Almost a third of the nurses in the United States are considering leaving their profession after the COVID-19 pandemic left them overwhelmed and fatigued, according to a survey.

The survey of over 18,000 nurses, conducted in January by AMN Healthcare Services Inc., showed on Monday that 30% of the participants are looking to quit their career, up 7 percentage points over 2021, when the pandemic-triggered wave of resignations began.

The survey also showed that 36% of the nurses plan to continue working in the sector but may change workplaces.

“This really underscores the continued mental health and well-being challenges the nursing workforce experiences post pandemic,” AMN Healthcare CEO Cary Grace told Reuters in an interview.

The survey showed there are various changes needed, with 69% of nurses seeking increased salaries and 63% of them seeking a safer working environment to reduce their stress.

This comes at a time that hospital operator and sector bellwether HCA Healthcare Inc. indicated a recovery in the staffing situation.

While a shortage of staff in hospitals has been an issue for a couple of years, it gained traction globally in late 2021 and hit a peak early last year following a large number of resignations due to burnout.

The staffing crisis drove up costs at hospital operators, while boosting profits at medical staffing providers such as AMN Healthcare.

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