The Impact of COVID-19 on the Transition of Newly Qualified Physiotherapists from University to Employment: A Qualitative Study

Authors

  • Mr Garret Tan Student (reader) https://orcid.org/0009-0007-0947-6207
  • Ms Carol Montgomery Lewisham and Greenwich NHS Trust, Adult Physiotherapy, London, United Kingdom,
  • Mr Owen Gustafson Oxford Allied Health Professions Research & Innovation Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom https://orcid.org/0000-0002-5450-3696
  • Ms Sarah Rand UCL, Great Ormond Street Institute of Child Health, London, United Kingdom https://orcid.org/0000-0003-1246-7700
  • Dr Harret Shannon UCL, Great Ormond Street Institute of Child Health, London, United Kingdom

DOI:

https://doi.org/10.18552/ijpblhsc.v13i1.964

Keywords:

COVID-19, Employment, Physiotherapy, Workplace

Abstract

The COVID-19 pandemic significantly impacted university physiotherapy curriculum delivery in the United Kingdom (UK) from 2019 to 2021. Teaching predominantly moved online, with fewer opportunities for practical work. Clinical placements often needed to be re-organised and students’ peer support networks were disrupted. Physiotherapists entering the workforce during the pandemic were equipped with theoretical and clinical skills gained via different means to those qualifying pre-pandemic.

This study aimed to explore the experiences of newly qualified physiotherapists who transitioned from student into the workplace during the COVID-19 pandemic.

A qualitative study was undertaken, using semi-structured on-line interviews via Microsoft Teams. Participants were physiotherapists who graduated from a UK university in 2020 or 2021. They were recruited via social media and professional interest groups, with snowball sampling encouraged. A topic guide was developed in collaboration with a research advisory group. Interviews were video recorded and transcribed verbatim. Coding and thematic analysis was undertaken using NVivo 2020 software.

Ten participants (5 men, 5 women) were recruited and interviewed between May and June 2022. Seven themes were identified: Curriculum and Teaching, Placement Experience, Bridging Programmes, Job Applications, Experience, Work Culture, Personal Life. Physiotherapists reflected on both the positive experiences of transitioning into the workplace during the COVID-19 pandemic, as well as challenges.

The COVID-19 pandemic altered both physiotherapy education and placement opportunities. Some changes had a positive impact on newly qualified physiotherapists. These included flexible, self-directed learning and non-traditional placement and working opportunities. Challenges, such as attaining relevant clinical hours and loss of hands-on practical time, had potential implications on physiotherapists’ confidence to practice autonomously, placing additional responsibility on practice educators. The study is limited by potential selection bias, due to the recruitment method. Further research could compare the challenges experienced with those pre-pandemic; identifying and understanding similarities and differences. Also exploring this topic from other viewpoints, including university tutors, practice educators and patients.

References

Alexander, J., Barcellona, M., McLachlan, S., & Sackley, C. (2019). Technology-enhanced learning in physiotherapy education: Student satisfaction and knowledge acquisition of entry-level students in the United Kingdom. Research in Learning Technology, 27. https://doi.org/10.25304/rlt.v27.2073

Atkins, L., Francis, J., Islam, R., O’Connor, D., Patey, A., Ivers, N., Foy, R., Duncan, E. M., Colquhoun, H., Grimshaw, J. M., Lawton, R., & Michie, S. (2017). A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implementation Science, 12, Article 77. https://doi.org/10.1186/s13012-017-0605-9

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Chesterton, P., Chesterton, J., & Alexanders, J. (2021). New graduate physiotherapists’ perceived preparedness for clinical practice. A cross-sectional survey. European Journal of Physiotherapy, 25(1), 33–42. https://doi.org/10.1080/21679169.2021.1958007

Chesterton, P., Richardson, M., & Tears, C. (2022). Student physiotherapists perceptions of online curriculum delivery during the COVID-19 pandemic. BMC Medical Education, 22, Article 440. https://doi.org/10.1186/s12909-022-03486-5

Duchester, J. E. B. (2009). Transition shock: The initial stage of role adaptation of newly graduated registered nurses. Journal of Advanced Nursing, 65(5), 1103–1113. https://doi.org/10.1111/j.1365-2648.2008.04898.x

Greenberg, N., Docherty, M., Gnanapragasam, S., & Wessely, S. (2020). Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ, 368, m1211. https://doi.org/10.1136/bmj.m1211

Hammarlund, C. S., Nilsson, M. H., & Gummesson, C. (2015). External and internal factors influencing self-directed online learning of physiotherapy undergraduate students in Sweden: a qualitative study. Journal of Educational Evaluation for Health Professions, 12(33). https://doi.org/10.3352/jeehp.2015.12.33

Jager, J., Putnick, D. L., & Bornstein, M. H. (2017). More than Just Convenient: The Scientific Merits of Homogeneous Convenience Samples. Monographs of the Society for Research in Child Development, 82(2), 13-30. DOI: https://doi.org/10.1111/mono.12296

