{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T17:09:37Z","timestamp":1762362577061,"version":"build-2065373602"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"vor","delay-in-days":169,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Clinical Teacher"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Covid\u201019 pandemic placed unprecedented pressure on healthcare systems, education and individual professionals\u2014notably, newly qualified front line nurses and paramedics. While we know wellbeing was negatively affected, qualitative exploration of workplace experiences and how these impact wellbeing and shape career decision making is lacking. This is a critical gap in the literature, given the current healthcare workforce crisis and a need for evidence\u2010based educational reform to better support learners in the workplace. This study explores the experiences of nurses and paramedics during the pandemic and how these influenced wellbeing and career decision\u2010making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We adopted an interpretivist, qualitative approach, and conducted semi\u2010structured interviews with seven newly qualified nurses and two senior paramedics. We utilised reflexive thematic analysis to explore and analyse data, considering the impact of starting work during Covid\u201019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Our findings demonstrated the significant impact of the pandemic on wellbeing and career decision\u2010making. Key issues included a turbulent transition into practice, shaped by increased clinical pressures (including high patient numbers, and workforce shortages) and reduced support at organisational and interpersonal levels. Participants described a shift in career values, with greater emphasis on wellbeing as a determinant for job decisions. Many reported re\u2010evaluating their careers, prioritising roles or teams that offered better support and manageable workloads, or considering leaving healthcare altogether.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study suggests a need for educational policy and practice to consider how workplace experience impacts wellbeing and career decision\u2010making. Beyond indicating the need for further research, this study acts as a critical conversation regarding future workforce planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tct.70120","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T01:55:29Z","timestamp":1750384529000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018Worth \u2026 the Nightmares\u2019? A Qualitative Study of Early\u2010Career Healthcare Workers' Wellbeing and Career Decisions After Starting Work During Covid\u201019"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9334-0922","authenticated-orcid":false,"given":"Megan\u00a0E.\u00a0L.","family":"Brown","sequence":"first","affiliation":[{"name":"School of Medicine Newcastle University  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4687-7556","authenticated-orcid":false,"given":"Bryan","family":"Burford","sequence":"additional","affiliation":[{"name":"School of Medicine Newcastle University  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3566-3157","authenticated-orcid":false,"given":"Christopher","family":"Price","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4972-0626","authenticated-orcid":false,"given":"Yu","family":"Fu","sequence":"additional","affiliation":[{"name":"University of Liverpool  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0895-4960","authenticated-orcid":false,"given":"Gillian","family":"Vance","sequence":"additional","affiliation":[{"name":"School of Medicine Newcastle University  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.7748\/nm.2018.e1643"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2010.12.023"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/apps.12346"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-10070-3"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20032428"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19021004"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-022-00764-7"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/08445621221150946"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12890"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12759"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.teln.2022.10.009"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2021.100996"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2022.105560"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2021.06.006"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijans.2022.100501"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.3928\/00220124-20210514-09"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12718"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-024-00960-7"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102023\u2010074387"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-086314"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2022.2129597"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.4337\/9781788977159.00049"},{"key":"e_1_2_10_25_1","unstructured":"NHS Employers. \u201cNHS Terms and Conditions of Service (Agenda for Change) \u201d2024Accessed September 17 2024.https:\/\/www.nhsemployers.org\/topics\/pay\u2010pensions\u2010and\u2010reward\/nhs\u2010terms\u2010and\u2010conditions\u2010service\u2010agenda\u2010change"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2011.08.003"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2019.04.007"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1108\/JOEPP-07-2014-0039"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12761"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.3928\/00220124-20081001-03"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12326"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.11.009"},{"key":"e_1_2_10_33_1","unstructured":"Office for National Statistics. \u201cIs Hybrid Working Here to Stay? 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