Implementing Prone Positioning for COVID-19 Patients Outside the Intensive Care Unit.
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. LOCALPROBLEM:
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.
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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