# Quality of Life in Frontline Health Workers Working at Selected Government Hospitals of Federal Level in Nepal: An Observational Study

## TL;DR

This study found that nearly half of frontline health workers in Nepal's federal hospitals have a low or average quality of life, often linked to stress and depression.

## Contribution

The study provides empirical data on quality of life and mental health among frontline health workers in Nepal's federal hospitals.

## Key findings

- 48.25% of participants reported average or low quality of life.
- 26% of respondents showed depressive symptoms and 59.75% experienced high work-related stress.
- 51.25% of participants reported low self-esteem.

## Abstract

Quality of life is a crucial dimension of overall wellbeing, particularly for frontline health workers whose roles involve high responsibility and exposure to occupational stressors. This study aimed to describe the quality of life and selected related characteristics among frontline health workers in selected federal-level government hospitals in Nepal.

A descriptive, cross-sectional study was conducted among 460 participants selected through systematic random sampling. Data were collected using the WHOQOL-BREF tool for quality of life, the PHQ-9 for depressive symptoms, the Rosenberg Self-Esteem Scale, and a work stress questionnaire. Ethical approval was obtained from the Nepal Health Research Council.

Out of 400 respondents, 189 (48.25%) of frontline health workers reported average or low quality of life. Depressive symptoms were present in 104 (26%) of respondents, 239 (59.75%) experienced high work-related stress, and 205 (51.25%) respondents reported low self-esteem.

The findings indicate that a considerable proportion of frontline health workers experience lower levels of quality of life, with notable burdens of stress and depressive symptoms. Workplace policies focusing on reasonable working hours, adequate staffing, and supportive environments are needed to promote well-being and job satisfaction.