Kenny, A., Dickson-Swift, V., McKenna, L., Charette, M., Rush, K. L., Stacy, G., Darvill, A., Leigh, J., Burton, R., & Phillips, C. (2021). Interventions to support graduate nurse transition to practice and associated outcomes: A systemic review. Nurse Education Today, 100. https://doi.org/10.1016/j.nedt.2021.104860

Mącznik, A. K., Ribeiro, D. C., & Baxter, G. D. (2015). Online technology use in physiotherapy teaching and learning: a systematic review of effectiveness and users’ perceptions. BMC Medical Education, 15, Article 160. https://doi.org/10.1186/s12909-015-0429-8

McEvoy, M., Luker, J., Fryer, C., & Lewis, L. K. (2020). Changes in physiotherapists’ perceptions of evidence-based practice after a year in the workforce: A mixed-methods study. PLoS One, 15(12), e0244190. https://doi.org/10.1371/journal.pone.0244190

Montagna, E., Donohoe, J., Zaia, V., Duggan, E., O’Leary, P., Waddington, J., & O’Tuathaigh, C. (2021). Transition to clinical practice during the COVID-19 pandemic: a qualitative study of young doctors’ experiences in Brazil and Ireland. BMJ Open, 11(9), e053423. https://doi.org/10.1136/bmjopen-2021-053423

Ng, L., Seow, K. C., MacDonald, L., Correia, C., Reubenson, A., Gardner, P., Spence, A. L., Bunzil, S., & Ito Ramos de Oliveira, B. (2021). eLearning in Physical Therapy: Lessons Learned From Transitioning a Professional Education Program to Full eLearning During the COVID-19 Pandemic. Physical Therapy & Rehabilitation Journal, 101(4), pzab082. https://doi.org/10.1093/ptj/pzab082

Phillippi, J., & Lauderdale, J. (2017). A Guide to Field Notes for Qualitative Research: Context and Conversation. Qualitative Health Research, 28(3). https://doi.org/10.1177/1049732317697102

Røe, Y., Rowe, M., Ødegaard, N. B., Sylliaas, H., & Dahl-Michelsen, T. (2019). Learning with technology in physiotherapy education: design, implementation and evaluation of a flipped classroom teaching approach. BMC Medical Education, 19, Article 291. https://doi.org/10.1186/s12909-019-1728-2

Rush, K. L., Adamack, M., Gordon., J., Lily, M., & Janke, R. (2013). Best practices of formal new graduate nurse transition programs: An integrative review. International Journal of Nursing Studies, 50(3), 345–356. https://doi.org/10.1016/j.ijnurstu.2012.06.009

Stoikov, S., Maxwell, L., Butler, J., Shardlow, K., Goodling, M., & Kuys, S. (2022). The transition from physiotherapy student to new graduate: Are they prepared? Physiotherapy Theory and Practice, 38(1), 101–111. https://doi.org/10.1080/09593985.2020.1744206

Tajane, I. A. (2021). Online Learning is Going Viral during COVID-19 Lockdown! What Lessons do We Take to Guide the Future of Physiotherapy Education? A Cross-Sectional Survey from Teachers’ Perspectives. iMedPub Journals, 6(3), 10. http://doi.org/10.13140/RG.2.2.16304.28165

Tan, W. J. G., Cheong, K. K. B, Erasmus, R. T., Kirby, H. R., & Jones, A. (2021). An Exploration of the Impact of the COVID-19 Pandemic on Allied Health Students; Practice Placement Experiences. International Journal of Practice-based Learning in Health and Social Care, 12(1), 38-58. https://doi.org/10.18552/ijpblhsc.v12i1.843

Tandon, P. N. (2020). COVID-19: Impact on health of people & wealth of nations. Indian Journal of Medical Research, 151(2-3), 121-123. https://doi.org/10.4103/ijmr.IJMR_664_20

Tsai, A. C., Kohrt, B. A., Matthews, L. T., Betancourt, T. S., Lee, JY. K., Papachristos, A. V., Weiser, S. D., & Dworkin, S. L. (2016). Promises and pitfalls of data sharing in qualitative research. Social Science & Medicine, 169, 191–198. https://doi.org/10.1016/j.socscimed.2016.08.004

World Health Organization. (2020). Maintaining essential health services: operational guidance for the COVID-19 context: interim guidance, 1 June 2020. https://www.who.int/publications/i/item/WHO-2019-nCoV-essential_health_services-2020.2

Downloads

Published

2025-09-05

How to Cite

Tan, G., Montgomery, C., Gustafson, O., Rand, S., & Shannon, H. (2025). The Impact of COVID-19 on the Transition of Newly Qualified Physiotherapists from University to Employment: A Qualitative Study . International Journal of Practice-Based Learning in Health and Social Care, 13(1), 14–25. https://doi.org/10.18552/ijpblhsc.v13i1.964