Improving Prone Positioning for Severe Acute Respiratory Distress Syndrome during the COVID-19 Pandemic. An Implementation-Mapping Approach.

Prone positioning reduces mortality in patients with severe acute respiratory distress syndrome (ARDS), a feature of severe coronavirus disease 2019 (COVID-19). Despite this, most patients with ARDS do not receive this lifesaving therapy. To identify determinants of prone-positioning use, to develop specific implementation strategies, and to incorporate strategies into an overarching response to the COVID-19 crisis.

Nurses' Perceptions of In-Hospital Versus Telephone Availability of an Intensivist at Night in an Intensive Care Unit.

Background: Evidence suggests that in-person management by nighttime intensivists does not change patients' mortality rates in high-intensity intensive care units.

Objective: To better understand domains affected by nighttime intensivist staffing not previously measured.

Methods: Semistructured interviews of 13 night-shift nurses in an academic medical intensive care unit to elicit perceptions of nighttime staffing with attending intensivists versus residents with attending intensivists on call remotely.