Brief Report| Volume 19, ISSUE 2, 104465, February 2023

Mitigating Burnout in a Team of Pediatric Cardiac Critical Care Advanced Practice Providers: A Team-Building Intervention

Published:November 02, 2022DOI:


      • Advanced practice providers in critical care area are at high risk of experiencing burnout.
      • “What Matters to You” conversations can be used to discover drivers and mitigation strategies for burnout.
      • Team-building events may improve burnout temporarily, but long-term effects may not be sustained.
      • Team agreement documents seem to be a feasible and sustainable way to improve team climate and reduce burnout.


      This quality improvement project used data from individual conversations and group development theory to implement a team-building intervention to mitigate burnout and improve team climate in a group of advanced practice providers. Two validated questionnaires were used to measure the impact of a team-building workshop and the drafting of a team agreement. Results demonstrated significant improvement in team burnout scores immediately post-intervention; however, improvement was not sustained. Anecdotally, the team agreement has successfully improved conflict resolution among group members.


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      Melissa R. Cleveland, DNP, CPNP, is a Nurse Pracitioner at the Department of Pediatric Cardiovascular Surgery, Riley Hospital for Children at IU Health, Indianapolis, IN, and a student at Purdue University School of Nursing, Purdue University, West Lafayette, IN, She can be contacted at [email protected]


      Tina Schade Willis, MD, is a Professor of Clinical Pediatrics in the Department of Pediatric Critical Care, Riley Hospital for Children at IU Health, Indianapolis, IN.


      Jiayun Xu, PhD, RN, is an Assistant Professor at the Purdue University School of Nursing, Purdue University, West Lafayette, IN.


      Gabriela Centers, MD, MSCR, is an Assistant Professor in the Department of Pediatric Critical Care, Riley Hospital for Children at IU Health, Indianapolis, IN.


      Julian Gallegos, PhD, MBA, FNP-BC, is a Clinical Associate Professor at the Purdue University School of Nursing, West Lafayette, IN.