Lack of knowledge barrier to prone positioning use in ARDS

Lack of knowledge barrier to prone positioning use in ARDS

(HealthDay)—Lack of knowledge is one of the barriers to use of prone positioning for acute respiratory distress syndrome (ARDS), a feature of severe COVID-19, according to a study published online Oct. 9 in the Annals of the American Thoracic Society.

Tamar Klaiman, Ph.D., M.P.H., from the University of Pennsylvania Perelman School of Medicine in Philadelphia, and colleagues identified determinants of prone positioning utilization to develop implementation strategies that can be incorporated into a response to the COVID-19 crisis. Semistructured interviews were conducted with 30 (ICU) clinicians who staffed 12 ICUs. A thematic analysis was performed using the Consolidated Framework for Implementation Research (CFIR). Three focus groups were conducted with ICU leaders to develop an implementation menu.

The researchers identified five themes of determinants for use of prone positioning: knowledge, resources, , team culture, and patient factors; these themes spanned all five CFIR domains. Five specific implementation strategies were developed and implemented at Penn Medicine: educational outreach, a learning collaborative, clinical protocol, prone positioning team, and automated alerting.

"Our study identified several broad themes of barriers to and facilitators of evidence-based implementation of prone positioning for severe ARDS, a life-saving, proven that is administered to a minority of eligible patients," the authors write. "We have developed implementation plans for some of these strategies in our own institution and believe they can inform the increased uptake of prone positioning in response to the COVID-19 crisis."

More information: Abstract/Full Text

Copyright © 2020 HealthDay. All rights reserved.

Citation: Lack of knowledge barrier to prone positioning use in ARDS (2020, October 14) retrieved 22 June 2024 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

Wuhan study shows lying face down improves breathing in severe COVID-19


Feedback to editors