This Capstone builds on earlier efforts at OHSU by applying the Institute for Healthcare Improvement’s Joy in Work (JiW) framework to strengthen psychological safety and connection among providers. This third-phase project evaluated two interventions: a weekly gratitude moment and a structured survey on the sign-out process and explored additional themes of contributors and barrier to joy in the PICU. Qualitative data review highlighted four themes: communication challenges, desire for team cohesion, need for safe feedback, and the importance of visible progress. Recommendations include standardizing communication, fostering peer connection, using structured tools like DESC and I-PASS, and co-designing small, visible improvements to sustain engagement.