Implementing Prone Positioning for COVID-19 Patients Outside the Intensive Care Unit.
Academic Medical Centers
COVID-19
/ epidemiology
Chicago
/ epidemiology
Evidence-Based Nursing
/ organization & administration
Health Care Surveys
Hospital Units
/ organization & administration
Hospitals, Urban
Humans
Nursing Assessment
/ organization & administration
Nursing Staff, Hospital
Patient Positioning
/ nursing
Prone Position
Quality Improvement
/ organization & administration
Tertiary Care Centers
Journal
Journal of nursing care quality
ISSN: 1550-5065
Titre abrégé: J Nurs Care Qual
Pays: United States
ID NLM: 9200672
Informations de publication
Date de publication:
Historique:
pubmed:
2
12
2020
medline:
9
3
2021
entrez:
1
12
2020
Statut:
ppublish
Résumé
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. Nursing units previously designated for medical/surgical populations had to adjust quickly to provide evidence-based care for COVID-19 patients attempting self-proning. 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. A new self-proning nursing protocol was implemented outside the intensive care unit. 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. Implementation of a new nursing protocol is possible with strong unit-based support, even during a pandemic.
Sections du résumé
BACKGROUND
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
OBJECTIVE
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
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
METHODS
A new self-proning nursing protocol was implemented outside the intensive care unit.
RESULTS
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
CONCLUSIONS
Implementation of a new nursing protocol is possible with strong unit-based support, even during a pandemic.
Identifiants
pubmed: 33259470
pii: 00001786-202104000-00003
doi: 10.1097/NCQ.0000000000000537
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
105-111Informations de copyright
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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