Positive communication for decreasing burnout in intensive-care-unit staff: a cluster-randomized trial
Primary result · Burnout prevalenceResult — go to the resultAdjusted odds ratio 0.56 95% CI 0.46–0.68Authors' conclusion
The Hello intervention reduced burnout and improved workplace culture among ICU staff.
Study context
- Population
- Intensive-care-unit (ICU) staff (healthcare professionals) in 370 ICUs from 60 countries370 ICUs
- Participants
- 4,966 vs 4,602
- Comparison
- Multicomponent positive-communication intervention vs usual care
- Interventionn = 4,966
- Usual caren = 4,602reference
- Primary endpoint
- Burnout prevalence (Maslach Burnout Inventory)
Methodological details1:1 cluster-randomized, pragmatic, multicentre (370 ICUs, 60 countries)
- 1:1 cluster-randomized
- Pragmatic
- Multicentre (370 ICUs, 60 countries)
Primary result
Burnout prevalence · after the intervention
Adjusted odds ratio
0.56
95% CI 0.46–0.68
P < 0.001
By group
Intervention vs Usual care
aOR 0.56 (95% CI 0.46–0.68); P < 0.001
As reported in the abstract
Secondary outcomes
Burnout prevalence before the intervention (baseline)
- Overall burnout prevalence, no difference between arms
- 59.4% (95% CI, 58.6-60.5)
MBI subscale scores
- Lower emotional exhaustion and depersonalization, higher personal accomplishment in the intervention arm
Job satisfaction, workplace safety, ethical climate, patient- and family-centered care, intention to leave
- Better job satisfaction, workplace safety, ethical climate and patient- and family-centered care, and less often considering a job change, in the intervention arm
Original publication
Positive communication for decreasing burnout in intensive-care-unit staff: a cluster-randomized trial. Intensive Care Med. Published 30 October 2025. doi:10. 1007/ s00134-025-08134-2
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