{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T19:59:18Z","timestamp":1790366358995,"version":"4.1.0"},"reference-count":46,"publisher":"Canadian Society of Respiratory Therapists","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The implementation of electrical impedance tomography (EIT) in pediatric critical care remains relatively new. Pediatric physiology and critical care differ substantially from adult approaches; tailored guidance and strategies are needed. This study aims to understand respiratory therapists\u2019 perspectives on integrating EIT in a quaternary pediatric critical care setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A convergent mixed-methods study of EIT implementation was carried out over 13 months at a quaternary pediatric critical care unit, during which clinical EIT use was monitored. Participants were respiratory therapists who had completed EIT training. Two cycles of implementation and evaluation, guided by the Knowledge-to-Action Framework, were completed. Perceived workload and usability (NASA-TLX and System Usability Scale [SUS], respectively) were assessed at the start and end of the study, and clinical use was recorded. Interviews were conducted with participants at two points to tailor implementation; the interview transcripts were analyzed qualitatively to identify barriers and facilitators to implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen respiratory therapists participated in the study. EIT was used for 32 assessments during the study period. The most common reason for using EIT was to assess PEEP. NASA-TLX and SUS indicated a moderately demanding workload and marginally low usability (46.1 and 58.0, respectively), with no statistically significant change over the study period (end-of-study scores 40.7 and 56.8, respectively). The implementation of EIT was shaped by dynamics at different levels: at the individual level, by professional identity and legitimacy; at the organizational level, by capacity and workflow realities; and at the system level, by structural integration and standardization. Adoption was not based on skepticism of EIT technology but rather on whether its perceived clinical value outweighed the capacity and workflow realities of embedding it into management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>EIT implementation remains challenging, with individual, organizational, and system-level challenges. Infrequent use of the technology, coupled with complex interpretation, underscores the need for ongoing education to sustain user comfort, with resources and time as key factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.29390\/001c.169556","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T19:02:02Z","timestamp":1790362922000},"source":"Crossref","is-referenced-by-count":0,"title":["Respiratory therapists\u2019 perceptions of electrical impedance tomography in pediatric intensive care: A mixed methods implementation study"],"prefix":"10.29390","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1962-4573","authenticated-orcid":true,"given":"Katherine","family":"Reise","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/057q4rt57","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital for Sick Children","department":["Department of Respiratory Therapy"]},{"id":[{"id":"https:\/\/ror.org\/057q4rt57","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital for Sick Children","department":["Department of Critical Care Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5693-3182","authenticated-orcid":false,"given":"Shirley","family":"Quach","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/057q4rt57","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital for Sick Children","department":["Department of Respiratory Therapy"]},{"name":"SickKids Research Institute","department":["Child Health Evaluative Sciences"]},{"id":[{"id":"https:\/\/ror.org\/02fa3aq29","id-type":"ROR","asserted-by":"publisher"}],"name":"McMaster University","department":["School of Rehabilitation Sciences, Faculty of Health Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9622-0304","authenticated-orcid":false,"given":"Briseida","family":"Mema","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/057q4rt57","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital for Sick Children","department":["Department of Critical Care Medicine"]},{"id":[{"id":"https:\/\/ror.org\/03dbr7087","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Toronto","department":["Interdepartmental Division of Critical Care Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6526-2456","authenticated-orcid":false,"given":"Luciana","family":"Rodriguez Guerineau","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/057q4rt57","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital for Sick Children","department":["Department of Critical Care Medicine"]},{"id":[{"id":"https:\/\/ror.org\/03dbr7087","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Toronto","department":["Interdepartmental Division of Critical Care Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne","family":"Davidson","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/057q4rt57","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital for Sick Children","department":["Department of Respiratory Therapy"]},{"id":[{"id":"https:\/\/ror.org\/057q4rt57","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital for Sick Children","department":["Department of Critical Care Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5323-9638","authenticated-orcid":false,"given":"Mika","family":"Nonoyama","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/057q4rt57","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital for Sick Children","department":["Department of Respiratory Therapy"]},{"name":"SickKids Research Institute","department":["Child Health Evaluative Sciences"]},{"id":[{"id":"https:\/\/ror.org\/016zre027","id-type":"ROR","asserted-by":"publisher"}],"name":"Ontario Tech University","department":["Faculty of Health Sciences"]},{"id":[{"id":"https:\/\/ror.org\/03dbr7087","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Toronto","department":["Rehabilitation Sciences Institute & Department of Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11956","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"publisher","first-page":"5362","DOI":"10.1038\/s41598-019-41774-1","article-title":"Clinical Scenarios of the Application of Electrical Impedance Tomography in Paediatric Intensive Care","volume":"9","author":"P. 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