Experience and Training Needs of ICU Nurses for PADIS Management: A Qualitative Study Based on the Knowledge-Attitude-Practice Model.

BACKGROUND

Pain, agitation, delirium, immobility, and sleep disruption (PADIS) are prevalent and closely connected in the intensive care unit (ICU). Despite their significance, PADIS circumstances are managed separately in ICU settings, and nurses lack a comprehensive understanding of PADIS management.

AIM: To explore nurses' perceptions of PADIS, challenges encountered during the nursing process, and the need for PADIS training. Additionally, this study provides suggestions for establishing a PADIS training system.

STUDY

DESIGN

A descriptive, qualitative design was used. Face-to-face semi-structured interviews were conducted with nine nurses at a tertiary general hospital in Shijiazhuang, Hebei province, China. The interview data were analysed using the Colaizzi 7-step analysis method.

FINDINGS: Four major themes and nine subthemes emerged from interview data. The major themes were: (1) gaps in PADIS knowledge and clinical integration; (2) clinical settings and the influence of expertise; (3) PADIS management training attitude; (4) nurses' recommendations for PADIS training.

CONCLUSIONS

The training methods are limited, and the current system has flaws. Establishing a scientific, rational training system that incorporates diverse methods is recommended to encourage nurses' active participation in training.

RELEVANCE TO CLINICAL PRACTICE: It is crucial to use appropriate, diverse training methods to strengthen nurses' comprehensive management of PADIS and enhance their capabilities.