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10.1097/NCQ.0000000000000537

http://scihub22266oqcxt.onion/10.1097/NCQ.0000000000000537
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33259470!ä!33259470

suck abstract from ncbi


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pmid33259470      J+Nurs+Care+Qual 2021 ; 36 (2): 105-111
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  • Implementing Prone Positioning for COVID-19 Patients Outside the Intensive Care Unit #MMPMID33259470
  • Francisco MA; Pierce NL; Ely E; Cerasale MT; Anderson D; Pavkovich D; Puello F; Tummala S; Tyker A; D'Souza FR
  • J Nurs Care Qual 2021[Apr]; 36 (2): 105-111 PMID33259470show ga
  • 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.
  • |*Prone Position[MESH]
  • |Academic Medical Centers[MESH]
  • |COVID-19/epidemiology/*nursing[MESH]
  • |Chicago/epidemiology[MESH]
  • |Evidence-Based Nursing/organization & administration[MESH]
  • |Health Care Surveys[MESH]
  • |Hospital Units/*organization & administration[MESH]
  • |Hospitals, Urban[MESH]
  • |Humans[MESH]
  • |Nursing Assessment/*organization & administration[MESH]
  • |Nursing Staff, Hospital[MESH]
  • |Patient Positioning/*nursing[MESH]
  • |Quality Improvement/organization & administration[MESH]


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