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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.
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10.1097/ncq.0000000000000537
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Journal_of_nursing_care_quality
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Implementing Prone Positioning for COVID-19 Patients Outside the Intensive Care Unit.
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