In an era marked by an increasing awareness of mental health in high-pressure environments, a groundbreaking initiative known as the Staff Wellbeing (SWell) project has emerged to address the pressing needs of healthcare professionals in pediatric critical care units. Conducted in collaboration with Birmingham Children’s Hospital and NHS England, this innovative initiative seeks to mitigate the overwhelming rates of moral distress, post-traumatic stress disorder (PTSD), and burnout suffered by staff in pediatric critical care (PCC) settings. The SWell project recognizes that while these issues have garnered attention during the COVID-19 pandemic, they have persisted long before this global crisis.
The pivotal component of the SWell project is the development of two simple, easy-to-administer wellbeing sessions tailored specifically for staff working in PCC units across the United Kingdom. Aston University’s researchers, under the leadership of Professor Rachel Shaw, identified the lack of evidence-based interventions designed to enhance the wellbeing of PCC staff. Through meticulous literature review and field assessments, the team uncovered the critical ‘active ingredients’ necessary to create effective interventions that can foster a positive work environment for these healthcare professionals.
Pediatric critical care staff are often at the frontline of some of the most challenging medical scenarios, leading to heightened levels of emotional and psychological strain. Recognizing this urgent need, the SWell team initiated the SWell Collaborative Project aimed at assessing the feasibility and acceptability of implementing wellbeing interventions in PCC units across England and Scotland. Engaging 14 of the 28 UK PCC units, a total of 104 intervention sessions were conducted, attracting a robust participation of 573 healthcare professionals seeking support and connection.
The results of the SWell project have been promising, with both participants and facilitators reporting high levels of satisfaction and feasibility. Feedback indicated that these sessions created a safe space for staff to share their experiences and emotions openly, fostering a unique sense of community and support among colleagues. In an environment where the demands are high, the SWell sessions have emerged as a beacon of hope, shedding light on the importance of mental health amongst healthcare providers.
During the wellbeing interventions, two distinct sessions—‘Wellbeing Images’ and ‘Mad-Sad-Glad’—were implemented. In the Wellbeing Images session, small groups of staff engage in discussions centered around images that represent wellbeing. This facilitated conversation employs appreciative inquiry techniques, which emphasize positive narratives and solutions rather than focusing solely on challenges and shortcomings. The creative structure of these discussions allows participants to forge connections and explore wellbeing from multifaceted perspectives.
Conversely, the Mad-Sad-Glad session provides another reflective opportunity for staff, wherein participants articulate their feelings of anger, sadness, and gladness. This reflective sharing not only validates their experiences but also encourages proactive discussions regarding potential solutions to address challenges faced in their demanding work environment. The structured format of these sessions has proven to be advantageous, establishing a rhythm of interaction that nurtures collective growth and support.
The significance of social support has emerged as a crucial ingredient in the success of the SWell interventions. The sessions provided a psychologically safe environment where staff members could candidly discuss their concerns and feelings without the apprehensions often associated with professional settings. This absence of judgment allowed for an exceptional level of authenticity, fostering trust and understanding amongst colleagues.
However, beyond just emotional support, the interventions also aimed to cultivate self-confidence among participants. By encouraging staff to acknowledge and articulate their emotions, the program empowers them to navigate their experiences more effectively. Enhanced self-belief not only contributes to individual growth but also strengthens the team’s collective resilience.
In addition to monitoring personal feelings, the SWell project emphasized the importance of feedback and reflection. Participants were encouraged to pay attention to stressors and triggers in their environment, fostering mindfulness and adaptability. Understanding what influences their emotional wellbeing enables staff to cultivate proactive strategies, ultimately leading to a more fulfilling work experience.
The feedback received from the sessions has been overwhelmingly positive, leading to high rates of satisfaction and enthusiasm among both facilitators and participants. Staff have reported feeling more connected to their colleagues, positively influencing team dynamics and morale within the intense atmosphere of PCC units. Moreover, these initiatives have sparked a renewed interest in prioritizing wellbeing among healthcare providers, ultimately establishing a framework for ongoing support and development.
The implications of the SWell project extend beyond immediate team interactions. Data suggests that staff wellbeing and depression scores improved following participation in the sessions, indicating a positive effect of these interventions on emotional health. The SWell team anticipates conducting further evaluations to ascertain whether these positive changes can be sustained over time, reinforcing the importance of continual support in maintaining staff wellbeing.
Overall, the SWell project represents a significant stride towards prioritizing mental health within pediatric critical care environments. As healthcare professionals navigate the complexities of their roles, the introduction of evidence-based wellbeing interventions illustrates a progressive shift toward recognizing and addressing the challenges they face. The commitment to staff wellbeing serves not only as a strategy for enhancing individual health but also as a foundation for fostering a healthier work culture within healthcare institutions.
As the initiative unfolds, it offers valuable insights and practical frameworks that other healthcare systems might adopt in their efforts to prioritize the wellbeing of their workforce. The growing body of evidence surrounding staff wellbeing, especially within high-stress fields like pediatric critical care, underscores the necessity of prioritizing mental health as an integral component of comprehensive healthcare delivery.
The dedication of the SWell project team, combined with the enthusiastic response from participating staff, has illuminated a path towards a more supportive, understanding, and resilient healthcare environment—one in which staff wellbeing is seen not just as an initiative, but as an essential component of professional practice.
As we move forward, it is imperative that healthcare organizations continue to explore and implement innovative strategies that support the emotional and mental health of their staff. The lessons learned from the SWell project can serve as a blueprint for creating sustainable, effective interventions, ultimately benefiting not only the individuals involved but also the healthcare system as a whole.
By elevating the discourse around staff wellbeing and fostering a collaborative approach to mental health, we can create a future where healthcare professionals are not only equipped to care for others but are also empowered to care for themselves.
Subject of Research: People
Article Title: Building evidence-based interventions to improve staff well-being in paediatric critical care using the behaviour change wheel
News Publication Date: 8-Jan-2025
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Keywords: Health care, Nursing, Mental health, Stress management, Pediatric critical care.
