{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T15:11:57Z","timestamp":1783350717722,"version":"3.54.6"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T00:00:00Z","timestamp":1680134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Evidence shows paediatric critical care (PCC) nurses display high rates of burnout, moral distress, symptoms associated with post\u2010traumatic stress disorder (PTSD) and poor well\u2010being. The COVID\u201019 pandemic magnified these pressures producing extremely challenging working conditions. The objective was to understand PCC nurses' lived experience of working during COVID\u201019 to determine the impact it had on their well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative design was used with individual, semi\u2010structured online interviews analysed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten nurses from six PCC units in England participated. Five themes were generated: (i)\n                      <jats:italic>Challenges of working in Personal Protective Equipment (PPE)<\/jats:italic>\n                      , (ii)\n                      <jats:italic>Adapting to redeployment to adult intensive care<\/jats:italic>\n                      , (iii)\n                      <jats:italic>Changes to staff working relationships<\/jats:italic>\n                      , (iv)\n                      <jats:italic>Being unable to attain work\u2010life balance<\/jats:italic>\n                      and (v)\n                      <jats:italic>Unprocessed traumatic experiences of working in COVID\u201019<\/jats:italic>\n                      . It was clear COVID\u201019 presented novel challenges to PCC nurses' well\u2010being. With those came enforced changes in practice; some were temporary, for example use of PPE and redeployment, but others provided insight into the prerequisites for good staff well\u2010being, for example strong professional relationships, work\u2013life balance and managing one's psychological health.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings show authentic connections between peers, verbal and non\u2010verbal communication and a sense of belonging were crucial to nurses' well\u2010being. A dent in PCC nurses' perceived competence significantly affected their well\u2010being. Finally, staff need a psychologically safe space to process distress and trauma experienced during COVID\u201019. Future research needs to test evidence\u2010based, theoretically\u2010informed well\u2010being interventions to improve and maintain PCC nurses' well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.12661","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T22:15:55Z","timestamp":1680214555000},"page":"914-929","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["How the\n                    <scp>COVID<\/scp>\n                    \u201019 crisis affected the well\u2010being of nurses working in paediatric critical care: A qualitative study"],"prefix":"10.1111","volume":"28","author":[{"given":"Jackson","family":"Pountney","sequence":"first","affiliation":[{"name":"Institute of Health &amp; Neurodevelopment, College of Health &amp; Life Sciences Aston University Birmingham B4 7ET UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Butcher","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Oxford Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Donnelly","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care Unit Royal Hospital for Children 1345 Govan Road Glasgow G51 4TF UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Morrison","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care Unit Birmingham Children's Hospital Steelhouse Lane Birmingham B4 6NH UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0438-7666","authenticated-orcid":false,"given":"Rachel L.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Institute of Health &amp; Neurodevelopment, College of Health &amp; Life Sciences Aston University Birmingham B4 7ET UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,30]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/02701960.2022.2039132"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12789"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.53841\/bpscpf.2022.1.359.9"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2021-005902"},{"key":"e_1_2_14_6_1","volume-title":"From novice to expert: Excellence and power in clinical nursing practice, commemorative edition","author":"Benner P.","year":"2001"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"issue":"1","key":"e_1_2_14_8_1","first-page":"143","article-title":"Not just big kids: Paediatric intensive care Nurses' experience of working in adult intensive care during the COVID\u201019 pandemic in a UK Hospital","volume":"3","author":"Burnett H.","year":"2020","journal-title":"Journal of Nursing Practice"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-056742"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2020.12.010"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2020.06.012"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2018353"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1751143718787753"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15327965PLI1104_01"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002434"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420\u2010021\u201001670\u20106"},{"issue":"94","key":"e_1_2_14_17_1","article-title":"Impact of SARS\u2010CoV\u20102 (Covid\u201019) on the mental health of healthcare professionals: A systematic review","volume":"23","author":"Garc\u00eda J. 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