Nursing Quality Management Research Articles

Study on the Application of PDCA Circulation in Perioperative Nursing Quality Management of Craniotomy and Clipping for Intracranial Aneurysm

Study on the Application of PDCA Circulation in Perioperative Nursing Quality Management of Craniotomy and Clipping for Intracranial Aneurysm

The impact of a multilevel interactive nursing quality control and audit application on nursing quality management

BackgroundThis study aims to investigate the effects of a nursing quality control and audit application (app) on the autonomous learning of nursing staff and nursing quality management by nursing supervisors. A multilevel interactive app is developed to assist nursing staff in conducting online autonomous learning and nursing supervisors in identifying problems and creating nursing quality improvement plans. The app could also present the different evaluation results of wards in visual charts for supervisors to review.MethodsA single-group pre- and post-test design was applied. Data were collected from 131 nurses between October 2019 and October 2020 to analyze the differences between nursing staffs’ willingness to engage in autonomous learning and the integrity of nursing quality improvement plan writing before and after the intervention. The structured questionnaires included open-ended questions that cover aspects of nursing quality control, the audit app, and the information acceptance intention of nurses.ResultsThe participants’ age and job title are negatively correlated with the app’s usability, while the ability to use 3C (Computer, Communication, and Consumer Electronics products including mobile phones and laptops) equipment is positively correlated with the willingness to use the app. Nurses’ satisfaction with the convenience of the online autonomous learning method is 92%, which indicates that the app could improve their willingness to learn. Following the intervention of the app, nursing supervisors’ satisfaction with the integrity of nursing quality improvement plan writing increased from 41 to 88%.ConclusionsUsing information technology products to assist in nursing quality management in clinical practice has a significant effect on nurses’ load reduction and head nurses’ satisfaction. Multilevel interactive nursing quality control and audit apps can improve nursing staff’s willingness to learn independently, nursing quality, and the integrity of plan writing. Thus, nursing quality control and audit apps can be considered as suitable nursing quality control tools.

Nursing quality management technology

The aim of the study is to improve the quality of nursing care for patients in the trauma department by developing a standard. Results. High physical activity, performance of unusual functions, lack of psychological knowledge are priority problems, the solution of which will improve the quality of nursing care. Conclusion. The lack of standards for nursing in the care of patients with trauma pathology in the literature has prompted the development of an exemplary standard for nursing care for patients with a femoral fracture. It is this category of patients that is distinguished by a high need for medical assistance and care.

Challenges using electronic nursing routine data for outcome analyses: A mixed methods study

ObjectivesTo explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care hospitals. MethodA convergent parallel mixed methods design was performed. We conducted a quantitative representative survey with nursing managers from 32 Austrian general acute care hospitals and 11 qualitative semi-structured interviews with nursing quality management experts. Both results were first analyzed independently and afterward merged in the discussion. ResultsOn average, 76% of nursing documentation is already electronically supported in the surveyed Austrian hospitals. However, existing nursing data is seldom used for secondary purposes such as nursing-sensitive outcome analyses. This is due to four major reasons: First, hospitals often do not have a data strategy for the secondary use of routine data. Second, hospitals partly lack the use of standardized and uniform nursing terminologies, especially for nursing evaluation. Third, routine nursing data is often not documented correctly and completely. Fourth, data on nursing-sensitive outcomes is usually collected in specific documentation forms not integrated into routine documentation. ConclusionThe awareness of the possibilities for secondary use of nursing data for nursing-sensitive outcome analyses in Austrian hospitals is still in its infancy. Therefore, nursing staff and nursing management must be trained to understand how to collect and process nursing data for nursing-sensitive outcome analyses. Further studies would be interesting in order to determine the factors that influence the decision-making processes for the secondary use of nursing data for outcome analyses.

