ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Pediatric Critical Care
Volume 13 - 2025 | doi: 10.3389/fped.2025.1535459
This article is part of the Research TopicAdvances in Pediatric Rehabilitation Clinical Trials: Design, Methods, and AnalysisView all 9 articles
Early pulmonary rehabilitation recommended decision-making behavior experience among pediatric intensive care unit (PICU) medical staff: a qualitative study
Provisionally accepted
- 1Nanjing Children's Hospital, Nanjing, China
- 2Nanjing Medical University, Nanjing, Jiangsu Province, China
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Background: To understand the reasons for hindering and promoting the recommended decision-making behaviors for early pulmonary rehabilitation of PICU medical staff, and to provide a basis for developing corresponding management plans.: Based on the Capability, Opportunity, Motivation-Behavior (COM-B) model and Theoretical Domains Framework (TDF), interview outlines were developed. A descriptive qualitative research method was used, and a purposive sampling method was employed to select medical staff from the intensive care unit of a tertiary children's hospital in Nanjing from September to December 2023 for semi-structured interviews. The interview data were coded using the COM-B and TDF frameworks, and analyzed, summarized, and refined using the Colaizzi 7-step method to extract themes. Results: Four main themes and 13 sub-themes were extracted, including the need for pulmonary rehabilitation knowledge and skills, the experience of implementing pulmonary rehabilitation in critically ill children, communication and collaboration in the PICU rehabilitation platform, and external support for PICU pulmonary rehabilitation. Conclusion: In the process of recommending early pulmonary rehabilitation for critically ill children, departments should help PICU medical staff change their views on pulmonary rehabilitation and acquire relevant knowledge and skills, strengthen multidisciplinary cooperation, optimize external support, and create a good practice environment for the implementation and promotion of early pulmonary rehabilitation for critically ill children.
Keywords: Early pulmonary rehabilitation recommended decision-making behavior experience among pediatric intensive care unit (PICU) medical staff: a qualitative study COM-B, influencing factor, Pediatrics, Pulmonary Rehabilitation, Theoretical domains framework
Received: 27 Nov 2024; Accepted: 09 May 2025.
Copyright: © 2025 Cai, Li, Li, Li, Zhao, Zuo, Zhang and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Mei Li, Nanjing Children's Hospital, Nanjing, China
Xiaoke Zhao, Nanjing Children's Hospital, Nanjing, China
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