Safety, quality & education

Implementation of hot debriefing in intensive care units through in-situ simulation: A controlled before-and-after study of its effect on healthcare providers’ burnout

Anaesth Crit Care Pain MedPublished Controlled before-and-after study

Authors' conclusion

The in-situ simulation program was effective in implementing hot debriefing in the intensive care unit. Despite no change in the overall burnout prevalence, a favorable effect on nurses occurred in the debrief group.

Study context

Population
Healthcare providers in two ICUssurvey completers
Exposure
Hot debriefing implemented through in-situ simulation vs no change
Outcome
Incidence of severe burnout (Maslach Burnout Inventory)
Methodological detailsprospective, bicentric, 16 physicians trained to debrief; 133 professionals participated in the simulation program
  • Prospective
  • Bicentric
  • 16 physicians trained to debrief; 133 professionals participated in the simulation program

Main finding

As reported in the abstract

Severe burnout incidence

Severe burnout incidence

After

  • Debrief vs Control: P = 0.358 — change before vs after between groups

Observational data: associations, not effects.

Further findings

Participation in hot debriefing (Debrief)

Rate increased from 22.2% to 53.7%

Maslach Burnout Inventory (MBI) score and accomplishment component, nurses (subgroup)

Improved in the nurse subgroup of the Debrief group

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Implementation of hot debriefing in intensive care units through in-situ simulation: A controlled before-and-after study of its effect on healthcare providers’ burnout. Anaesth Crit Care Pain Med. Published 14 November 2025. doi:10.1016/j.accpm.2025.101697

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