Awake Prone Positioning in Nonintubated Patients With Acute Hypoxemic Respiratory Failure

Author(s): Cristian Fusi, RN, Enrico Bulleri, RN, Michele Villa, RN, Luigi Pisani, MD, PhD, Khadija El Aoufy, MSN, RN, Alberto Lucchini, RN, Stefano Bambi, PhD, RN

Contact Hours 1.00

CERP A 1.00

Expires Feb 01, 2026

Topics: Pulmonary

Population: Adult

Role: Staff

Member: Free
NonMember: $10.00

Added to Collection

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Awake prone positioning research focuses primarily on improving oxygenation and reducing intubation and mortality rates. Secondary outcomes concerning patient safety have been poorly addressed. A literature review of 19 original studies involving 949 patients who underwent awake prone positioning was performed by the authors. Awake prone positioning was not related to cardiorespiratory consequences but was associated with pain, intolerance, discomfort, and patients’ refusal. Patients should receive education regarding awake prone positioning to improve their acceptance. Health care professionals should optimize pain control, communication, patient comfort, patient adherence, and correct positioning.


  • Identify the incidence of adverse events and effects of awake prone position (APP) on patients’ safety, comfort, and tolerance on your unit.
  • Describe major complications such as severe respiratory impairment during APP and interventions used to improve patient’s tolerance.
  • Analyze data within this literature review about APP patients and determine a plan to best use this information within your own unit.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

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