Evidence map›Paper›PMID 40026271›Full record

ArticleNursing in critical care2025

Exploring clinical rehabilitation practices for bronchopulmonary dysplasia in neonatal intensive care unit: A qualitative study.

Fang He, Xin Yu, Li Sun, Yan Lin, Yingchun Zeng

Abstract read
In one paragraph

Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Fang HeGuangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Xin YuNeonatal Intensive Care Unit, The Affiliated Women and Children's Medical Center of Guangzhou Medical University, Guangzhou, China.
Li SunNeonatal Intensive Care Unit, The Affiliated Women and Children's Medical Center of Guangzhou Medical University, Guangzhou, China.
Yan LinGuangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Yingchun ZengAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0001-9250-4086

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBronchopulmonary dysplasia (BPD) is a common complication in premature infants, particularly those born extremely preterm, and is a significant risk factor for neurodevelopmental impairment. Rehabilitation therapy has been shown to improve both pulmonary and neurological functions in infants with BPD. However, in China, there is no consensus on the optimal timing, type, frequency or follow-up of rehabilitation exercises for these infants. Understanding the current clinical practices, challenges and areas for improvement is essential to enhancing outcomes.

aimTo investigate current clinical rehabilitation practices for BPD in the Neonatal Intensive Care Unit (NICU). STUDY

designQualitative descriptive study.

resultsA total of 12 informants participated in this study. Four major themes were identified: (1) Non-standardized rehabilitation practices: Inconsistent frequency and intensity of rehabilitation therapy, delayed initiation and lack of follow-up. (2) Lack of consensus and collaboration: Absence of expert consensus on rehabilitation practices and insufficient interdisciplinary communication. (3) Limited parental involvement in rehabilitation: Minimal kangaroo care, low engagement in caregiver training and limited support for family participation in rehabilitation. (4) Nurses' involvement in rehabilitation therapy is limited, with issues including unstandardized positioning management, minimal participation in rehabilitation coordination and a lack of proactive feedback on BPD infants' rehabilitation tolerance. (5) Inadequate rehabilitation environment: Constraints such as limited space, lack of family-centred wards, insufficient equipment and environmental issues with noise and lighting.

conclusionsRehabilitation practices for BPD in the NICU are inconsistent, with limited interdisciplinary collaboration and suboptimal parental involvement. The study underscores the need for establishing a multidisciplinary team and developing evidence-based, culturally tailored rehabilitation protocols. Improving parental participation, creating appropriate rehabilitation spaces, managing environmental factors like noise and lighting, nurses should participate in training on positioning management and assist with rehabilitation therapy, actively providing feedback to the medical team on the tolerance of BPD infants and enhancing equipment availability will contribute to the early recovery of infants with BPD. RELEVANCE TO CLINICAL PRACTICE: This study highlights critical gaps in current rehabilitation practices for BPD in NICUs, suggesting that a standardized, evidence-based approach is needed to optimize care. Clinicians should focus on fostering multidisciplinary collaboration, enhancing parental involvement and improving the physical environment of NICUs to support the rehabilitation process for premature infants with BPD. Nurses in the NICU play a pivotal role in the rehabilitation of children with BPD. Their key responsibilities include assessing the infants' condition to determine their ability to tolerate rehabilitation and providing hands-on support throughout the treatment process.

Indexed as

Bronchopulmonary DysplasiaIntensive Care Units, NeonatalChinaFemaleHumansInfant, NewbornInfant, PrematureMaleQualitative Researchbronchopulmonary dysplasiamultidisciplinary careNICUparental involvement

Identifiers

PMID40026271
PMCPMC11874207

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.