Improving Patient & Family-Centred Care in ICU

The ESICM seeks to improve patient and family-centred care in the intensive care environment in partnership with patients, families and multi-professional teams.

To achieve this goal, we are seeking to involve patients and/or their family members in the VITAL project with the support of Intensive Care professionals.

“VITAL” is so named as without the partnership and expertise of ex-patients and their families, we cannot improve practices, tools and guidelines across the speciality to improve the care we deliver.

Further information coming soon

The Hello trial

a Vital group initiative

A cluster randomized controlled trial to incite ICU clinicians to say hello to each other.

The prevalence of burnout among healthcare professionals (HCP) in intensive care units (ICUs) is a significant concern, often associated with various mental health symptoms such as anxiety, depression, moral distress, and post-traumatic stress disorder (PTSD). Addressing burnout among healthcare professionals in the ICU requires a comprehensive approach that encompasses prevention, recognition, reversal, and the cultivation of resilience. Prevention efforts aim to create a supportive work environment and promote individual well-being from the outset, thereby mitigating the risk of burnout. This trial holds the potential to provide valuable insights into effective strategies for addressing burnout in ICU settings, ultimately benefiting both staff and patients.

Effective communication, cohesive teamwork, a supportive ethical climate, and a positive work environment play pivotal roles in mitigating burnout among healthcare professionals. Communication serves as the cornerstone of collaboration within the ICU, facilitating the exchange of vital patient information, coordinating care plans, and fostering mutual understanding among team members.

Burnout among healthcare professionals in intensive care units (ICUs) is a prevalent concern with significant implications for both staff well-being and patient care outcomes. This protocol outlines a cluster randomized controlled trial designed to evaluate the effectiveness of the “Hello Bundle” intervention in reducing burnout among ICU healthcare professionals. The intervention comprises of various components aimed at fostering a positive and supportive work environment, including the distribution of Hello Campaign Posters, Email Reminders, Morning Huddles, Hello Jars, and Lead by Example initiatives. A hello board updated daily will be made available in each ICU. The trial will involve 146 participating centers affiliated with the ESICM, randomly assigned to intervention and control groups. Each center will have to include at least 50 HCP.

Data will be collected from healthcare professionals at baseline, during the intervention period, and at follow-up, focusing on the prevalence of burnout, satisfaction with care, professional’s intent to leave the ICU, and perceptions of the ethical climate. Statistical analysis will compare outcomes between intervention and control groups, aiming to demonstrate a reduction in the prevalence of burnout from 40% to 30% with an intra-class coefficient of 0.3 and a statistical power of 90%. This trial holds the potential to provide valuable insights into effective strategies for addressing burnout in ICU settings, ultimately benefiting both staff and patients.

This trial is designed to promote a positive and friendly atmosphere among ICU colleagues, fostering teamwork and support. It aims at evaluating the effectiveness of the “Hello Bundle” intervention in reducing burnout among healthcare professionals working in intensive care.  By fostering a positive work environment through simple acts of kindness, we aim to improve the well-being of HCP in ICUs worldwide.

Cluster randomized controlled trial.

The aim is to have 200 ICUs participating in the Hello trial, each including 50 Healthcare Providers.

The intervention takes place over a period of 4 weeks, and is planned to begin in mid-October 2024.

There is no financial compensation for participation. Participation in the trial is completely voluntary.

The trial is not collecting any data about patients and family members nor does it collect any sensitive information such as ethnicity, religion, or religiosity.  Ethics committee and appropriate local regulatory approvals must be seeked by the participating investigator.  It is noted that in some countries, IRB or ethical committees may waive the approval since this trial is not collecting any patient data nor any health data records.

IRB approval (France)

click here to view the list of the Steering Committee members

(please check this page regularly for updates)

Élie Azoulay, on behalf of the VITAL group of the European Society of Intensive Care Medicine.
Médecine Intensive et Réanimation, APHP, Hôpital Saint-Louis, Paris-Cité Université
elie.azoulay@aphp.fr

The Hello Trial is registered in the Trials.gov site and its PRS number is NCT06453616

Participate!

Should you wish to participate or if you have any further questions, please do not hesitate to contact: research@esicm.org

Anita BARTH – Guy FRANCOIS