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The impact of positive reinforcement on teamwork climate, resiliency, and burnout during the COVID-19 pandemic: The TEAM-ICU (Transforming Employee Attitudes via Messaging strengthens Interconnection, Communication, and Unity) pilot study
Open accessAbstract
Burnout is an internationally recognized occupational phenomenon that negatively impacts the healthcare workforce and its recipients. The aim of this pilot study was to test whether positive reinforcement and integrating a language of support among co-workers can enhance resiliency, facilitate psychological wellness, and encourage hope. This embedded mixed methods prospective, behavioral, interventional study evaluated the effects of positive feedback on wellness among intensive care unit clinicians during the COVID-19 pandemic in a single center, quaternary care medical center. The deliberate positive feedback paradigm has the potential to augment resiliency and improve attitudes toward a teamwork climate. The routine use of deliberate positivity may represent a scalable, low-cost initiative to enhance wellness in a healthcare organization.
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“interventions that fostered collegiality or respect through daily team huddles13 or formal recognition programs were unlikely to be effective.14-17”
From What do we really know about addressing burnout among healthcare workers? Maybe less than we think (2026) · cites this paper as [17]
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Cited by
Sorted by citations
What do we really know about addressing burnout among healthcare workers? Maybe less than we think
Goetzel, R. Z., Fazen, L. E., Kent, K. B., Roemer, E. C., & Saldanha, I. J. (2026) · Health affairs scholar · doi:10.1093/haschl/qxag041
“14-17 By contrast, programs that fostered more intensive, sustained, and meaningful interpersonal connections horizontally among peers, 18-21 as well as vertically with super-visors, 22 produced more consistent positive effects.”
Metadata
- Authors
- Green, J., Berdahl, C. T., Ye, X., & Wertheimer, J. C.
- Affiliations
- Cedars-Sinai Medical Center (US)
- Corresponding author
- Green, Jack
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2022-06-20
- Volume
- 28
- Issue
- 3
- Pages
- 267-278
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- PMC
- PMC9982400
- OpenAlex
- W4283171625
- Cited by
- 15
- References
- 5
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 1
- FWCI
- 3.44
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- positive reinforcement, positive feedback, teamwork climate, resilience, burnout, intensive care unit clinicians, healthcare workforce, COVID-19 pandemic, psychological well-being, hope, workplace communication
- MeSH terms
- COVID-19, Burnout, Professional, Communication, Humans, Intensive Care Units, Pilot Projects, Prospective Studies, Reinforcement, Psychology, Pandemics
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- CoChat. (2026). Citation check: The impact of positive reinforcement on teamwork climate, resiliency, and burnout during the COVID-19 pandemic: The TEAM-ICU (Transforming Employee Attitudes via Messaging strengthens Interconnection, Communication, and Unity) pilot study. https://app.cochat.ai/papers/10.1177/13591053221103640
- The paper
- Green, J., Berdahl, C. T., Ye, X., & Wertheimer, J. C. (2023). The impact of positive reinforcement on teamwork climate, resiliency, and burnout during the COVID-19 pandemic: The TEAM-ICU (Transforming Employee Attitudes via Messaging strengthens Interconnection, Communication, and Unity) pilot study. Journal of Health Psychology. https://doi.org/10.1177/13591053221103640
