Application of the PDCA cycle for standardized nursing management in a COVID-19 intensive care unit.
Ann Palliat Med
; 9(3): 1198-1205, 2020 May.
Article
in English
| MEDLINE | ID: covidwho-530660
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.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Quality Assurance, Health Care
/
Coronavirus Infections
/
Critical Care Nursing
/
Intensive Care Units
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Ann Palliat Med
Year:
2020
Document Type:
Article
Affiliation country:
Apm-20-1084
Similar
MEDLINE
...
LILACS
LIS