• Mary Ann Francisco, Nicole L Pierce, Elizabeth Ely, Matthew T Cerasale, Daniela Anderson, David Pavkovich, Frances Puello, Sandeep Tummala, Albina Tyker, and Felicia R D'Souza.
• 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. 2021 Apr 1; 36 (2): 105-111.

BackgroundProning 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 ProblemNursing units previously designated for medical/surgical populations had to adjust quickly to provide evidence-based care for COVID-19 patients attempting self-proning.MethodsNurses 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.InterventionsA new self-proning nursing protocol was implemented outside the intensive care unit.ResultsConsistent 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.ConclusionsImplementation of a new nursing protocol is possible with strong unit-based support, even during a pandemic.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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