Evidence map›Paper›PMID 39780506›Full record

ArticleNursing in critical care2025

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

Rachel L Shaw, Isabelle Butcher, Sarah Webb, Heather P Duncan, Rachael Morrison

Abstract read
In one paragraph

Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rachel L ShawInstitute of Health & Neurodevelopment, College of Health & Life Sciences, Aston University, Birmingham, UK.ORCID https://orcid.org/0000-0002-0438-7666
Isabelle ButcherDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0003-2915-8269
Sarah WebbPaediatric Critical Care, Birmingham Children's Hospital, Birmingham, UK.
Heather P DuncanPaediatric Critical Care, Birmingham Children's Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0003-1771-8644
Rachael MorrisonPaediatric Critical Care, Birmingham Children's Hospital, Birmingham, UK.

Funding

Birmingham Women's and Children's NHS Foundation Trust
6 · The paper itself

Abstract

backgroundResearch 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 of how this problem could be addressed.

aimTo develop evidence-based, psychologically informed interventions designed to improve PCC staff well-being that can be feasibility tested on a large scale. STUDY

designThe Behaviour Change Wheel (BCW) framework guided systematic development of the interventions. This process was informed by a review of existing well-being initiatives and a survey of PCC staff's awareness and uptake of initiatives identified.

resultsTogether with empirical evidence, the BCW process produced two bespoke 'SWell' (Staff Wellbeing) interventions tailored for delivery in UK PCC units. The two group-based interventions, Mad-Sad-Glad and Wellbeing Images involve the Behaviour Change Techniques (BCTs) of self-belief, social support, feedback and monitoring. These BCTs align closely with the psychological concepts of self-efficacy, self-regulation and the psychological theory of how to thrive.

conclusionsTailored, evidence-based, psychologically informed SWell (Staff Wellbeing) interventions are likely to be feasible and have the potential of making significant differences to individual staff members and the PCC workforce as a whole. Associated investments in the psychological health of the workforce and time to prioritize well-being interventions are required for change to occur and be maintained. RELEVANCE TO CLINICAL PRACTICE: The SWell (Staff Wellbeing) interventions could impact directly on the well-being of PCC staff and their ability to thrive in the workplace. Indirectly, they could reduce staff attrition, sickness absence and improve patients' and families' experiences of care.

Indexed as

Burnout, ProfessionalCritical CareChildHumansIntensive Care Units, PediatricUnited Kingdomcritical carehealth personnelinterventionpaediatricswell‐being

Identifiers

PMID39780506
PMCPMC12210092

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.