Positive communication for decreasing burnout in intensive-care-unit staff: a cluster-randomized trial
Academic Article
Publication Date:
2025
Citation:
Positive communication for decreasing burnout in intensive-care-unit staff: a cluster-randomized trial / E. Azoulay, S.N. Myatra, G. Heras La Calle, S. Jaber, C. Boulanger, O. Demirkyran, M. Theodorakopoulou, J.-. Paiva, Y.M. Arabi, G. Burghi, P.V. Van Heerden, A. Al Fares, N. Kentish-Barnes, M.-. Martin-Delgado, G. Mistraletti, G. Francois, A. Barth, J. De Waele, T.D. Shanafelt, M. Darmon, M. Cecconi, I. Trujillo, M. Noya, N. Saboredo, P. Genta, L. Ferro, I. Aramendi, A. Martins, L. Vasallo, G. Mendez, M. Coirolo, L. Grasiuso, R. Patel, K. Murphy, S. Williams, B. Brooks, D. Kerr, A. Zainab, N. Morgan, I. Al-Sanouri, E. Tresselt, L. Williams, K. Guffey, A. Ingram, P. Turton, M. Davies, L. Wiltshaw, M. Chikungwa, D. Rodwell, J. Mitchell, F. Lamb, S. Mcmullan, L. Halsall, H. Claridge, K. Edwards, D. Byrne, L. Stapleton, H. Mcmillan, R. Fieldhouse, D. Harvey, T. Wright, K. Cann, R. Marshall, R. Nagaraj, L. Kent, N. Balani, H. Byers, S. Finney, R. Magboo, A. Maharajh, S. Hanton, L. Tovey, F. Vasques, G. Hollie, C. Tarni, D. Mcdonald, L. Paton, H. Baker, H. Jones, S. Obiano, A. Jones, J. Bewley, Y. Joshi, D. Mullakudiyil, T. Hassan, T. Gladson, E. Davies, K. Ford, S. Goyal, R. Mullhi, T. Torlinksi, E. Higgs, J. Lonsdale, T. Scott, C. Lacey, A. Peter, A. Ghanem, S. Raza, N. Tarale, A.K. Kumawat, S.K. Garg, E. Bernas, M.A.A. Mohamed, R. Abdelhady, H. Elshekhali, D. Havrychenko, K. Miros, I. Yovenko, O. Sydiuk, O. Khomenko, I. Kuchyn, K. Bielka, M. Isevi, O. Kilic, F. Ulger, O.Y. Colak, H. Polat, K. Uluc, A. Ekici, H. Birbicer, I. Dagdelen, A.B. Ozer, S. Temel, M. Sungur, O. Sahin Nazim, Y. Balik, O. Aygun, A. Capar, S.K. Umut, E. Yalcinkaya, Y. Selcuk, S. Keskin Kayalar, S. Yazir, B. Yildiz Ustun, B. Cakmak, O. Kayhan, O. Demirkiran, N. Tiryakioglu, I. Erus, B. Tavsan, G. Koksal, T. Akin, N. Dogan, I. Demirel, G. Altuntas, E. Inanoglu, D. Tufek Oztan, H. Dogan, M. Ay, A.E. Tike, D. Kayar Calili, A.E. Buyukkasap, K. Dikmen, B. Salman, D. Dolen, S. Banu Akinci, E. Karatas, A. Ozdemirkan Zeliha, H.K. Pampal, M. Yildiz, O. Ozkan Kuscu, N. Kan, D. Sozutek Akkoyun, F. Essafi, D. Sliti, A. Mokline, R. Toumi, M. Boussarsar, S. Ben Dhaou, N. Ben Mrad, D. Magawa, H. Shafii, Y. Yun-Wen, N.-. Chou, H.-. Huang, H.-. Chang, J. Stockmanns, M. Haenggi, S. Klinzing, E.-. Kleinert, S. David, C. Grandjean, M.-. Perez, L. Langlois, H. Wozniak, G. Jegou, G. Sridharan, E. Mateo, A. Huerta, L. Blasco, C. Marchesi, M.A. Pajares, V. Viera, A. Castellanos-Ortega, M. Parrado Aguilar, M. Jimenez-Lopez, D. Gil, A. Pobo, L. Diez Yague, P. Jimeno Cubero, R. Alonso, V. Murga, M. Sanchez Anguita, A. Fernandez Trujillo, R. Gomez Santos, E. Manteiga Riestra, A. Martorell, E. Regidor, L. Perez-Abadin Barro, P.B. Vergara Diaz, E. Cid Delgado, P. Vidal-Cortes, A.R. Alonso, E. Martinez, P. Mancha Parejo, F.L. Perez Caballero, M. Fernandez Laguna, A. Ortega Guerrero, M.D.A. Murillo, F.M. Maria Jesus, M.C. Martin Delgado, R. Sanchez Gomez, A. Santa Cruz Hernando, F. Morales Rodriguez, S. Bescos Vaquero, C. Seron Arbeloa, R. Solano Martinez, M.D. Casado Mansilla, J. Osorio, M. Medina, J. Moises, L. Vidal Tarrason, L. Morales-Quinteros, C. Vazquez, I. Chocron, A. Ruiz Alcampel, A. Jacas Coma, M. Reyes-Vizcarro, T. Purificacion Perez, E. Ferrando