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Record W4416896947 · doi:10.1177/00469580251399302

Early Adulthood and Care Giving Professions in the 21st Century: Mental Wellness as an Institutional Priority and Reward Strategy

2025· article· en· W4416896947 on OpenAlexaff
Linda S. Pagani, Nairy Kazandjian, Steve Geoffrion, Tracie A. Barnett

Bibliographic record

VenueINQUIRY The Journal of Health Care Organization Provision and Financing · 2025
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare professionals’ stress and burnout
Canadian institutionsMcGill UniversityUniversité de Montréal
Fundersnot available
KeywordsMental healthWorkforceAttritionDistressHealth careUnintended consequencesResource (disambiguation)BurnoutWorkforce development

Abstract

fetched live from OpenAlex

Globally, health care is presently characterized by profound recruitment/retention difficulties. Its systems are currently experiencing an unprecedented workforce crisis marked by high attrition rates and mental health challenges from recruitment onward. This is especially urgent in professions that risk burnout, such as those that expose workers to secondary trauma and require societally undervalued compassionate labor skills (eg, empathy, meticulousness, patience). While numerous studies have highlighted these risks, fewer have explored how institutional structures can proactively respond to this generational shift. Our goal is to provide integrative position paper that synthesizes key findings on etiological and concomitant factors into a structured framework inspired by self-determination and subjective well-being theories to inform practice, policy, and future research. We integrate scientific evidence to examine key factors behind psychological distress in two-thirds of university students and health care recruits in mostly female professions. Psychological difficulties have associated risks for recruitment/performance/retention of workers. Specific pre-existing individual characteristics must be considered, especially in incoming recruits of this generation. This synthesis proposes mental wellness as a central strategy for recruitment and retention in human resource management. Increased and pre-esisting distress affects worker retention. Individual vulnerabilities such as parenting, smartphone and social media use, loneliness, and pre-existing conditions play a role. Consequently, educational and health care institutions should prioritize strategies that enhance subjective well-being, transparency, and work-life balance. Psychological training focused on self-awareness, character strengths, stress management, and growth-oriented effort-reward dynamics is essential for retaining young health care professionals and ensuring workforce, workplace, and worker sustainability.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.255
Threshold uncertainty score0.997

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0040.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.027
GPT teacher head0.384
Teacher spread0.357 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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Same venueINQUIRY The Journal of Health Care Organization Provision and FinancingSame topicHealthcare professionals’ stress and burnoutFrench-language works237,207