ABSTRACT
Background: The Coronavirus pandemic has resulted in an extreme challenge for humanity in recent times, like the challenges faced during World War II. Its origin has been pointed out, and the speculation made on its source directly points towards Wuhan in China. Since then, it has spread across the globe. The pandemic has resulted in more than one million deaths, which is a considerable challenge for humanity. Objective: With the pandemic of COVID-19, prevention of patient infection is crucial. This research focused on the orthopedic operating room nursing model effect based on evidence-based nursing and PDCA (Plan-Do-Check-act) cycle during the COVID-19 outbreak. Materials and Methods: From February 2020 to May 2020, 146 patients were admitted and received orthopedic surgery at Xuanwu Chunshu Hospital, Beijing, China, these admissions were grouped into control and intervention groups, which was based on the treatment provided. Satisfaction, time to bed and hospitalization, postoperative incision infection, and the occurrence of deep venous thrombosis of lower extremities, pain degree score, surgical treatment effect, anxiety, and depression scores were compared for all the admissions between the control and intervention groups. Results: In the control group, nursing satisfaction was less than in the intervention group. The time of getting out of bed and hospitalization was less in the intervention group;The total incidence of postoperative incision infection and lower limb deep vein thrombosis in the intervention group decreased. In the first postoperative day, the pain level in the intervention group was less than the control group. The effectiveness rate in the observation group is higher than that of the control group. Anxiety and depression scores of both groups tended to decrease with time and there was an interactive effect between grouping and time, where these differences were found to be statistically significant (P-value<0.05). Conclusion: The clinical application of the orthopedics operating room nursing model based on evidence-based nursing and PDCA cycle is remarkable and worth implementing during the COVID-19 outbreak.
ABSTRACT
Ensuring equitable and inclusive access to educational services in Higher Education Institutions (HEIs) requires the development of strategies that consider the diversity of their academic members, administrative staff, and students, as well as the use of information and communication technologies. The identification of requirements for technological accessibility in HEIs allows for the establishment of actions aimed at considering accessibility aspects in the processes of admission, permanence, and graduation, in order to support students with disabilities in their transit through these institutions. Having a systematic approach to guide the design of educational strategies in HEIs contributes to the identification of areas for improvement for the benefit of educational quality and community members. This article describes the proposal of a process based on the Plan-Do-Check-Act (PDCA) cycle, and a methodology for the implementation of accessible learning environments oriented to the implementation of an accessible virtual campus based on the establishment of five defined phases: diagnosis, planning, implementation, control, and tracing. This proposal is aimed at supporting Latin American HEIs in the integration of technological accessibility requirements from a systematic and continuous improvement approach.
ABSTRACT
BACKGROUND: Nursing quality is an integral part of health care quality and one of key performance indicators (KPIs) for health care management. The Plan-Do-Check-Act (PDCA) cycle is a management tool for continuous improvement of a business's products or processes. It can be applied to standardize nursing management and thus improve the nursing quality and increase the survival rate of patients. This study assessed the value of the PDCA cycle in standardizing nursing management in an intensive care unit (ICU) for patients with severe coronavirus disease 2019 (COVID-19). METHODS: The status quo of the ICU was analyzed, and the relevant issues and countermeasures were proposed. The PDCA cycle was applied to standardize the nursing management in the ICU. RESULTS: Nine measures were proposed and applied to improve the management of the COVID-19 ICU: defining the clean or contaminated areas, use of self-designed shoe storage cabinets, defining staff roles and responsibilities, establishing the staffing structure, staff training, placing items at fixed locations, improving shift handover, use of bulletin boards for listing key points, and use of reserved drugs cabinets. The virus contamination awareness, professional skills, awareness of duties and responsibilities, and quality and performance of nursing were remarkably improved 2 weeks after the implementation of the above countermeasures. CONCLUSIONS: The PDCA cycle helps to standardize nursing management in COVID-19 ICU by developing and applying effective nursing management approaches.