Analysis of the Application Effect of Quality Control in Blood Purification Nursing Quality Management

Analysis of the Application Effect of Quality Control in Blood Purification Nursing Quality Management

Discussion on the Application Effect of Continuous Quality Improvement in Neurosurgery Nursing Quality Management

Discussion on the Application Effect of Continuous Quality Improvement in Neurosurgery Nursing Quality Management

Enablers and barriers to implementing care quality improvement program in nursing homes in China

ObjectiveTo explore the perspectives of key stakeholders on necessary factors to implement care quality improvement program.MethodsWe conducted qualitative descriptive research in eight nursing homes in four major prefecture-level cities of Changsha, Xiangtan, Zhuzhou, and Yueyang. Data of 50 clinical nurses and 64 nurse assistants were included and analyzed. Ethical approval was given by the medical ethics committee of Chinese Clinical Trial Registry (No. ChiCTR-IOC-17013109, https://www.chictr.org.cn/index.aspx). One-to-one interviews were used with the nursing managers, and separate focus group discussions were used with the clinical nurses and nurse assistants. All of the interviews were audio recorded and later transcribed verbatim. In addition, the first author documented the responses of every participant in the field notes during the interviews and focus groups.ResultsThe participants’ perspectives were characterized by two main themes: (1) enablers, with four subthemes of “organizational support”, “the evidence-based practice ability”, “proactivity”, “nursing supervision and feedback;” and (2) barriers, with five sub-themes of “low educational background”, “the limitations of self-role orientation”, “resistance to change”, “lack of job motivation”, and “organizational constraints”.ConclusionThese findings recognize factors at the organizational level, staff level and societal level that are necessary to implement effective mentoring. The results of this study can provide reference for nursing home in improving nursing management quality, formulating, implementing and revising training policies.

Application and Effectiveness of Big Data and Artificial Intelligence in the Construction of Nursing Sensitivity Quality Indicators.

In order to explore the quality management efficiency of applying big data and artificial intelligence in nursing quality index, a method of building a nursing management platform integrating nursing indicators and nursing events is proposed. Based on the investigation of the application demand of nursing information system, the method achieves timely data sharing and transmission through WLAN technology and realizes nursing management monitoring, nursing quality index enquiry, and automatic statistical analysis under the vertical management mode of nursing. The results showed that 77 people (73%) thought the time decreased, 19 people (18%) thought the time was the same, and 9 people (7%) thought the time increased. In terms of intelligent application and big data of nursing information management system, there is a significant difference in nursing management efficiency before and after using nursing management information system (P < 0.001). The nursing management control platform is designed and applied, and the nursing quality control method and actual management process are improved, which is very good for strengthening nursing quality management. The overall optimization of the quality control process is realized, which helps to mobilize the initiative and enthusiasm of nursing staff and continuously improve the effectiveness of nursing management and nursing efficiency.

Analysis of Application Effect of Nursing Quality Management in Nursing Work of Health Examination Center

Analysis of Application Effect of Nursing Quality Management in Nursing Work of Health Examination Center

Analysis on Applied Effect of Intelligent Medicine Integration System Construction Combined with Problem-based Learning Approach in Operation Room Nursing Management and Training

To explore the applied effect of intelligent medicine integration system construction combined with problem-based learning (PBL) approach in operating room nursing management and training. 120 nursing staff working in our hospital from January 2019 to January 2020 were selected as the research object and randomly divided into group A (n=60) and group B (n=60), with the routine PBL approach and the PBL approach combined with intelligent medicine integration system performed to group B and group A respectively to compare the assessment results of operating room nursing management, scores on evaluation of the teaching methods, incidence rates of adverse nursing events, nursing management quality and patient satisfaction. Compared with group B, the trained nursing staff in group A had significantly better performance in operating room nursing management (P&lt;0.001), higher score on evaluation of the teaching method (P&lt;0.001), lower incidence rate of adverse nursing events in operating room (P&lt;0.05), higher nursing management quality (P&lt;0.001), and higher patient satisfaction (P&lt;0.05). The intelligent medicine integration system construction combined with the PBL approach can effectively improve the comprehensive quality of nursing staff, optimize the quality of operating room nursing management, and lower the incidence of adverse nursing events, which should be promoted in clinical practice.

Improvement of Nursing Management Quality in Hemodialysis Room by 5S Management System

Improvement of Nursing Management Quality in Hemodialysis Room by 5S Management System

Application Effect of Seamless Nursing Quality Management in Patients with Digestive Endoscopy

Application Effect of Seamless Nursing Quality Management in Patients with Digestive Endoscopy

Application Effect Analysis of Quality Control in Nursing Quality Management of Blood Purification

Application Effect Analysis of Quality Control in Nursing Quality Management of Blood Purification

Application value analysis of standardized nursing in nursing quality management of digestive endoscope room standardized nursing.