Sanchez, A. Ferraroni, O. Rodriguez, I. Jordan, I. Carmona, P. Castro, S. Pilar, M.D. Bosque, A. Macoaga-Balado, F.J. Pilar-Orive, M. Nieto Menendez, L. Lopez Amor, P. Couque, L. Charco, I. Vazquez-Castelos, P. Rama-Maceiras, R. Tshitangano, A. Markota, J. Golenko, S. Verdnik, A. Moller Petrun, D. Ermenyi, N. Milivojevic, S. Lam, M. Dalakoti, P. Ramos, H. Vu Lien, Z. Sanif, H. Ameril, R. Aljishi, S. Alanazi, Y. Arabi, A. Basheer, J. Gano, R. Alshayah, M.G. Jamil, F. Alkhaldi, M. Kabbani, A. Alsaedi, A. Kharaba, S. Fudhyah Saleh, H. Harun, G. Almekhlafi, K. Jalal, A. Abdelmaguid, S. Omer, S. Almazwaghi, K. Belkhouja, V. Saskin, A. Bogdankova, A. Hussain, A. Lazar, J. Szederjesi, A. Colcer, M. Stoian, C. Hentia, O. Bedreag, E. Patrascan
abstract:
PurposeOccupational burnout is common among intensive-care-unit (ICU) staff and adversely affects staff well-being and patient care. We hypothesized that a multicomponent intervention based on organizational support and workplace climate improvement would reduce burnout. MethodsThe 1:1 cluster-randomized Hello trial involved 370 ICUs from sixty countries allocated to either the intervention or usual care. The four-week intervention designed to promote a positive workplace culture and within-team support used posters, email nudges, greetings during morning meetings, role modeling, and positive messages in boxes and on noticeboards. The primary endpoint was burnout prevalence, measured using the Maslach Burnout Inventory. Secondary outcomes included MBI subscale scores, well-being, job satisfaction, ethical climate, intention to leave, work safety, and professional conflicts. ResultsBefore the intervention, burnout prevalence was 59.4% (95% CI, 58.6-60.5), with no difference between arms. After the intervention, 4966 intervention-arm and 4602 control-arm healthcare professionals completed the MBI. Burnout prevalence was significantly lower in the intervention arm relative to controls (52.2% vs. 63.3%; adjusted odds ratio, 0.56; 95%CI 0.46-0.68; P < 0.001). Among MBI sub-scales scores, emotional exhaustion and depersonalization were lower, and personal accomplishment was higher in the intervention arm. Staff in the intervention arm reported better job satisfaction, workplace safety, ethical climate, and patient- and family-centered care; they were less often considering a job change. ConclusionsThe Hello intervention reduced burnout and improved workplace culture among ICU staff. Given the pragmatic design, the intervention tested may have broad applicability. Trial registrationThe trial was registered on ClinicalTrials.gov on June 18, 2024 (NCT06453616).
IRIS type:
01 - Articolo su periodico
Keywords:
mental health; emotional exhaustion; depersonalization; conflicts; international; shortage
List of contributors:
E. Azoulay, S.N. Myatra, G. Heras La Calle, S. Jaber, C. Boulanger, O. Demirkyran, M. Theodorakopoulou, J.-. Paiva, Y.M. Arabi, G. Burghi, P.V. Van Heerden, A. Al Fares, N. Kentish-Barnes, M.