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Shaw, Rachel L., Butcher, Isabelle 
ORCID: https://orcid.org/0000-0003-2915-8269, Webb, Sarah, Duncan, Heather P. and Morrison, Rachael
(2025)
Building evidence‐based interventions to improve staff well‐being in paediatric critical care using the behaviour change wheel.
Nursing in Critical Care, 30 (4).
pp. 1-14.
ISSN 1362-1017
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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.
| Item Type: | Article |
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| Additional Information: | We would like to thank the individuals who took part in the review and survey of well-being initiatives conducted as part of this study and the senior leadership team on that PCC unit. These individuals supported the project from the outset; without their endorsements and contributions this work would not have been possible. Thanks to Omobolanle Balogun who worked as a research assistant on the project and contributed to the review of well-being initiatives and survey. Additional gratitude is extended to the Paediatric Critical Care Society, and specifically membership of the Well-being Special Interest Group who contributed to our work by providing Public and Patient Involvement and Engagement in building the SWell interventions. |
| Uncontrolled Keywords: | critical care,health personnel,intervention,paediatricswell-being,critical care ,/dk/atira/pure/subjectarea/asjc/2900/2906 |
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| Depositing User: | LivePure Connector |
| Date Deposited: | 05 May 2026 10:43 |
| Last Modified: | 18 Jun 2026 20:59 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/102900 |
| DOI: | 10.1111/nicc.13228 |
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