Navigating the Complexities of Implementing Evidence-Based Respiratory Muscle Training in Post-Mechanical Ventilation Care: A Qualitative Study

Abstract

Aim: This study aimed to explore the perceptions of medical personnel and patients regarding respiratory muscle training (RMT) for patients after mechanical ventilation withdrawal. Design: A qualitative study. Methods: Semi-structured interviews were conducted with 12 medical staff and 9 eligible patients between August and December 2023. Guided by the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, the interviews focused on facilitators and barriers to RMT. Data were coded according to the i-PARIHS domains (context, innovation and recipients) and analysed thematically. Results: Three main themes emerged: (1) recipients—encompassing medical staff attitudes, knowledge training, patient physical factors, and willingness to engage in RMT, (2) context—including interdisciplinary collaboration, quality control, human resources, incentives, training facilities, leadership focus and the role of respiratory therapists and (3) innovation—highlighting the advantages of RMT and challenges in the continuity of evidence-based application. Conclusion: This study identified key barriers and facilitators to respiratory muscle training in post-mechanical ventilation care, providing an evidence base for developing intervention strategies in the future.