000163929 001__ 163929
000163929 005__ 20251113160752.0
000163929 0247_ $$2doi$$a10.1007/s00134-025-08134-2
000163929 0248_ $$2sideral$$a146063
000163929 037__ $$aART-2025-146063
000163929 041__ $$aeng
000163929 100__ $$aAzoulay, Élie
000163929 245__ $$aPositive communication for decreasing burnout in intensive-care-unit staff: a cluster-randomized trial
000163929 260__ $$c2025
000163929 5203_ $$aPurpose
Occupational 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.
Methods
The 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.
Results
Before 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.
Conclusions
The Hello intervention reduced burnout and improved workplace culture among ICU staff. Given the pragmatic design, the intervention tested may have broad applicability.
000163929 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000163929 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000163929 700__ $$aMyatra, Sheila N.
000163929 700__ $$aHeras La Calle, Gabriel
000163929 700__ $$aJaber, Samir
000163929 700__ $$aBoulanger, Carole
000163929 700__ $$aDemirkýran, Oktay
000163929 700__ $$aTheodorakopoulou, Maria
000163929 700__ $$aPaiva, José-Artur
000163929 700__ $$aArabi, Yaseen M.
000163929 700__ $$aBurghi, Gaston
000163929 700__ $$avan Heerden, Peter Vernon
000163929 700__ $$aAl Fares, Abdulrahman
000163929 700__ $$aKentish-Barnes, Nancy
000163929 700__ $$aMartin-Delgado, Maria-Cruz
000163929 700__ $$aMistraletti, Giovanni
000163929 700__ $$aFrancois, Guy
000163929 700__ $$aBarth, Anita
000163929 700__ $$aDe Waele, Jan
000163929 700__ $$aShanafelt, Tait D.
000163929 700__ $$aDarmon, Michael
000163929 700__ $$aCecconi, Maurizio et al
000163929 700__ $$0(orcid)0000-0002-8068-5016$$aSerón Arbeloa, Carlos$$uUniversidad de Zaragoza
000163929 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000163929 773__ $$pIntensive care med.$$tINTENSIVE CARE MEDICINE$$x0342-4642
000163929 8564_ $$s2096535$$uhttps://zaguan.unizar.es/record/163929/files/texto_completo.pdf$$yVersión publicada
000163929 8564_ $$s1712929$$uhttps://zaguan.unizar.es/record/163929/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000163929 909CO $$ooai:zaguan.unizar.es:163929$$particulos$$pdriver
000163929 951__ $$a2025-11-13-14:58:02
000163929 980__ $$aARTICLE