ABSTRACT 899

Background and aims: A growing body of research exploring staff wellbeing suggests that staff who work in paediatric intensive care units (PICU) are at risk of burnout and associated psychiatric morbidity. This paper reports the findings of a comprehensive review on all papers exploring paediatric critical care staff wellbeing and challenges the generalisation that the work is damaging, proposing that there is potential for both risk and growth. Aims: A comprehensive literature review of PICU staff wellbeing. Methods: Electronic searches of Medline, Cinahl, Scopus, Psychinfo and critical care journals were conducted. Papers were screened using inclusion and exclusion criteria. Information about the study population, design, methods and results were then tabled from each paper and the quality of methodology was critiqued. Results: 55 papers were identified as exploring a component of staff wellbeing in paediatric critical care. Majority of articles blend staff populations with few using standardised measures for burnout. The research tends to have a singular psychosocial or physical work characteristic focus, examined only one or two disciplines (primarily nursing) to the exclusion of the multidisciplinary team and the broader context of the PICU environment and lives of individuals. Conclusions: Evidence of long term outcomes for staff working in the PICU remains limited. A broader understanding of the experiences of the multidisciplinary staff working in the PICU is required. Despite two decades of recommendations of education and interventions being crucial to PICU staff wellbeing few Units have formalised support structure in place