Evidence map›Paper›PMID 41165789›Full record

Trial reportIntensive care medicine2025

Positive communication for decreasing burnout in intensive-care-unit staff: a cluster-randomized trial.

Élie Azoulay, Sheila N Myatra, Gabriel Heras La Calle, Samir Jaber, Carole Boulanger, Oktay Demirkýran, Maria Theodorakopoulou, José-Artur Paiva, Yaseen M Arabi, Gaston Burghi and 12 more

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Publisher
In one paragraph

Trial report in Intensive care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06453616 (Cluster Randomized Controlled Trial Evaluating the Effectiveness of the "Hello Bundle" Intervention in Reducing Burnout Among ICU Healthcare Professionals), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT06453616 nacompletednot on this map

Cluster Randomized Controlled Trial Evaluating the Effectiveness of the "Hello Bundle" Intervention in Reducing Burnout Among ICU Healthcare Professionals

TypeinterventionalSponsorSaint-Louis Hospital, Paris, FranceRan2024 to 2024Enrolled7,300ConditionsPrevalence of Burn-out Among Intensive Care ProfessionalsArmsHello bundle
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. ICU communication: 'state of the art'.Intensive care medicine · 2026
    Article
  3. Review
  4. The shared injury of critical illness.Intensive care medicine · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

22 authors.

Élie AzoulayMedical Intensive Care Unit Department, AP-HP, Saint-Louis University Hospital, Paris-Cité University, Paris, France. elie.azoulay@aphp.fr.ORCID 0000-0002-8162-1508
Sheila N MyatraDepartment of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute Mumbai, Mumbai, India.
Gabriel Heras La CalleIntensive Care Unit, Hospital Universitario de Jaén, Jaén, Spain.
Samir JaberDepartment of Anesthesia and Intensive Care Unit, Montpellier Regional University Hospital, St-Eloi Hospital, Montpellier University, Montpellier, France.
Carole BoulangerRoyal Devon University NHS Foundation Trust, Barrack Road, Exeter, UK.
Oktay DemirkýranDepartment of Anesthesiology and Intensive Care, Cerrahpaşa School of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
Maria TheodorakopoulouFirst Department of Critical Care and Pulmonary Diseases, Athens Evangelismos General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
José-Artur PaivaIntensive Care Department, Centro Hospitalar Universitario S. Joao, School of Medicine, Porto University, Porto, Portugal.
Yaseen M ArabiIntensive Care Department, King Abdullah International Medical Research Center, King Abdulaziz Medical City, Ministry of National Guard Health - Affairs; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Gaston BurghiIntensive Care Unit, Maciel Hospital, ASSE, Montevideo, Uruguay.
Peter Vernon van HeerdenDepartment of General Intensive Care, Division of Anesthesiology, Critical Care and Pain Medicine, School of Medicine, Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
Abdulrahman Al FaresDepartment of Anesthesia, Critical Care Medicine and Pain Medicine, Al-Amiri Hospital, Ministry of Health, Kuwait, Kuwait.
Nancy Kentish-BarnesMedical Intensive Care Unit Department, AP-HP, Saint-Louis University Hospital, Paris-Cité University, Paris, France.
Maria-Cruz Martin-DelgadoDepartment of Intensive Care Medicine, 12 de Octubre Hospital, Madrid, Spain.
Giovanni MistralettiDipartimento di Fisiopatologia, Medico-Chirurgica e dei Trapianti. A.S.S.T. Ovest Milanese, Università degli Studi di Milano, Ospedale Civile di Legnano, Legnano, MI, Italy.
Guy FrancoisEuropean Society of Intensive Care Medicine, Brussels, Belgium.
Anita BarthEuropean Society of Intensive Care Medicine, Brussels, Belgium.
Jan De WaeleDepartment of Intensive Care Medicine, Ghent University Hospital, Ghent, Belgium.
Tait D ShanafeltDivision of Hematology, Department of Medicine, Stanford University, Palo Alto, CA, USA.
Michael DarmonMedical Intensive Care Unit Department, AP-HP, Saint-Louis University Hospital, Paris-Cité University, Paris, France.
Maurizio CecconiDepartment of Biomedical Sciences, Humanitas University, Via Levi Montalcini, Pieve Emanuele, MI, Italy.
European Society of Intensive Care Medicine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOccupational burnout is common among intensive-care-unit (ICU) staff and adversely affects staff well-being and patient care. We hypothesized that a multicomponent intervention based on organizational support and workplace climate improvement would reduce burnout.

methodsThe 1:1 cluster-randomized Hello trial involved 370 ICUs from sixty countries allocated to either the intervention or usual care. The four-week intervention designed to promote a positive workplace culture and within-team support used posters, email nudges, greetings during morning meetings, role modeling, and positive messages in boxes and on noticeboards. The primary endpoint was burnout prevalence, measured using the Maslach Burnout Inventory. Secondary outcomes included MBI subscale scores, well-being, job satisfaction, ethical climate, intention to leave, work safety, and professional conflicts.

resultsBefore the intervention, burnout prevalence was 59.4% (95% CI, 58.6-60.5), with no difference between arms. After the intervention, 4966 intervention-arm and 4602 control-arm healthcare professionals completed the MBI. Burnout prevalence was significantly lower in the intervention arm relative to controls (52.2% vs. 63.3%; adjusted odds ratio, 0.56; 95%CI 0.46-0.68; P < 0.001). Among MBI sub-scales scores, emotional exhaustion and depersonalization were lower, and personal accomplishment was higher in the intervention arm. Staff in the intervention arm reported better job satisfaction, workplace safety, ethical climate, and patient- and family-centered care; they were less often considering a job change.

conclusionsThe Hello intervention reduced burnout and improved workplace culture among ICU staff. Given the pragmatic design, the intervention tested may have broad applicability.

trial registrationThe trial was registered on ClinicalTrials.gov on June 18, 2024 (NCT06453616).

Indexed as

Burnout, ProfessionalCommunicationHealth PersonnelIntensive Care UnitsAdultFemaleHumansJob SatisfactionMaleMiddle AgedOrganizational CulturePrevalenceWorkplaceConflictsDepersonalizationEmotional exhaustionInternationalMental healthShortage

Identifiers

PMID41165789

What OpenQuestion holds

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Registered trials

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.