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ToolsShaw, Rachel L., Butcher, Isabelle, 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: | 07 May 2026 14:22 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/102900 |
| DOI: | 10.1111/nicc.13228 |
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