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.