**6. Conclusions**

This article shows the need to consider mental health care for the health care community, especially those who have been in the front line, working with confirmed and suspected cases of COVID-19, to avoid possible malpractice, but also the development of post-traumatic stress in both health and non-health care extending also to patients who may need it, especially by multidisciplinary teams and in those at risk of suicide.

Up-to-date, regular, and accurate information is essential both, to reduce the high levels of burnout in physicians and nurses and to avoid the feeling of fear and uncertainty that occurred especially in the first weeks of official coexistence with the virus. Both physicians, and nurses have been the health occupations most affected by burnout, precisely those who are most connected in the detection and treatment of the disease. Attention to symptoms such as insomnia, social isolation, information on self-recognition of stress symptoms [123] would have been essential from an institutional intervention. The guidelines adopted and proposed at international level can serve as a guide for possible outbreaks of coronavirus in the healthcare context. It is essential to anticipate what may happen [56,124–126].

Identifying the lack of means of individual protection and the danger of health workers to be infected, with the depersonalization that health workers present, is one of the main contributions of this study since it justifies and relates these reactions of health workers to the work carried out during the COVID-19 pandemic. Therefore, these aspects, which were not avoided and generated a high stress due to the real possibilities of contagion and death, are closely related to the unwanted attitudes inherent to the state of depersonalization of professionals.

This work has some limitations such as reaching a larger sample. However, it must be taken into account that the applied research was carried out in a context of a high level of difficulty in administering the questionnaire to health professionals—submerged in a situation of work stress not known until now—as well as the need to obtain results at the moment of greatest virulence of the COVID-19 disease, it being appropriate not to miss the opportunity to carry out this study at this historical moment. Likewise, and related to the previous limitation, we find the difficulty of carrying out a sample stratification by territories that would have allowed us to analyze the results according to the health policy implemented in each one of them. It would have been convenient to compare the results with other different questionnaires used to measure the existence and level of burnout in health professionals (for example, GAD-7 or PHQ-9), but due to the time pressure and the impossibility of having access to more health professionals due to the conditions they are experiencing, it was not possible. However, there has been a several number of publications on burnout in health professionals in Spain that used the MBI scale which gives consistency and supports the results of this study [127–129].

**Author Contributions:** Conceptualization, J.Á.M.-L., C.L.-P., J.G.-G.; methodology, J.Á.M.-L., C.L.-P., J.G.G.; validation, J.Á.M.-L., C.L.-P., J.G.-G.; formal analysis, J.Á.M.-L., C.L.-P.; investigation, J.Á.M.-L., C.L.-P., J.G.-G., M.d.M.F.-M.; data curation, J.Á.M.-L., C.L.-P., J.G.-G., M.d.M.F.-M.; writing original draft preparation, J.Á.M.-L., C.L.-P., J.G.-G.; writing, review and editing, J.Á.M.-L., C.L.-P., J.G.-G., M.d.M.F.-M.; supervision, J.Á.M.-L., C.L.-P., J.G.-G., M.d.M.F.-M.; project administration, J.Á.M.-L., C.L.-P., J.G.-G., M.d.M.F.-M. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Acknowledgments:** We would like to thank the health staff very much for having given us their valuable time, especially for the very adverse circumstances they were facing, in order to carry out this research.

**Conflicts of Interest:** The authors declare no conflict of interest.
