Impact of COVID-19 on paramedicine students: A mixed methods study

•Viral epidemics have negative and sometimes extreme impacts on psychological well-being, particularly in health care workers.•Most students reported above normal anxiety levels; and Better coping mechanisms appear to link with lower anxiety.•Learning, financial and social support, and a range of positive coping strategies, have led to better adaptation. Viral epidemics have negative and sometimes extreme impacts on psychological well-being, particularly in health care workers. Studies have reported higher levels of depression, anxiety, insomnia, stress, distress, fear, burnout, and post-traumatic symptoms. This research aimed to explore the psychological impacts of COVID 19 on paramedicine students. A convergent mixed method design study was undertaken using self-reporting instruments and qualitative interviews. Responses were received from 151 students (38.3% responses rate). Most students experienced some level of anxiety (62%), although severe levels were only reported by 6% of respondents. Students had significantly greater odds (OR = 2.05, p = 0.045, 95% CI: 1.02, 4.12) of higher anxiety levels if they were female. Thematic analysis of the interviews largely supported these results, with themes focused on changing approaches to study, financial situation, social support, University adaptation, acceptance and career pathway choice. This study identified and explored the anxiety and coping strategies in an undergraduate paramedicine cohort when faced with a viral epidemic. Although most of the responding paramedic students reported above normal levels of anxiety in the initial stages of the COVID-19 outbreak, many students, with the help of learning, financial and social support, and a range of positive coping strategies, have adapted well to the impact of the pandemic and associated lockdown period.