Access to personal protective equipment (PPE) (Cai et al, 2020). Due to their direct contact with patients, nurses are particularly vulnerable to the psychological effects of Covid-19. Recent research has found HCWs are at high risk of poor psychological outcomes during Covid-19, including anxiety, depression, substance misuse, stress and insomnia (Dubey et al, 2020; Spoorthy et al, 2020). Vinkers et al (2020) suggested there will be a rise in the severity and incidence of stress-related disorders due to Covid-19, and an increase in symptoms for people already diagnosed with mental health problems, in the general population. HCWs are at especially high risk of burnout due to increased workload and moral injury (when individuals act in a way that violates their ethical principles or moral beliefs due to a lack of choice and control) (Greenberg et al, 2020; Masiero et al, 2020).