Evidence map›Paper›PMID 41732523›Full record

ArticleBJA open2026

Creating a supportive culture: the power of small changes.

Amy Vinson, Rebecca D Margolis

Abstract readEditorial
In one paragraph

Article in BJA open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

2 authors.

Amy VinsonDepartment of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital & Harvard Medical School, Boston, MA, USA.
Rebecca D MargolisDepartment of Anesthesiology, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this editorial, two authors with longstanding expertise in anaesthesiologist well-being offer their response to the manuscript 'A quality improvement initiative to improve operating room well-being: The Microaffirmations in Perioperative Personnel Project (The MAPP Project)' by Kilgallon and colleagues as it pertains to creating a culture of support in anaesthesiology. We outline how team dynamics are at the heart of a highly functioning team and that both microaggressions and microaffirmations can have profound impact on that culture and unit cohesion. The MAPP project offers a unique approach to instilling intentional gratitude practices into a work environment and highlights how these small changes can lead to sustainable and impactful changes to the occupational milieu. Our only suggestion for improvement is the use of the Wellbeing Influencers Survey for Healthcare metric to better show impact for future investigations. Ultimately, the MAPP intervention is low cost and scalable, offering a potential solution to many anaesthetic locations looking to improve overall culture.

Indexed as

Culture of SupportMicroaffirmationsMicroaggressionsWell-beingWorkplace Culture

Identifiers

PMID41732523
PMCPMC12925312

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.