Describing the determinants of fluid prescribing and fluid balance optimization in the pediatric intensive care unit: a qualitative study at a community hospital.

ABSTRACT:

Background

Critically ill children tend to receive fluid volumes exceeding physiologic requirements despite evidence demonstrating harm with increasing net positive fluid balance. However, interventions aimed at optimizing fluid balance have yet to demonstrate significant clinical benefit, likely because there are multiple drivers of this complex problem. In this study, we used qualitative inquiry to describe the current practice at a community pediatric intensive care unit and discover potential barriers and facilitators to clinical practice change.

Methods

We designed a semi-structured interview guide informed by the consolidated framework in implementation research (CFIR) and conducted interviews with attending physicians, dietitians, nurses, nurse practitioners, pharmaci

SUBMITTER: Maffei SR 

PROVIDER: S-EPMC12625512 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature