“…First, compared to prepandemic data, a greater proportion of nurses met the criteria for both anxiety and depression early-pandemic (15% increase versus 10% increase), followed by a slight decline in both mental health outcomes at Time 3. Like many other countries [23] , [24] , [25] , [26] , [27] , Canada experienced COVID-19 shock, due to a suboptimal level of preparedness that resulted in many challenges for healthcare workers, including, but not limited to, significant shortages of personal protective equipment (PPE) [ 1 , 17 , 28 , 29 ], daily or more frequent changes in organizational policies and protocols [ 28 , 30 ], poor workplace safety [ 1 , 2 , 17 ], and tremendous fears of COVID-19 exposure and/or spreading the virus home [ 28 , 31 ]. Emerging pandemic evidence has linked these COVID-19 related challenges to unfavorable mental health outcomes among healthcare workers [ 17 , 29 , 32 ].…”