“…According to the Job Demand Resource Model (JD-R), job demands can lead to negative outcomes like job burnout, activated by an energy depletion process (Weng and Abdullah, 2019 ). Working in highly stressful environments, with few resources and excessive workload and demands, expose PHPs to psychological distress and other psychological symptoms like dreams, nightmares, feelings of helplessness, numbness, guilt, deprivation, depression, anger, anxiety, frequent recollection of events, changes in social, occupational, and family activities, and other symptoms that can be summarized as post-traumatic stress disorder (PTSD) and job burnout (Alizadeh et al, 2020 ; Aminizadeh et al, 2020 ; Delshad et al, 2020 ).…”