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FOCUS-PDCA循环在提高胸外科护士应急协作标准化中的应用

Application of FOCUS-PDCA cycle in enhancing the standardization of emergency collaboration among thoracic surgery nurses.

作者信息

Wang Anlong, Luo Yiting, Xu Hui, Fang Ting

机构信息

Department of Pulmonary Surgery, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.

出版信息

Sci Rep. 2025 May 29;15(1):18948. doi: 10.1038/s41598-025-04134-w.

Abstract

To explore the effectiveness of the FOCUS-PDCA (Find, Organize, Clarify, Understand, Select, Plan, Do, Check, Act) management cycle in improving the standardization of emergency collaboration among thoracic surgery nurses. Forty nurses from two thoracic surgery wards at Zhejiang Cancer Hospital were selected as study subjects. The FOCUS-PDCA cycle was implemented to conduct mixed-mode emergency training, and the standardization scores of nursing operations, job competency self-assessment, and emergency collaboration before and after implementation were compared. After the implementation of FOCUS-PDCA, the assessment scores of nursing operations such as defibrillation, cardiopulmonary resuscitation, suction, tracheal intubation cooperation, and the use of nasal high-flow humidification therapy devices, as well as self-assessment scores of job competency and emergency collaboration standardization, were higher than those before the implementation (p < 0.05). The implementation of FOCUS-PDCA helps improve the standardization of emergency collaboration among thoracic surgery nurses. It should be appropriately carried out according to the department's situation to promote continuous improvement in nursing quality and emergency response levels.

摘要

探讨FOCUS-PDCA(查找、组织、澄清、理解、选择、计划、执行、检查、行动)管理循环在提高胸外科护士应急协作标准化方面的有效性。选取浙江省肿瘤医院两个胸外科病房的40名护士作为研究对象。实施FOCUS-PDCA循环进行混合模式应急培训,并比较实施前后护理操作、岗位能力自评及应急协作的标准化得分。实施FOCUS-PDCA后,除颤、心肺复苏、吸痰、气管插管配合及鼻高流量湿化治疗仪使用等护理操作的考核得分,以及岗位能力自评和应急协作标准化得分均高于实施前(p<0.05)。FOCUS-PDCA的实施有助于提高胸外科护士应急协作的标准化程度。应根据科室情况适当开展,以促进护理质量和应急反应水平的持续提升。

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