Evidence map›Paper›PMID 40611404›Full record

ArticleJournal of hospital medicine2026

Caregiver experiences with deimplementation of continuous pulse oximetry monitoring for children hospitalized with bronchiolitis: A qualitative study.

Courtney Benjamin Wolk, Caroline S O'Brien, Christopher Bonafide, Rinad S Beidas, Enrique F Schisterman, Kimberly Albanowski, Canita Brent, Amanda C Schondelmeyer

Abstract readMulticenter Study
In one paragraph

Article in Journal of hospital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Courtney Benjamin WolkDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-9542-2801
Caroline S O'BrienDepartment of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Christopher BonafidePenn Implementation Science Center (PISCE), University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Rinad S BeidasDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Enrique F SchistermanDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Kimberly AlbanowskiClinical Futures, a Center of Emphasis in the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0009-0009-6435-5314
Canita BrentClinical Futures, a Center of Emphasis in the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Amanda C SchondelmeyerDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID 0000-0003-3223-6109

Funding

Eliminating Monitor Overuse (EMO) Hybrid Effectiveness-Deimplementation TrialU01HL159880 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI BEIDAS, RINAD SARY, BONAFIDE, CHRISTOPHER PETER · 2021 to 2025
$5.3M
AHRQ HHS K08 HS026763NHLBI NIH HHS U01 HL159880NHLBI NIH HHS U01HL159880
6 · The paper itself

Abstract

backgroundContinuous pulse oximetry monitoring in stable children with bronchiolitis not requiring supplemental oxygen has been identified as a low-value practice. However, little is known about how parents and other caregivers experience efforts to deimplement this practice.

objectivesThis study investigated caregivers' experiences during their child's recent hospitalization for bronchiolitis on units involved in a deimplementation trial.

methodsWe conducted semi-structured qualitative interviews with 15 caregivers of children hospitalized with bronchiolitis at 11 hospitals participating in deimplementation strategies to reduce unnecessary continuous pulse oximetry monitoring as part of the Eliminating Monitoring Overuse (EMO) trial. Interviews were recorded, transcribed, and coded using an integrative analytic approach.

resultsCaregivers were a mean (SD) 31.1 (5.7) years old, predominantly female (93.3%), white (73.3%), and Non-Hispanic (86.7%). Previous hospitalization experiences and prior knowledge and training influenced caregiver perceptions of the value of monitoring. Participants did not discuss noticing changes in monitoring practices in interviews.

conclusionsFindings suggest that tailored education about monitoring may lessen caregiver concerns.

Indexed as

BronchiolitisCaregiversHospitalizationOximetryAdultChildChild, PreschoolFemaleHumansInfantInterviews as TopicMaleMonitoring, PhysiologicQualitative Research

Identifiers

PMID40611404
PMCPMC12240481

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Registered trials

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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.