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Promoting Staff Resilience in the Pediatric Intensive Care Unit.

K Jane Lee1, Michael L Forbes2, Gloria J Lukasiewicz2

  • 1K. Jane Lee is an associate professor in the Department of Pediatrics and Institute for Health and Society, Medical College of Wisconsin, Milwaukee, Wisconsin. Michael L. Forbes is director of clinical research and outcomes analysis in the Department of Pediatrics, Akron Children's Hospital, Akron, Ohio. Gloria J. Lukasiewicz is an analyst for the Children's Hospital Association, Washington, DC. Trisha Williams is a former clinical research coordinator in the Children's Mercy Hospital and Clinics, Kansas City, Missouri. Anna Sheets is clinical director of the cardiac intensive care unit, Heart Institute, Cincinnati Children's Hospital, Cincinnati, Ohio. Kay Fischer is former director of pediatric critical care services, Children's Hospital of Wisconsin, Milwaukee, Wisconsin. Matthew F. Niedner is an assistant professor in the Department of Pediatrics and Communicable Diseases, School of Medicine, University of Michigan, Ann Arbor, Michigan. kjlee@mcw.edu.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|September 3, 2015
PubMed
Summary

Health care professionals can improve resilience through peer discussions and social interactions. Identifying and promoting underused, impactful resources is key to supporting staff well-being in pediatric intensive care units.

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Area of Science:

  • Healthcare
  • Occupational Health
  • Psychology

Background:

  • Workplace stress negatively impacts healthcare professionals' health and job satisfaction.
  • Resilience is crucial for managing stress, yet interventions to enhance it in healthcare settings are under-researched.
  • Pediatric intensive care units (PICUs) face unique stressors demanding effective resilience strategies.

Purpose of the Study:

  • To assess the availability, use, and effectiveness of resilience-promoting resources in PICUs.
  • To identify a suitable intervention for widespread implementation across multiple PICUs.
  • To understand how resource utilization and impact vary among different staff groups.

Main Methods:

  • A descriptive study surveyed leadership and staff in 20 PICUs.
  • Data collected included resource availability, utilization, perceived impact, resilience scores, and teamwork climate.
  • Surveys were completed by leadership teams and 1066 individual staff members (51% response rate).

Main Results:

  • 1-on-1 peer discussions and informal social interactions were the most used and impactful resources.
  • Highly impactful resources like breaks, post-patient death support, and palliative care support were underused.
  • Resource use and impact varied significantly by profession, individual resilience levels, and unit teamwork climate.

Conclusions:

  • Facilitating peer discussions and social interactions can enhance resilience in healthcare professionals.
  • Targeting underused, high-impact resources can improve staff support.
  • Tailored interventions are needed to address diverse staff needs and improve overall resilience.