical measures to promote resilience and professional commitment. These findings provide valuable evidence for health policy makers and administrators to design effective workforce strategies, ensure nurse retention, and sustain quality care during crises. By implementing preventive approaches that address both individual and organizational factors, healthcare systems can mitigate burnout, strengthen resilience, and promote sustainable nursing practice. (SDG 3, SDG 8)