{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T02:28:13Z","timestamp":1782181693086,"version":"3.54.5"},"reference-count":25,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,5,2]]},"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intensive care unit (ICU) personnel have an elevated prevalence of job-related burn-out and post-traumatic stress disorder, which can ultimately impact patient care. To strengthen healthcare workers\u2019 skills to deal with stressful events, it is important to focus not only on minimising suffering but also on increasing happiness, as this entails many more benefits than simply feeling good. Thus, the purpose of this study was to explore the content of the \u2018good things\u2019 reported by healthcare workers participating in the \u2018Three Good Things\u2019 intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a tertiary care medical centre, a sample of 89 neonatal ICU (NICU) healthcare professionals registered for the online intervention. Of these, 32 individuals eventually participated fully in the 14-day online Three Good Things intervention survey. Daily emails reminded participants to reflect on and respond to the questions: \u201cWhat are the three things that went well today?\u201d and \u201cWhat was your role in bringing them about?\u201d To analyse their responses, we applied a thematic analysis, which was guided by our theoretical understanding of resilience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Involving more than 1300 statements, the Three Good Things responses of the 32 study participants, including registered nurses, physicians and neonatal nurse practitioners, led to the identification of three main themes: (1) having a good day at work; (2) having supportive relationships and (3) making meaningful use of self-determined time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings show the personal and professional relevance of supportive relationships strengthened by clear communication and common activities that foster positive emotions. The Three Good Things exercise acknowledges the importance of self-care in healthcare workers and appears to promote well-being, which might ultimately strengthen resilience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-015826","type":"journal-article","created":{"date-parts":[[2017,6,13]],"date-time":"2017-06-13T20:10:13Z","timestamp":1497384613000},"page":"e015826","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":69,"title":["A qualitative analysis of the Three Good Things intervention in healthcare workers"],"prefix":"10.1136","volume":"7","author":[{"given":"Karin","family":"Rippstein-Leuenberger","sequence":"first","affiliation":[{"name":"Institute of Nursing Science, Department of Public Health, Faculty of Medicine, University of Basel, Basel, Switzerland"},{"name":"Kantonsspital Baselland, Liestal, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Mauthner","sequence":"additional","affiliation":[{"name":"Institute of Nursing Science, Department of Public Health, Faculty of Medicine, University of Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Bryan Sexton","sequence":"additional","affiliation":[{"name":"Duke Patient Safety Center, Duke University Health System, Durham, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rene","family":"Schwendimann","sequence":"additional","affiliation":[{"name":"Institute of Nursing Science, Department of Public Health, Faculty of Medicine, University of Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,6,13]]},"reference":[{"key":"2025121603122696000_7.5.e015826.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.11.009"},{"key":"2025121603122696000_7.5.e015826.2","doi-asserted-by":"publisher","DOI":"10.1097\/MCC.0b013e3282efd28a"},{"key":"2025121603122696000_7.5.e015826.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2600-6"},{"key":"2025121603122696000_7.5.e015826.4","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200606-806OC"},{"key":"2025121603122696000_7.5.e015826.5","unstructured":"Mc Allister M , Lowe JB . 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