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Table 2 Typical words and excerpts from main themes, subthemes

From: Work experiences of healthcare professionals in a shortage context: analysis of open-ended comments in a Swiss cohort (SCOHPICA)

Theme

Sub-theme

Typical words

Typical extract

Education and career path

The training gap

Train, master, degree, course, science, university, bachelor, diploma, apply

“I find the job beautiful and enjoy it. However, university of applied sciences training should prepare better for everyday professional life.”

The need to preserve passion in the Job

Happy, passion, job, enjoy, suit, field, retire, great, team, supervisor

“The passion, I am very enthusiastic about my work and I love the work in itself, however the current conditions make it difficult to enjoy my job.”

Career paths

Year, month, ago, change, job, retire, answer, last, end, leave, retirement, resign

“I have changed jobs since January 2023 because working conditions and values no longer met my expectations. If done 1 year ago, this same questionnaire would have had very different answers.”

A failing system

A context of shortage

Staff, long, treat, know, colleague, healthcare, term, system, disease, person

“The healthcare system is very disrupted. Everywhere there is a lack of staff and the number of patients and their high expectations/demands are constantly increasing.”

The quality of care

Care, quality, money, safety, resident, resource, wrong, ensure, human, achieve

“healthcare workers are asked to do more (care, etc.) but without having the necessary resources, especially human, to achieve this, and this results in less and less quality care.”

A need for wage adjustments

Rate, wage, salary, low, cost, increase, pay, live, value, responsibility, adjustment

“Wages are too low compared to the responsibilities, there is a lack of staff”

Concerns about professionals’ health and the healthcare system

Health, professional, general, impact, insurance, find, exhaustion, important

“We become health professionals for a part of humanity but it is not recognised by decision makers resulting in a loss of meaning.”

An administrative overload

Administrative, report, admin, spend, insurance, treatment, task, bill, patient

“The increasingly significant part of administrative work (including reporting to insurance companies) and the time it takes decreases the time I can spend with patients, decreases my energy and greatly alters my pleasure in practicing my profession.”

Working schedules

Day, hours, night, shift, schedule, holiday, week, weekend, work, overtime

“we work based on irregular schedules 365 days/365, day, night, weekends, holidays. With this working time, it's not possible to be part of society”