Building evidence‐based interventions to improve staff well‐being in paediatric critical care using the behaviour change wheel

Nursing in Critical Care, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 8, 2025

Abstract Background Research has demonstrated that staff working in Paediatric Critical Care (PCC) experience high levels of burnout, post‐traumatic stress and moral distress. There is very little evidence how this problem could be addressed. Aim To develop evidence‐based, psychologically informed interventions designed to improve PCC well‐being can feasibility tested on a large scale. Study Design The Behaviour Change Wheel (BCW) framework guided systematic development the interventions. This process was by review existing initiatives survey staff's awareness uptake identified. Results Together with empirical evidence, BCW produced two bespoke ‘SWell’ ( S taff Well being) tailored for delivery UK units. group‐based interventions, Mad‐Sad‐Glad Wellbeing Images involve Techniques (BCTs) self‐belief , social support feedback monitoring . These BCTs align closely psychological concepts self‐efficacy, self‐regulation theory thrive. Conclusions Tailored, SWell are likely feasible have potential making significant differences individual members workforce as whole. Associated investments health time prioritize required change occur maintained. Relevance Clinical Practice impact directly their ability thrive workplace. Indirectly, they reduce attrition, sickness absence patients' families' experiences care.

Language: Английский

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Toolkit to promote Paediatric Critical Care staff well-being: a report

Intensive Care Medicine – Paediatric and Neonatal, Journal Year: 2025, Volume and Issue: 3(1)

Published: March 5, 2025

Language: Английский

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Relationship between second victim syndrome and fear of missing out among nurses in Oman: Implications for nursing practice

Nursing in Critical Care, Journal Year: 2025, Volume and Issue: 30(2)

Published: March 1, 2025

Second victim syndrome (SVS) and fear of missing out (FOMO) are two psychological phenomena affecting health care professionals, particularly nurses who involved in adverse patient events. SVS describes the burden experienced by providers safety incidents, such as errors or Concurrently, FOMO is characterized an apprehension on rewarding experiences, often exacerbated social media, which can lead to further emotional distress. This interplay intensify feelings isolation among nurses, especially those high-stress environments like critical care. study examines relationship between Oman. used a cross-sectional design with convenience sampling approach. A total 189 working Oman completed questionnaires consisting scale second experience support survey (SVEST). The data were collected April June 2024. findings revealed that most moderate FOMO, significant differences based age, marital status education level. linear regression analysis indicated positive association higher increased suggesting significantly contributes highlights strain from SVS, guilt self-blame, intensified related professional growth comparison. To enhance nurses' well-being, institutions must implement supportive measures mental resources. Addressing these challenges will ultimately improve both nurse satisfaction outcomes. Understanding has implications for clinical practice worldwide. research inform evidence-based strategies leading improved outcomes reduced burnout rates. Additionally, help develop targeted interventions mitigate effects fostering healthier work environment promoting resilience nursing. By exploring relationships, this aims provide insights into factors contributing facilitating development effective systems promote well-being across diverse settings.

Language: Английский

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Exploring the causes of workplace bullying among nurses in pediatric intensive care units: a qualitative study

BMC Nursing, Journal Year: 2025, Volume and Issue: 24(1)

Published: March 13, 2025

Workplace bullying (WB) is a significant occupational hazard for nurses, especially in high-stress environments such as pediatric intensive care units (PICUs). WB adversely affects nurses' physical and mental health, patient safety, overall quality of care. This study aimed to explore the causes among nurses working PICUs. qualitative used conventional content analysis approach. Eleven from PICUs Children's Medical Center Hospital, affiliated with Tehran University Sciences, participated study. Participants were selected through purposive sampling. Data collected semi-structured face-to-face interviews, continuing until data saturation was achieved. The analyzed using Graneheim Lundman's five-step Lincoln Guba's four criteria—credibility, confirmability, dependability, transferability—were ensure study's rigor. revealed two main categories: [1] "Imposing Stereotypical Atmosphere," which encompasses sub- categories power imbalances, work-related challenges, immature behaviors staff, passive reactions nursing managers; [2] "Victim's Achilles' Heel," emphasizes weaknesses clinical communication skills contributing factors WB. identifies organizational personal Nursing leaders can implement targeted interventions at improving workplace culture, monitoring interpersonal relationships, enhancing skills, promoting staff. These strategies reduce create healthier work environment nurses.

Language: Английский

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Healthcare professional perspective on barriers and facilitators of multidisciplinary team working in acute care setting: a systematic review and meta-synthesis

BMJ Open, Journal Year: 2025, Volume and Issue: 15(3), P. e087268 - e087268

Published: March 1, 2025

A multidisciplinary team is essential to providing high-quality, patient-centred care. However, its effectiveness can be either hindered or facilitated by various factors, such as the need for rapid decision-making, which may compromise patient outcomes despite individual efforts. The aim of this study synthesise factors that act barriers and facilitators work teams in managing labour within acute care settings. systematic qualitative review meta-synthesis was conducted following five-step methodology proposed Sandelowski et al. Three databases (Medline, Embase Scopus) were systematically searched without time restrictions up 25 May 2024. Qualitative studies exploring perspectives, experiences other similar included. These assessed methodological quality using Critical Appraisal Skills Programme. reviewers independently searched, screened coded results included studies. Data synthesised method Thomas Harden. Seventeen meta-synthesis. Four key dimensions emerged, reflecting both performances: (1) organisational variables, (2) (3) collaborative variables (4) role variables. total 36 identified, could function (n=6; eg, high staff turnover), strong listening skills) (n=24; climate), depending on context. This identifies specific both. Understanding these enables targeted interventions enhance performance clinical practice, particularly CRD42022297395.