Application value analysis of standardized nursing in nursing quality management of digestive endoscope room standardized nursing.

Effect of Nursing Quality Management on the Nosocomial Infection Rate and Psychology State of Patients with Burn and Plastic Surgery.

Background:To explore the effect of nursing quality management on the nosocomial infection rate and Psychology State of patients with burn and plastic surgery.Methods:Overall, 92 patients with burn and plastic surgery admitted to Qilu Hospital, Jinan, China from Apr 2017 to Jul 2018 were selected, in which 46 cases were randomly selected as a control group for routine nursing management, and another 46 cases as a research group to strengthen nursing quality management. The incidence of nosocomial infection, nursing satisfaction and nurse-patient disputes were compared. MMAS-8 scale was used to compare the compliance of the two groups. SAS and SDS score were used to compare the psychological status. The recovery and discharge were compared.Results:The incidence of nosocomial infection in the study group was significantly lower than that in the control group (P<0.05). The total satisfaction rate of the study group was significantly higher than that of the control group (P<0.05). The incidence of nurses-patients disputes was significantly lower than that of the control group. The SAS and SDS score of the study group were significantly better than the control group (P<0.05). The healing time, blood circulation recovery time of skin wounds and discharge time in the study group were significantly better than those in the control group.Conclusion:Strengthening nursing quality management can effectively reduce the nosocomial infection rate of burn and plastic surgery. It helps to further accelerate the recovery of patients and make patients ’psychological state better.

Contingency Nursing Management in Designated Hospitals During COVID-19 Outbreak.

Background:In December 2019, early cases of COVID-19 were identified in Wuhan, China. By late January 2020, it was evident that COVID-19 was rapidly spreading and represented a national health emergency. In order to contain the spread of COVID-19, China adopted a centralized treatment plan by appointing designated hospitals in each region. Shantou Central Hospital is a Grade A Class A general hospital in Guangdong Province. It was appointed as a provincial COVID-19 designated treatment hospital on January 21, 2020, to provide all COVID-19-related treatments for the city of Shantou. The nursing department at Shantou Central Hospital is fully responsible for hospital nursing administration, nursing human resource management, nursing quality management, and all nursing tasks related to hospital medical care, nursing, teaching, scientific research, preventive healthcare, and so on.Objective:To summarize the role of nursing management in transforming a general hospital into a designated hospital for treatment of COVID-19 patients.Methods:We undertook a series of nursing management measures in the strategic phase and the implementation phase.Findings:Through a series of nursing management measures, all COVID-19 patients admitted to our hospital were cured and discharged. All non-COVID-19 patients and staff hospitalized during the same period were not infected with the virus. During this period, our hospital completed 7,466 operations. Hence, our nursing management measures were effective.Conclusions:Our efficient nursing management system, first of all, effectively mobilized all available manpower; secondly, up-skilled and trained personnel within a very short period of time; thirdly, provided reliable logistical support for front-line protection equipments; and finally, motivated nurses during this very difficult time to make a significant positive contribution to the fight against COVID-19 pandemic.

Characteristics and practice management of intensive care for patients with Coronavirus Disease 2019

Objective To explore and analyze the characteristics and causes of intensive nursing needs of patients with Coronavirus Disease 2019. Methods This was a cross-sectional study. Severe or critical patients’ treatment and care information were extracted through the HIS system in a designated hospital of critical patients with Coronavirus Disease 2019. We used statistical descriptions to analyze patient general information, nursing degree, therapeutic intensive care needs. The chi-square test or Fisher's exact test was used to analyze the differences between characteristics of patients and nursing degree. Results A total of 1849 cases of severe and critical patients were collected, including special grade nursing care 697 (37.70%), grade I nursing care (62.30%) . There were 893 (48.30%) patients aged ≥65 years, and 853 (46.13%) patients with one or more complications. All patients required the nursing routine of infection department, and the therapeutic intensive care followed was vein blood collection (99.62%), oxygen inhalation (98.92%), oral medication (98.65%), finger pulse oxygen monitoring (77.07%) and pharyngeal swab collection (71.93%).The nursing degree of patients with different gender, age, admission mode, body position and complications were statistically significant (P<0.05). Conclusions The intensive care needs of patients with Coronavirus Disease 2019 are complex, which are special in treatment, life and psychology, and the tasks of nursing are heavy, difficult and professional. Special attention should be paid to elderly patients and patients with complications. Our hospital has established the temporary nursing department in the period of COVID-19 outbreak, unified the coordination of nursing manpower and quality of nursing management, and set up a nursing expert consultation team to further enhance the quality of care for critical patients with Coronavirus Disease 2019. Key words: Coronavirus Disease 2019 (COVID-19); Intensive care; Nursing degree; Nursing workload

