Table 2 Themes identified through deductive analysis of the IHI framework

Camaraderie and Teamwork

Importance of building rapport

Good relationships with colleagues

Choice and Autonomy

Flexibility in work schedule

Administrative burden

Technology issues impeding work

Telemedicine

Meaning and Purpose

Ability to mentor other providers

Ability to teach patients about their health

Make a difference in patients’ lives

Pride of serving in the military

Participative Management

Frustrations of not being heard by senior leaders

Not feeling supported by leadership

Physical and Psychological Safety

Staffing issues

Long work hours and fatigue

Barriers to seeking mental healthcare

Recognition and Rewards

Being acknowledged by patients

Not being recognized by leadership or peers

Wellness and Resilience

Ability to have a work life balance

Spend time with family, pets, friends

Ability to take care of physical and nutritional needs

COVID-19

Staffing issues

Burnout

Lack of PPE

Mental toll of patient deaths

Easier work schedule

Importance of human connections