{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T02:06:06Z","timestamp":1784167566508,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A descriptive, qualitative design was used. Face\u2010to\u2010face semi\u2010structured 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\u2010step analysis method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>It is crucial to use appropriate, diverse training methods to strengthen nurses' comprehensive management of PADIS and enhance their capabilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70340","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T15:59:42Z","timestamp":1767887982000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experience and Training Needs of\n                    <scp>ICU<\/scp>\n                    Nurses for\n                    <scp>PADIS<\/scp>\n                    Management: A Qualitative Study Based on the Knowledge\u2010Attitude\u2010Practice Model"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7167-1215","authenticated-orcid":false,"given":"Aijian","family":"Lei","sequence":"first","affiliation":[{"name":"Department of Intensive Care Medicine The Second Hospital of Hebei Medical University  Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4099-9174","authenticated-orcid":false,"given":"Xinru","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine The Second Hospital of Hebei Medical University  Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziwei","family":"He","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine The Second Hospital of Hebei Medical University  Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuding","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine The Second Hospital of Hebei Medical University  Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lihua","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing The Second Hospital of Hebei Medical University  Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine The Second Hospital of Hebei Medical University  Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine The Second Hospital of Hebei Medical University  Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4545-1993","authenticated-orcid":false,"given":"Guoying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine The Second Hospital of Hebei Medical University  Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-019-1101-5"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006574"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003299"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-019-0771-3"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003402"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13281"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2016.09.005"},{"issue":"16","key":"e_1_2_14_9_1","first-page":"2895","article-title":"Application of Sedation and Analgesia Nursing Based on the eCASH Concept for Mechanically Ventilated ICU Patients","volume":"35","author":"Li 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