We read with interest the new findings of Poor and colleagues regarding the implementation of automated prone ventilation for acute respiratory distress syndrome (ARDS). We were surprised to see that at baseline fewer than half of the nurses thought that prone positioning would be beneficial for their patients, despite the majority of physicians seeing prone positioning as potentially beneficial. We see this disconnect as an opportunity for improved team building and multidisciplinary interactions. During the coronavirus disease 2019 (COVID-19) pandemic, we have used this crisis to enhance communication and trust within our health care team as well as to assess barriers to implementation of proven therapies.

Although barriers are multiple, we emphasize 3 points. First, many nurses in our experience believe that paralytic agents are required to implement prone positioning safely in patients with ARDS who are receiving mechanical ventilation. Thus,...

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