Mental wellbeing of student paramedics before and after first ambulance placement

Background: Emergency ambulance workers are at risk of poor mental wellbeing. Student paramedics in the UK attend ambulance placements, which expose them to the same stresses; they also have their own stress factors. Little research has explored how these placements affect student mental wellbeing. Aim: This pilot study aims to address this gap into the ways in which students'mental wellbeing may be affected by ambulance placements. Methods: A mixed-method approach, using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), with two questionnaires including wellbeing scores and open questions, was used to collect quantitative and qualitative data on first-year student paramedics before and after their first ambulance placement. Results: Twenty participants were included in the final analysis, three-quarters of whom witnessed at least one traumatic event during their placement. There was a statistically insignificant difference between wellbeing scores before and after the placement. There were five themes: positive learning experience; theory-practice gap; student-mentor relationship; student resilience; and career consolidation. Conclusion: Mental wellbeing did not change significantly after the first ambulance placement. Placement was overall a positive experience that confirmed career choice and narrowed the theory-practice gap. Mentor support was protective during traumatic events. A similar, larger study could track student wellbeing throughout their course and identify factors that may protect or damage wellbeing.