ArticleBMJ open2024
Managing well-being in paediatric critical care: a multiperspective qualitative study of nurses' and allied health professionals' experiences.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed.
- Mental well-being, occupational stress, and caring behaviours among paediatric and psychiatric nurses in Slovenia.BMC nursing · 2026Article
- '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 · 2026Article
- Psychological Impact of COVID-19 on Redeployed Nurses in China: A Cross-Sectional Survey.Nursing open · 2025Article
- Building evidence-based interventions to improve staff well-being in paediatric critical care using the behaviour change wheel.Nursing in critical care · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIt 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. This work examines the nature of challenges to workplace well-being and explores what well-being means to staff. This evidence will inform the development of staff interventions to improve and maintain staff well-being.
designQualitative study.
settingPaediatric critical care units in the UK.
participants30 nurses and allied health professionals took part in online interviews and were asked about well-being and challenges to well-being. Lived experiences of well-being were analysed using interpretative phenomenological analysis.
resultsThemes generated were as follows: perception of self and identity; relationships and team morale; importance of control and balance and consequences of COVID-19. They focused on the impact of poor well-being on participants' sense of self; the significance of how or whether they feel able to relate well with their team and senior colleagues; the challenges associated with switching off, feeling unable to separate work from home life and the idealised goal of being able to do just that; and lessons learnt from working through the pandemic, in particular associated with redeployment to adult intensive care.
conclusionsOur findings align closely with the self-determination theory which stipulates autonomy, belonging and competence are required for well-being. Participants' accounts supported existing literature demonstrating the importance of empowering individuals to become self-aware, to be skilled in self-reflection and to be proactive in managing one's own well-being. Change at the individual and staff group level may be possible with relatively low-intensity intervention, but significant change requires systemic shifts towards the genuine prioritisation of staff well-being as a prerequisite for high-quality patient care.
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Registered trials
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