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Implementing Prone Positioning for COVID-19 Patients Outside the Intensive Care Unit.
Francisco, Mary Ann; Pierce, Nicole L; Ely, Elizabeth; Cerasale, Matthew T; Anderson, Daniela; Pavkovich, David; Puello, Frances; Tummala, Sandeep; Tyker, Albina; D'Souza, Felicia R.
  • Francisco MA; Department of Nursing Research and Evidence Based Practice, University of Chicago Medical Center, Chicago, Illinois (Ms Francisco and Drs Pierce and Ely); and The University of Chicago Biological Sciences Division, Chicago, Illinois (Drs Pierce, Cerasale, Anderson, Pavkovich, Puello, Tummala, Tyker, and D'Souza).
J Nurs Care Qual ; 36(2): 105-111, 2021.
Article in English | MEDLINE | ID: covidwho-954424
ABSTRACT

BACKGROUND:

Proning intubated intensive care unit patients for the management of acute respiratory distress syndrome is an accepted standard of practice. We examined the nursing climate in 4 units and its impact on implementing a novel self-proning protocol to treat COVID-19 patients outside the intensive care unit. LOCAL

PROBLEM:

Nursing units previously designated for medical/surgical populations had to adjust quickly to provide evidence-based care for COVID-19 patients attempting self-proning.

METHODS:

Nurses from 4 nursing units were surveyed about the implementation process on the self-proning protocol. Their perception of unit implementation was assessed via the Implementation Climate Scale.

INTERVENTIONS:

A new self-proning nursing protocol was implemented outside the intensive care unit.

RESULTS:

Consistent education on the protocol, belief in the effectiveness of the intervention, and a strong unit-based climate of evidence-based practice contributed to greater implementation of the protocol.

CONCLUSIONS:

Implementation of a new nursing protocol is possible with strong unit-based support, even during a pandemic.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Prone Position / Patient Positioning / COVID-19 / Hospital Units / Nursing Assessment Type of study: Observational study / Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: J Nurs Care Qual Journal subject: Nursing Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Prone Position / Patient Positioning / COVID-19 / Hospital Units / Nursing Assessment Type of study: Observational study / Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: J Nurs Care Qual Journal subject: Nursing Year: 2021 Document Type: Article