Results 40 paediatric staff members across all training grades participated in the well-being programme. Staff members provided feedback on the classes via an anonymised questionnaire. 100% of respondents 'strongly agreed' that the sessions improved team morale and bonding. All respondents either 'agreed' or 'strongly agreed' that they found the sessions beneficial. However, half of respondents either 'neither agreed or disagreed' or 'disagreed' that sessions helped reduce burnout. Key limitations of the project included, reduced attendance rate when classes occurred outside of normal working hours and difficulty ensuring consistency of classes (classes were run by trainees and so were dependent on their workload). Conclusions Exercise has a proven benefit in improving wellbeing and work related mental health problems. 4 This quality improvement project has shown a demand for introducing work-based activities and that it is beneficial and well regarded by paediatric staff. However, limitations regarding sustainability of such a programme need to be addressed in order to ensure longevity of the project and further work is needed to address whether this tackles the root cause of burnout.

Nearly three of every five hospitals in the United States have been involved in some form of consolidation during the past 5 years. Within this turbulent hospital merger environment, nurse executives are confronted with organizational, professional, and personal decisions. Stakeholder analysis is offered as one strategy to facilitate effectiveness throughout the hospitals' merger life-cycle.