Neuroanaesthesia & neurocritical care
Fostering Resilience: The Role of Team Dynamics in Mitigating Burnout and Enhancing Well-Being in the Neurocritical Care Unit
Authors' conclusion
A participatory, stakeholder-driven quality improvement initiative with multipronged interventions targeting resilience and team dynamics reduced burnout, improved team well-being, and was temporally associated with improved trainee educational performance in high-acuity NCCUs.
Study context
- Population
- Multidisciplinary NCCU staff (fellows, attending physicians, advanced practice providers (APPs), pharmacists, nurses, ancillary staff), Johns Hopkins Hospital and Johns Hopkins Bayview Medical Centeraverage response rate 68%
- Exposure
- Before vs after multipronged resilience-building interventions
- Outcome
- Burnout (Maslach Burnout Inventory) and team dynamics (Team Dynamics Surveys)
- Follow-up
- Baseline, 6 months, 1 year, 2 years
Methodological detailsparticipatory, stakeholder-led, multidisciplinary, 2 centres, Interventions October 2023 to September 2024
- Participatory
- Stakeholder-led
- Multidisciplinary
- 2 centres
- Interventions October 2023 to September 2024
Main finding
As reported in the abstract
Maslach Burnout Inventory scores · Over 2 years
| Group | Value | Depersonalization median (IQR) | Personal accomplishment median (IQR) |
|---|---|---|---|
| Baseline | median 25 (IQR 19–30) | 9 (7-13) | 29 (26-32) |
| 2 years | median 9 (IQR 9–18) | 5 (5-10) | 40 (32-40) |
Value
Baselinemedian 25 (IQR 19–30)
2 yearsmedian 9 (IQR 9–18)
Depersonalization median (IQR)
Baseline9 (7-13)
2 years5 (5-10)
Personal accomplishment median (IQR)
Baseline29 (26-32)
2 years40 (32-40)
- Emotional exhaustion, depersonalization and personal accomplishment all improved
- all p < 0.001
Observational data: associations, not effects.
Further findings
Team Dynamics Survey, all domains
- Sustained improvement in all domains
- all p < 0.001
Mean fellow in-service examination score · April 2024 (pre-intervention) to April 2025, 1-year post-intervention
- Increase
- +14%; p < 0.001
Original publication
Fostering Resilience: The Role of Team Dynamics in Mitigating Burnout and Enhancing Well-Being in the Neurocritical Care Unit. Crit Care Med. Published 12 August 2026. doi:10.
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