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Background: Paediatric critical care (PCC) is a high-pressure working environment. Staff experience high levels of burnout, symptoms of post-traumatic stress, and moral distress. Aim: To understand challenges to workplace well-being in PCC to help inform the development of staff interventions to improve and maintain well-being. Study Design: The Enhanced Critical Incident Technique (ECIT) was used. ECIT encompasses semi-structured interviews and thematic analysis. We identified 'critical incidents', challenges to well-being, categorized them in a meaningful way, and identified factors which helped and hindered in those moments. Fifty-three nurses and doctors from a large UK quaternary PCC unit were consented to take part. Results: Themes generated are: Context of working in PCC, which examined staff's experiences of working in PCC generally and during COVID-19; Patient care and moral distress explored significant challenges to well-being faced by staff caring for increasingly complex and chronically ill patients; Teamwork and leadership demonstrated the importance of team-belonging and clear leadership; Changing workforce explored the impact of staffing shortages and the ageing workforce on well-being; and Satisfying basic human needs, which identified absences in basic requirements of food and rest. Conclusions: Staff's experiential accounts demonstrated a clear need for psychologically informed environments to enable the sharing of vulnerabilities, foster support, and maintain workplace well-being. Themes resonated with the self-determination theory and Maslow's hierarchy of needs, which outline requirements for fulfilment (self-actualization). Relevance to Clinical Practice: Well-being interventions must be informed by psychological theory and evidence. Recommendations are flexible rostering, advanced communication training, psychologically-informed support, supervision/mentoring training, adequate accommodation and hot food. Investment is required to develop successful interventions to improve workplace well-being. [ABSTRACT FROM AUTHOR]

The article informs about the case of British neonatal nurse Lucy Letby, convicted of murdering seven babies and attempting to murder six others, highlighting the subsequent investigations and inquiries into the matter. Topic include the need for a broader inquiry beyond the specific hospital involved to address wider patient safety issues, including leadership, governance, whistleblowing, and fostering a "just culture" in healthcare.

Why you should read this article: • To recognise the importance of seeking the views of children about their experiences of healthcare • To enhance your understanding of children's experiences of staying in hospital from the perspective of children and children's nurses • To consider the improvements in nursing practice that could be made to enhance the care of children in hospital Children should have a voice in relation to all aspects of healthcare as respected and credible service users, a belief endorsed by the United Nations Convention on the Rights of the Child. The children's nurse is the healthcare professional who delivers care most frequently to children in hospital and their families, so is in an optimal position to offer valuable insight into children's experiences of being in hospital. Therefore, it is important to listen to the voices of children and children's nurses in relation to this area. This article is informed by a narrative literature review and study, undertaken by the author as part of her doctoral thesis, which explored children's experiences of staying overnight in hospital from the perspective of children and children's nurses. In this article, the author summarises the main findings from the study and considers the implications for children's nursing practice based on her reflection on these findings. [ABSTRACT FROM AUTHOR]

The fight to get children's nursing established, and subsequent debates over the 'correct' route to becoming a specialist children's nurse, have been controversial topics over the years. [ABSTRACT FROM AUTHOR]

Detective are reviewing the care of 4,000 babies admitted to hospital while Lucy Letby was a neonatal nurse in Chester and Liverpool, as the government orders an inquiry following the nurse's conviction. [ABSTRACT FROM AUTHOR]

In late 2020, the government announced that a new strain of the SARS-CoV-2 virus had been identified in England. [ABSTRACT FROM AUTHOR]

Tackling county lines crime was made a priority by the UK government in 2018. Its Serious Violence Strategy defines county lines as 'gangs and organised criminal networks involved in exporting illegal drugs into one or more importing areas, using dedicated mobile phone lines or other form of "deal line"' (HM Government 2018). The term county line refers to the phone line used to take orders for drugs (National Crime Agency (NCA) 2020). [ABSTRACT FROM AUTHOR]

An audit has revealed a shortage of community children's nurses in acute general children's services and GP practices in the UK. [ABSTRACT FROM AUTHOR]