{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:03:30Z","timestamp":1789715010737,"version":"4.0.1"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"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":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Recent policy recommendations have advocated for integrating rehabilitation into palliative care. However, multiple barriers exist in clinical practice. Specifically, there is a lack of research on the attitudes and dilemmas of nurses and physicians in Chinese Respiratory Intensive Care Units (RICUs) toward initiating rehabilitation for patients receiving palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore attitudes and dilemmas among Chinese RICU nurses and physicians regarding rehabilitation initiation in palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A descriptive qualitative study was conducted. Semi\u2010structured interviews were carried out with 12 nurses and 5 physicians from two RICUs. The interview data were analysed using thematic analysis. The study followed the Consolidated Criteria for Reporting Qualitative Research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Three main themes emerged: (main theme 1) Attitudes toward palliative rehabilitation (subtheme 1: transformation of rehabilitation goals, subtheme 2: ambiguous link between palliative care and rehabilitation); (main theme 2) Dilemmas in initiating palliative rehabilitation (subtheme 1: passive decision\u2010making regarding intervention timing, subtheme 2: family\u2010driven divergence in needs, subtheme 3: challenges in collaborative communication, subtheme 4: constraints in rehabilitation resources); (main theme 3) Adaptive strategies (subtheme 1: establishing partnership and making goals tangible, subtheme 2: pre\u2010rehearsal and progressive disclosure).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although nurses and physicians share consistent palliative rehabilitation goals, the integration of RICU\u2010based rehabilitation into palliative care is constrained by systemic resource limitations, patient and family preferences, ambiguous interdisciplinary roles and a prevailing informal rehabilitation culture. Addressing these constraints may facilitate the advancement of palliative rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Establishing standardized palliative rehabilitation protocols, clarifying multidisciplinary roles, particularly in defining nurses' scope of communication, providing communication training focused on managing family needs and expectations and fostering an appropriate rehabilitation culture to alleviate nurses' emotional distress may help resolve the challenges of initiating palliative rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70481","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T08:15:12Z","timestamp":1776068112000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Attitudes and Dilemmas in Initiating Rehabilitation During Palliative Care: A Qualitative Study of Nurses and Physicians in Chinese Respiratory Intensive Care Units"],"prefix":"10.1111","volume":"31","author":[{"given":"Xingru","family":"Li","sequence":"first","affiliation":[{"name":"School of Nursing, Jiangxi Medical College, Nanchang University  Nanchang Jiangxi People's Republic of China"},{"name":"Department of Nursing The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University  Nanchang Jiangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6972-6047","authenticated-orcid":false,"given":"Wenguang","family":"Xie","sequence":"additional","affiliation":[{"name":"School of Nursing, Jiangxi Medical College, Nanchang University  Nanchang Jiangxi People's Republic of China"},{"name":"Department of Nursing The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University  Nanchang Jiangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3658-6324","authenticated-orcid":false,"given":"Chao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University  Nanchang Jiangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3290-8340","authenticated-orcid":false,"given":"Shilin","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing, Jiangxi Medical College, Nanchang University  Nanchang Jiangxi People's Republic of China"},{"name":"Department of Nursing The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University  Nanchang Jiangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Fanyifan","sequence":"additional","affiliation":[{"name":"Department of Nursing The First Affiliated Hospital of Wannan Medical College  Wuhu Anhui People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuyuan","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing, Jiangxi Medical College, Nanchang University  Nanchang Jiangxi People's Republic of China"},{"name":"Department of Nursing The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University  Nanchang Jiangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102025\u2010103616"},{"key":"e_1_2_13_3_1","unstructured":"World Health Organization \u201cPalliative Care \u201d2020 https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/palliative\u2010care."},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.70203"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn121430\u201020210115\u201000076"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn112137\u201020230906\u201000407"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(19)30172\u2010X"},{"key":"e_1_2_13_8_1","unstructured":"World Health Organization \u201cPolicy Brief on Integrating Rehabilitation Into Palliative Care Services \u2013 SIMFER \u201d2023 https:\/\/simfer.it\/policy\u2010brief\u2010on\u2010integrating\u2010rehabilitation\u2010into\u2010palliative\u2010care\u2010services\/."},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2017.07.073"},{"key":"e_1_2_13_10_1","first-page":"9","article-title":"The Role of Rehabilitation in Patients Receiving Hospice and Palliative Care. 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