Career commitment and entrenchment among multiprofessional residents during the COVID-19 pandemic

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Abstract
Objective to assess and compare career commitment and entrenchment among multiprofessional residents working in critical care during the COVID-19 pandemic. Method a cross-sectional, descriptive, and analytical study conducted in 2022 with 48 residents from intensive care and emergency/urgent care programs. Data were collected using sociodemographic and career questionnaires, as well as the Career Commitment Scale and the Career Entrenchment Scale, each with 12 items and three domains. Results participants showed moderate overall scores on both scales. Within career commitment, the Identity and Planning domains presented high scores, while Resilience presented a moderate level. For career entrenchment, the domains of Investments and Emotional Costs presented a moderate level, and Limited Alternatives presented a high level. Only the Resilience domain differed between groups, with lower scores among intensive care residents. Conclusion and practical implications working in intensive care, being married, and having pre-existing conditions may be associated with lower resilience and greater career entrenchment. These findings highlight the need for institutional strategies to promote mental health, strengthen resilience, and support career decision-making in emotionally demanding contexts.

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