Obstetrics Department, Taikang Tongji (Wuhan) Hospital, Wuhan City, Hubei Province 430050, China.
Nursing Department of Taikang Tongji (Wuhan) Hospital, Wuhan City, Hubei Province 430050, China.
Biomed Res Int. 2022 Jul 8;2022:9352735. doi: 10.1155/2022/9352735. eCollection 2022.
The PDCA cycle consists of four stages: P (plan), D (design), C (check), and A (action). With the wide acceptance of PDCA cycle, there is an urgent need to verify the effect of combining this concept with clinical nursing work. Therefore, on the basis of in-depth study of a large number of related literature, the influence of PDCA cycle management mode on nurses' work efficiency, work enthusiasm, and teamwork ability was explored, so as to provide reference experience for exploring the nursing quality management model adapted to the development of medicine.
To explore the application of PDCA circulation management mode in clinical nursing work and to explore its influence on the work efficiency, enthusiasm, and team cooperation ability of nurses.
From January 2019 to January 2021, the patients were divided into two groups. The control group received routine nursing care, and the research group received the PDCA circulation management mode. Both groups of nurses received one-year training. The nursing quality, the ability of teamwork, the scores of personal quality control in clinical departments, the scores of nursing satisfaction, the number of problems in nursing document quality management, and nurses' enthusiasm were compared between the two groups.
The scores of relationships and family and work balance were greater than those of the control group. The nursing quality result suggested the nursing quality of gynecological operation area, emergency operation area, comprehensive operation area, and surgical operation area in research nurses was significantly better than the control cases ( < 0.05). The quality management of nursing documents showed that the number of problems in nursing documents such as nursing record displayed fewer than control group ( < 0.05). The personal quality-controlled checking in medical department showed that the points of ward governance, head nurse management quality control examination, first-level nursing, recovery, publications on therapeutics, pill governance, and healthcare documentation in the research group were higher than control group ( < 0.05). The teamwork ability implied the scores of interpersonal communications, problem definition, project division, team evaluation assistance and motivation, data collection, interpretation, and extraction of results in the observation group were remarkably greater than those of control group ( < 0.05). The satisfaction mark showed that the scores of care information exchange, advanced technologies, attitude towards care providing, healthcare establishing, knowledge publicity, and learning in the researches were markedly more than those of the control group ( < 0.05).
Compared with the traditional clinical nursing management, the use of the PDCA circulation management mode can effectively improve the quality of hospital nursing work, strengthen nurses' ability of teamwork, improve nurses' work efficiency and enthusiasm, enhance their sense of achievement of clinical nursing work, then improve patient satisfaction, and enhance the reputation and competitiveness of hospitals. Therefore, the PDCA management model is worth popularizing and applying in clinic.
PDCA 循环由四个阶段组成：P（计划）、D（设计）、C（检查）和 A（行动）。随着 PDCA 循环的广泛接受，迫切需要验证将这一概念与临床护理工作相结合的效果。因此，在深入研究大量相关文献的基础上，探讨了 PDCA 循环管理模式对护士工作效率、工作积极性和团队合作能力的影响，为探索适应医学发展的护理质量管理模式提供了参考经验。
探讨 PDCA 循环管理模式在临床护理工作中的应用，探讨其对护士工作效率、积极性和团队合作能力的影响。
选取 2019 年 1 月至 2021 年 1 月的患者分为两组，对照组接受常规护理，观察组接受 PDCA 循环管理模式。两组护士均接受为期一年的培训。比较两组护士的护理质量、团队合作能力、临床科室个人质量控制评分、护理满意度评分、护理文件质量管理问题数、护士积极性。
观察组关系和家庭与工作平衡的评分大于对照组。护理质量结果表明，观察组妇产科手术区、急诊手术区、综合手术区和外科手术区的护理质量明显优于对照组（ < 0.05）。护理文件质量管理显示，观察组护理记录等护理文件的问题数量少于对照组（ < 0.05）。科室个人质量控制检查显示，观察组病房治理、护士长管理质量控制检查、一级护理、康复、治疗学出版物、药丸治理和医疗保健文件的评分均高于对照组（ < 0.05）。团队合作能力表明观察组在人际关系、问题定义、项目划分、团队评价协助和激励、数据收集、结果解释和提取方面的得分明显高于对照组（ < 0.05）。满意度评分显示，观察组在护理信息交流、先进技术、护理态度、保健建立、知识宣传和学习方面的评分明显高于对照组（ < 0.05）。
与传统临床护理管理相比，应用 PDCA 循环管理模式能有效提高医院护理工作质量，增强护士团队合作能力，提高护士工作效率和积极性，增强其对临床护理工作的成就感，提高患者满意度，增强医院的声誉和竞争力。因此，PDCA 管理模式值得在临床上推广应用。