-. Martin-Delgado, G. Mistraletti, G. Francois, A. Barth, J. De Waele, T.D. Shanafelt, M. Darmon, M. Cecconi, I. Trujillo, M. Noya, N. Saboredo, P. Genta, L. Ferro, I. Aramendi, A. Martins, L. Vasallo, G. Mendez, M. Coirolo, L. Grasiuso, R. Patel, K. Murphy, S. Williams, B. Brooks, D. Kerr, A. Zainab, N. Morgan, I. Al-Sanouri, E. Tresselt, L. Williams, K. Guffey, A. Ingram, P. Turton, M. Davies, L. Wiltshaw, M. Chikungwa, D. Rodwell, J. Mitchell, F. Lamb, S. Mcmullan, L. Halsall, H. Claridge, K. Edwards, D. Byrne, L. Stapleton, H. Mcmillan, R. Fieldhouse, D. Harvey, T. Wright, K. Cann, R. Marshall, R. Nagaraj, L. Kent, N. Balani, H. Byers, S. Finney, R. Magboo, A. Maharajh, S. Hanton, L. Tovey, F. Vasques, G. Hollie, C. Tarni, D. Mcdonald, L. Paton, H. Baker, H. Jones, S. Obiano, A. Jones, J. Bewley, Y. Joshi, D. Mullakudiyil, T. Hassan, T. Gladson, E. Davies, K. Ford, S. Goyal, R. Mullhi, T. Torlinksi, E. Higgs, J. Lonsdale, T. Scott, C. Lacey, A. Peter, A. Ghanem, S. Raza, N. Tarale, A.K. Kumawat, S.K. Garg, E. Bernas, M.A.A. Mohamed, R. Abdelhady, H. Elshekhali, D. Havrychenko, K. Miros, I. Yovenko, O. Sydiuk, O. Khomenko, I. Kuchyn, K. Bielka, M. Isevi, O. Kilic, F. Ulger, O.Y. Colak, H. Polat, K. Uluc, A. Ekici, H. Birbicer, I. Dagdelen, A.B. Ozer, S. Temel, M. Sungur, O. Sahin Nazim, Y. Balik, O. Aygun, A. Capar, S.K. Umut, E. Yalcinkaya, Y. Selcuk, S. Keskin Kayalar, S. Yazir, B. Yildiz Ustun, B. Cakmak, O. Kayhan, O. Demirkiran, N. Tiryakioglu, I. Erus, B. Tavsan, G. Koksal, T. Akin, N. Dogan, I. Demirel, G. Altuntas, E. Inanoglu, D. Tufek Oztan, H. Dogan, M. Ay, A.E. Tike, D. Kayar Calili, A.E. Buyukkasap, K. Dikmen, B. Salman, D. Dolen, S. Banu Akinci, E. Karatas, A. Ozdemirkan Zeliha, H.K. Pampal, M. Yildiz, O. Ozkan Kuscu, N. Kan, D. Sozutek Akkoyun, F. Essafi, D. Sliti, A. Mokline, R. Toumi, M. Boussarsar, S. Ben Dhaou, N. Ben Mrad, D. Magawa, H. Shafii, Y. Yun-Wen, N.-. Chou, H.-. Huang, H.-. Chang, J. Stockmanns, M. Haenggi, S. Klinzing, E.-. Kleinert, S. David, C. Grandjean, M.-. Perez, L. Langlois, H. Wozniak, G. Jegou, G. Sridharan, E. Mateo, A. Huerta, L. Blasco, C. Marchesi, M.A. Pajares, V. Viera, A. Castellanos-Ortega, M. Parrado Aguilar, M. Jimenez-Lopez, D. Gil, A. Pobo, L. Diez Yague, P. Jimeno Cubero, R. Alonso, V. Murga, M. Sanchez Anguita, A. Fernandez Trujillo, R. Gomez Santos, E. Manteiga Riestra, A. Martorell, E. Regidor, L. Perez-Abadin Barro, P.B. Vergara Diaz, E. Cid Delgado, P. Vidal-Cortes, A.R. Alonso, E. Martinez, P. Mancha Parejo, F.L. Perez Caballero, M. Fernandez Laguna, A. Ortega Guerrero, M.D.A. Murillo, F.M. Maria Jesus, M.C. Martin Delgado, R. Sanchez Gomez, A. Santa Cruz Hernando, F. Morales Rodriguez, S. Bescos Vaquero, C. Seron Arbeloa, R. Solano Martinez, M.D. Casado Mansilla, J. Osorio, M. Medina, J. Moises, L. Vidal Tarrason, L. Morales-Quinteros, C. Vazquez, I. Chocron, A. Ruiz Alcampel, A. Jacas Coma, M. Reyes-Vizcarro, T. Purificacion Perez, E. Ferrando Sanchez, A. Ferraroni, O. Rodriguez, I. Jordan, I. Carmona, P. Castro, S. Pilar, M.D. Bosque, A. Macoaga-Balado, F.J. Pilar-Orive, M. Nieto Menendez, L. Lopez Amor, P. Couque, L. Charco, I. Vazquez-Castelos, P. Rama-Maceiras, R. Tshitangano, A. Markota, J. Golenko, S. Verdnik, A. Moller Petrun, D. Ermenyi, N. Milivojevic, S. Lam, M. Dalakoti, P. Ramos, H. Vu Lien, Z. Sanif, H. Ameril, R. Aljishi, S. Alanazi, Y. Arabi, A. Basheer, J. Gano, R. Alshayah, M.G. Jamil, F. Alkhaldi, M. Kabbani, A. Alsaedi, A. Kharaba, S. Fudhyah Saleh, H. Harun, G. Almekhlafi, K. Jalal, A. Abdelmaguid, S. Omer, S. Almazwaghi, K. Belkhouja, V. Saskin, A. Bogdankova, A. Hussain, A. Lazar, J. Szederjesi, A. Colcer, M. Stoian, C. Hentia, O. Bedreag, E. Patrascanu, A.I. Ristescu, M. Olita, M. Manea, D. Tomescu, B. Serban, I. Stoian, C. Balan, A. Quinones Charriez, A
Link to information sheet: