| Item type: | Article | ||||
|---|---|---|---|---|---|
| Open Access Type: | No Open Access | ||||
| Journal or Publication Title: | Intensive Care Medicine | ||||
| Publisher: | Springer | ||||
| Volume: | 51 | ||||
| Page Range: | pp. 2031-2041 | ||||
| Date: | 30 October 2025 | ||||
| Institutions: | Medicine > Lehrstuhl für Anästhesiologie | ||||
| Projects (Historical): | European Society of Intensive Care Medicine | ||||
| Identification Number: |
| ||||
| Keywords: | Mental health, Emotional exhaustion, Depersonalization, Conflicts, International, Shortage | ||||
| Dewey Decimal Classification: | 500 Science > 570 Life sciences | ||||
| Status: | Published | ||||
| Refereed: | Yes, this version has been refereed | ||||
| Created at the University of Regensburg: | Partially | ||||
| Item ID: | 78472 |
Abstract
Purpose: 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 ...

Abstract
Purpose:
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 inter‑vention 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 depersonali‑zation 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.
Metadata last modified: 19 Jan 2026 14:38
Altmetric