Scoping review explores factors influencing nursing students' career decisions after the COVID-19 pandemic, highlighting resilience and strategies for improvement.
BACKGROUND: The COVID-19 pandemic disrupted nursing education worldwide, limiting clinical learning opportunities and increasing psychological stress. These challenges forced nursing students to make career decisions in uncertain, risky, and changing social environments. OBJECTIVE: To explore the scope, influencing factors, and strategies related to nursing students' career choices after the pandemic. DESIGN: A scoping review following Arksey and O'Malley's framework. METHODS: Six databases were searched without restrictions on language or publication date. Seventeen studies involving 5167 nursing students from Asia, Europe, and the Middle East were included. Data were analyzed thematically to identify career intentions, influencing factors, and development strategies. RESULTS: Most nursing students intended to remain in the profession, although their intentions varied by country and over time. Key positive influences included strengthened professional identity, societal recognition, and supportive learning environments. Negative influences included perceived occupational risk, inadequate compensation, and reduced clinical experience. Recommended strategies included flexible teaching approaches, enhanced clinical preparation, psychological support, and policy measures to improve working conditions and enhance professional image. CONCLUSIONS: Despite these significant challenges, many nursing students showed resilience and a willingness to remain in nursing. Investment in education, mentorship, and workforce policy is vital to sustain the nursing workforce and strengthen healthcare resilience in the face of future crises.
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Chang et al. (2026) studied this question.
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