Evidence map›Paper›PMID 40538060›Full record

ArticleThe clinical teacher2025

'Worth … the Nightmares'? A Qualitative Study of Early-Career Healthcare Workers' Wellbeing and Career Decisions After Starting Work During Covid-19.

Megan E L Brown, Bryan Burford, Christopher Price, Yu Fu, Gillian Vance

Abstract read
In one paragraph

Article in The clinical teacher, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Megan E L BrownSchool of Medicine, Newcastle University, Newcastle-Upon-Tyne, UK.ORCID 0000-0002-9334-0922
Bryan BurfordSchool of Medicine, Newcastle University, Newcastle-Upon-Tyne, UK.ORCID 0000-0003-4687-7556
Christopher PricePopulation Health Sciences Institute, Newcastle University, Newcastle-Upon-Tyne, UK.ORCID 0000-0003-3566-3157
Yu FuUniversity of Liverpool, Liverpool, UK.ORCID 0000-0003-4972-0626
Gillian VanceSchool of Medicine, Newcastle University, Newcastle-Upon-Tyne, UK.ORCID 0000-0003-0895-4960

Funding

National Institute of Health Research (NIHR) Applied Research Collaboration (ARC) North East and North Cumbria (NENC)
6 · The paper itself

Abstract

backgroundThe Covid-19 pandemic placed unprecedented pressure on healthcare systems, education and individual professionals-notably, 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-based 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-making.

methodsWe adopted an interpretivist, qualitative approach, and conducted semi-structured 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-19.

findingsOur findings demonstrated the significant impact of the pandemic on wellbeing and career decision-making. 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-evaluating their careers, prioritising roles or teams that offered better support and manageable workloads, or considering leaving healthcare altogether.

conclusionThis study suggests a need for educational policy and practice to consider how workplace experience impacts wellbeing and career decision-making. Beyond indicating the need for further research, this study acts as a critical conversation regarding future workforce planning.

Indexed as

Career ChoiceCOVID-19Health PersonnelNursesAdultFemaleHumansInterviews as TopicMalePandemicsQualitative ResearchSARS-CoV-2WorkplaceCovid‐19medical educationNHSnurseparamedicwellbeingworkforce

Identifiers

PMID40538060
PMCPMC12179490

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.