Language: Английский

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‘SWell’ Staff Wellbeing Interventions in Paediatric Critical Care: A Feasibility Study

Journal of Evaluation in Clinical Practice, Journal Year: 2025, Volume and Issue: 31(3)

Published: April 1, 2025

ABSTRACT Introduction Paediatric Critical Care (PCC) staff experience high levels of stress, distress and burnout. The objective was to test feasibility delivering wellbeing interventions in UK PCC units. Materials Methods method a study Staff Wellbeing using standardized psychological measures. Study Design Participants We conducted multi‐centre (non‐randomised) at 14 units during 2023. Interdisciplinary were recruited through principal investigators (PIs) each site. Data Collection Instruments primary outcome measure tested the Short Warwick Edinburgh Mental Well‐Being Scale. Secondary measures were: Brief Resilience Scale, Hospital Anxiety Depression Scale with acceptability surveys. All completed online Qualtrics. Procedures Two ‘SWell’ tested: Mad‐Sad‐Glad Images Appreciative Inquiry. They low‐intensity, group‐based, structured reflective discussions delivered by PIs. Baseline ( t 0) 596 staff, 264 (43%) immediate post‐intervention 1), 6% 5% 3 2) 6 3) months post‐intervention, respectively. Results 50% n = 14) 104 573 demonstrating delivery feasibility. Wilcoxon signed‐rank tests found that scores depression significantly improved matched pairs 0, 1; 130). ratings indicated for incorporating into everyday practice. Discussion are feasible deliver. Pre/post data collection is possible but significant attrition prohibited long‐term follow‐up. Significant improvements demonstrated appropriateness detect changes wellbeing. Further evaluation work required determine whether positive sustainable longer‐term.

Language: Английский

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‘I would have blamed myself, but coming back, I can see that it wasn’t me’: A qualitative, descriptive phenomenological analysis of doctors’ reflective processes in recovery from burnout and mental crisis

Journal of Health Psychology, Journal Year: 2025, Volume and Issue: unknown

Published: April 14, 2025

Elimination of burnout and work-related mental illness in hospital doctors, at least the short term, is unrealistic. Supporting doctors’ recovery continues to be important. Despite this, aftermath burnout, not well understood. Using a descriptive phenomenological method, we describe experience coming terms with crisis perceived caused or exacerbated by work stress for six senior consultant doctors. Findings show that, crisis, doctors engaged two types reflection: ‘situational sense-making’ make sense their experiences ‘transformative self-reflection’, reflection deeper way on experience, themselves lives. Transformative self-reflection led change some cases growth. Not all transformative self-reflection, process was complicated contextual factors when support from employers as absent, poor acrimonious.

Language: Английский

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The association between the stringency of COVID-19 public health mitigation strategies and pediatric asthma-related hospitalizations in Canada: an ecological study over 2 years

Respiratory Medicine, Journal Year: 2025, Volume and Issue: unknown, P. 108125 - 108125

Published: April 1, 2025

Language: Английский

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Nurse stress and patient safety in the ICU: physician-led observational mixed-methods study

BMJ Open Quality, Journal Year: 2025, Volume and Issue: 14(2), P. e003109 - e003109

Published: April 1, 2025

Introduction Nurses working in intensive care settings are required to maintain constant vigilance, yet they often experience high stress and burnout, which can compromise the quality of patient care. Objectives To identify burnout among nurses, contributing risk factors impact on safety, while providing an opportunity for nurses discuss their work-related challenges. Methods Setting: Observational mixed-methods study done unit (ICU), tertiary teaching hospital, Kerala, India July 2024. Participants: Thirty ICU (all females, mostly aged 25–35 years, >5 years work experience) completed standardised questionnaires levels, workload, satisfaction. From this group, six underwent structured interviews. Purposive sampling was capture diverse roles. Reported safety incident data were collected. Severity stress, satisfaction classified into or low levels based predefined cut-off scores. Results 86.7% reported moderate combined outcomes with 46.7% experiencing stress. Four major themes identified qualitative analysis: attitudes, nurses’ unmet demands aspirations. Positive attitudes passion, motivation empathy. Key stressors included overload, inadequate staffing, logistics, team management support. Coping strategy family-centred. A perceived need a non-punitive, learning-oriented environment fostering culture. Nurses’ facility managerial support better resources, both man machine. Conclusions Despite specific challenges faced by developing countries, upheld positive values. Institutional leadership’s commitment implement culture improve is important. Future research should involve larger multicentre interventional studies.

Language: Английский

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Managing well-being in paediatric critical care: a multiperspective qualitative study of nurses’ and allied health professionals’ experiences

BMJ Open, Journal Year: 2024, Volume and Issue: 14(5), P. e084926 - e084926

Published: May 1, 2024

It is well evidenced that healthcare professionals working in paediatric critical care experience high levels of burn-out, compassion fatigue and moral distress. This worsened during the COVID-19 pandemic. work examines nature challenges to workplace well-being explores what means staff. evidence will inform development staff interventions improve maintain well-being. Qualitative study. Paediatric units UK. 30 nurses allied health took part online interviews were asked about Lived experiences analysed using interpretative phenomenological analysis. Themes generated as follows: perception self identity; relationships team morale; importance control balance consequences COVID-19. They focused on impact poor participants' sense self; significance how or whether they feel able relate with their senior colleagues; associated switching off, feeling unable separate from home life idealised goal being do just that; lessons learnt through pandemic, particular redeployment adult intensive care. Our findings align closely self-determination theory which stipulates autonomy, belonging competence are required for Participants' accounts supported existing literature demonstrating empowering individuals become self-aware, be skilled self-reflection proactive managing one's own Change at individual group level may possible relatively low-intensity intervention, but significant change requires systemic shifts towards genuine prioritisation a prerequisite high-quality patient

Language: Английский

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