Navigating the Complexities of Implementing Evidence-Based Respiratory Muscle Training in Post-Mechanical Ventilation...

Area of Science:

• Pulmonary Rehabilitation
• Critical Care Medicine
• Qualitative Health Research

Background:

• Mechanical ventilation can lead to respiratory muscle weakness.
• Respiratory muscle training (RMT) is crucial for recovery after mechanical ventilation.
• Understanding patient and provider perspectives on RMT is essential for effective implementation.

Purpose of the Study:

• To explore medical personnel and patient perceptions of respiratory muscle training (RMT) in post-mechanical ventilation care.
• To identify facilitators and barriers to RMT implementation using the i-PARIHS framework.
• To inform the development of future RMT intervention strategies.

Main Methods:

• Qualitative study employing semi-structured interviews.
• 12 medical staff and 9 patients interviewed (August-December 2023).
• Thematic analysis guided by the i-PARIHS framework (context, innovation, recipients).

Main Results:

• Recipient factors: staff attitudes, knowledge, patient physical condition, and engagement.
• Contextual factors: interdisciplinary collaboration, resources, leadership, and respiratory therapist roles.
• Innovation factors: RMT benefits and challenges in evidence-based application continuity.

Conclusions:

• Identified key barriers and facilitators for RMT in post-mechanical ventilation.
• Provides an evidence base for future RMT intervention strategies.
• Highlights the importance of a multi-faceted approach considering recipients, context, and innovation.