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Study Aim: The integrated review evaluate the impacts of Covid-19 on nurses’ fatigue and well-being. The significance was to establish how the pandemic rise and spread have impacted nurses' fatigue prevalence and the practical mitigation strategies, both present and in the foreseeable future. Research Methodology: An online search on three databases, Scopus, MEDLINE, and CINAHL, was conducted. An expansion strategy using the keywords fatigue, covid-19, and nurses was used. The inclusion criteria were publications in a nursing journals, the publication year 2020, and the availability or publications written in English language. The GRADE model helped drop the less relevant studies. Findings and Analysis: A total of 47 articles were established. Through the integrated review exclusion criteria, 16 remained as applicable in the analysis. The findings led to the emergence of three key themes, namely (i) rising nursing fatigue levels, (ii) pre-disposition to mental fatigue for nurses with previous mental health complications, and (iii) the need for post-Covid-19 pandemic mental fatigue mitigation strategies. The integrated review implications are the consideration of nurses with pre-existing mental health issues against their deployment as front-line workers. Additionally, the need for long term mental fatigue mitigation strategies is emphasized. Conclusion: The integrated literature review demonstrates the rising cases of nurses' fatigue amidst the Covid-19 pandemic. Although the pandemic has increased fatigue, the causative/trigger factors presided over the pandemic. The solution and mitigation strategies should be long term and focused on the post-pandemic period.

An Investigation of the Impacts of Covid-19 Pandemic Spread on Nurses Fatigue: An Integrated Literature Review