{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T23:09:14Z","timestamp":1793315354444,"version":"4.5.0"},"reference-count":36,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"unspecified","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018565","name":"Birmingham Women's and Children's NHS Foundation Trust","doi-asserted-by":"publisher","award":["37-6-124"],"award-info":[{"award-number":["37-6-124"]}],"id":[{"id":"10.13039\/100018565","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004950","name":"Aston University","doi-asserted-by":"publisher","award":["Sponsored student projects"],"award-info":[{"award-number":["Sponsored student projects"]}],"id":[{"id":"10.13039\/501100004950","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,5,10]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>It is well evidenced that healthcare professionals working in paediatric critical care experience high levels of burn-out, compassion fatigue and moral distress. This worsened during the COVID-19 pandemic. This work examines the nature of challenges to workplace well-being and explores what well-being means to staff. This evidence will inform the development of staff interventions to improve and maintain staff well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Paediatric critical care units in the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>30 nurses and allied health professionals took part in online interviews and were asked about well-being and challenges to well-being. Lived experiences of well-being were analysed using interpretative phenomenological analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Themes generated were as follows: perception of self and identity; relationships and team morale; importance of control and balance and consequences of COVID-19. They focused on the impact of poor well-being on participants\u2019 sense of self; the significance of how or whether they feel able to relate well with their team and senior colleagues; the challenges associated with switching off, feeling unable to separate work from home life and the idealised goal of being able to do just that; and lessons learnt from working through the pandemic, in particular associated with redeployment to adult intensive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings align closely with the self-determination theory which stipulates autonomy, belonging and competence are required for well-being. Participants\u2019 accounts supported existing literature demonstrating the importance of empowering individuals to become self-aware, to be skilled in self-reflection and to be proactive in managing one\u2019s own well-being. Change at the individual and staff group level may be possible with relatively low-intensity intervention, but significant change requires systemic shifts towards the genuine prioritisation of staff well-being as a prerequisite for high-quality patient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-084926","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T23:07:44Z","timestamp":1716937664000},"page":"e084926","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Managing well-being in paediatric critical care: a multiperspective qualitative study of nurses\u2019 and allied health professionals\u2019 experiences"],"prefix":"10.1136","volume":"14","author":[{"given":"Esra","family":"Yeter","sequence":"first","affiliation":[{"name":"College of Health & Life Sciences, Aston University, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harmeet","family":"Bhamra","sequence":"additional","affiliation":[{"name":"College of Health & Life Sciences, Aston University, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2915-8269","authenticated-orcid":false,"given":"Isabelle","family":"Butcher","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Oxford University, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Morrison","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1133-157X","authenticated-orcid":false,"given":"Peter","family":"Donnelly","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care Unit, Royal Hospital for Children, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0438-7666","authenticated-orcid":false,"given":"Rachel","family":"Shaw","sequence":"additional","affiliation":[{"name":"Institute of Health & Neurodevelopment, Aston University, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"key":"2025121511472774000_14.5.e084926.1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aef273"},{"key":"2025121511472774000_14.5.e084926.2","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1177\/1744987115584521","article-title":"Symptoms of Posttraumatic stress disorder, anxiety and depression among Czech critical care and general surgical and medical ward nurses","volume":"20","author":"Day","year":"2015","journal-title":"J Res Nurs"},{"key":"2025121511472774000_14.5.e084926.3","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2019-317439"},{"key":"2025121511472774000_14.5.e084926.4","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1177\/1751143718787753","article-title":"A survey of moral distress in staff working in intensive care in the UK","volume":"20","author":"Colville","year":"2019","journal-title":"J Intensive Care Soc"},{"key":"2025121511472774000_14.5.e084926.5","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2021-005902"},{"key":"2025121511472774000_14.5.e084926.6","unstructured":"Health & Social Care Committee . 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