Building evidence-based interventions to improve staff wellbeing in Paediatric Critical Care using the Behaviour Change Wheel

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 of how this problem could be addressed. Aim: To develop evidence-based, psychologically informed interventions designed to improve PCC staff well-being that can be feasibility tested on a large scale. Study Design: The 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. Results: Together 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. Conclusions: Tailored, 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.

Publication DOI: https://doi.org/10.1111/nicc.13228
Divisions: College of Health & Life Sciences > Aston Institute of Health & Neurodevelopment (AIHN)
College of Health & Life Sciences
Aston University (General)
Funding Information: This project was funded by Birmingham Women's and Children's NHS Foundation Trust Paediatric Intensive Care charities (37-6-124).
Additional Information: Copyright © 2025 The Author(s). Nursing in Critical Care published by John Wiley & Sons Ltd on behalf of British Association of Critical Care Nurses. This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium,provided the original work is properly cited.
Uncontrolled Keywords: critical care,health personnel,intervention,paediatrics,well-being
Publication ISSN: 1478-5153
Data Access Statement: Research data are not shared.
Last Modified: 01 Apr 2025 07:11
Date Deposited: 10 Jan 2025 18:23
Full Text Link:
Related URLs: https://onlinel ... 1111/nicc.13228 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2025-01-08
Published Online Date: 2025-01-08
Accepted Date: 2024-11-09
Authors: Shaw, Rachel L. (ORCID Profile 0000-0002-0438-7666)
Butcher, Isabelle
Webb, Sarah
Duncan, Heather P.
Morrison, Rachael

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