Table 10. Undesirable changes for healthcare staff identified in included studies.

Change category	Sub-category	Study ID(s)
Short-term emotional change for healthcare workers	Feeling embarrassed when being delivered feedback from tutors	41
	Feelings of envy and stress when not rewarded with positive feedback	55
	Feelings of guilt after accepting a gift	35
	Feelings of tension and pressure to meet philanthropic service user expectations	66