Table 3.

Program objectives to address themes of determinants of evidence-based use of prone positioning for severe ARDS

Theme	Program Objectives
Knowledge	Improve clinicians’ knowledge about prone positioning—existing evidence, patient eligibility, timing, and process
	Provide training for new and inexperienced clinicians in prone-positioning processes
	Leverage experienced providers’ expertise to provide education and leadership
Resources	Ensure adequate numbers of staff members
	Ensure availability of staff with expertise/experience
	Ensure availability of necessary supplies
Team culture	Facilitate and improve interdisciplinary communication
	Empower experienced staff to lead and educate
	Engage and educate ICU leadership
Patient factors	Educate providers on eligibility for (and contraindications to) prone positioning
	Educate providers on addressing clinical deterioration during prone positioning
	Provide education to family members regarding prone positioning
Alternative therapies	Provide education on timing of prone positioning
	Provide education about evidence regarding alternative therapies
	Standardize practices across providers
	Avoid improper use of prone positioning

Definition of abbreviations: ARDS = acute respiratory distress syndrome; ICU = intensive care unit.