Practice and effectiveness of improving nursing quality in primary hospitals under the model of overall trusteeship

Objective To explore the application effect of high quality nursing resources sinking in primary hospitals nursing quality management under the model of overall trusteeship. Methods In January 2017, through the establishment of a nursing custody assistance team, high-quality nursing resources were integrated to sink to the primary hospitals (Ningbo Daxie Development Zone Hospital) , improving the nursing management system and nursing quality control three-level system, strengthening nursing quality supervision, performance assessment and diversified training of nursing talents. The quality of care, nurse bedside comprehensive ability, nurse job satisfaction, professional identity, and patient satisfaction before and after trusteeship for 2 years were observed and compared. Results After 2 years of trusteeship, the scores of nursing quality in all dimensions and total score were significantly higher than those before the trusteeship, and the differences were statistically significant (P<0.05) . After 2 years of trusteeship, nurse bedside comprehensive ability and job satisfaction of the nurses were significantly higher than those before the trusteeship (χ2=16.97, 40.08; P<0.01) . After 2 years of trusteeship, the scores of professional identity in all dimensions and total score were higher than those before the trusteeship, and the differences were statistically significant (P<0.01) . After 2 years of trusteeship, the patient satisfaction was higher than that before the trusteeship, and the difference was statistically significant (χ2=30.40, P<0.01) . Conclusions Under the overall trusteeship mode, high-quality nursing resources are sunk into primary hospitals, and scientific nursing management and talent training innovation mode are implemented, which effectively improve the nursing quality of the trusteeship hospital, improve the job satisfaction of nurses and patients' satisfaction, and promote the sustainable development of the trusteeship hospital. Key words: Nursing administration research; Nursing quality; Trusteeship hospital; Professional identity; Job satisfaction

Establishment and management of neurosurgery emergency observation ward during the COVID-19 epidemic period

During the COVID-19 epidemic period, the front-line antiepidemic departments have attracted much attention. However, to meet people's daily needs for the diagnosis and treatment, emergency department and intensive care unit are also the focus of work to control the source of infection, cut off the transmission route, and reduce the risk of novel coronavirus transmission while treating patients. In order to further strengthen the management, our department of neurosurgery took active measures in the emergency treatment for patients and summarized the coping strategies and relevant experience from the aspects of establishment of emergency observation wards, medical staff management, patients and family management, daily environment and object surface disinfection management, material management, and nursing quality management, hoping to provide reference for the nursing management of emergency wards after the outbreak of public health emergencies.

Application and Effect Evaluation of &amp;apos;Five Routine Working Regulation&amp;apos; Method in Nursing Quality Management of Outpatient Injection Room

Objective: To assess application and effect evaluation of 'Five Routine Working Regulation' method in nursing quality management of outpatient injection room. Methods: We invested 16 nurses and 200 patients to join our study in treatment process. Additionally, we grouped the data accord to different time periods. The time periods of control group are from July 2017 to June 2018, we did not implement 'Five Routine Working Regulation' method in this time period. The time periods of intervention group are from July 2018 to June 2019, we implement 'Five Routine Working Regulation' method in this time period. Our researchers collected the information include the quality indicators, nurse satisfaction and patient satisfaction. Result: In the quality indicators research, intervention group participants have better performance than that of control group in this study. In particular, the intervention group has not cases in Total number of no-write opening time of sterile articles in use and Total number of expired or waste of medicine and substance. But the control group has cases in those two domains (0 vs 25, 0 vs 210). In nurse satisfaction research, the result indicate intervention group has better nurse satisfaction assessment in our research result (87.5% vs 62.5%). In patient satisfaction, the intervention group patients provide more good assessment in satisfaction research, and the result is statistical significance (190 vs 171, p = 0.012). Conclusion: the 'Five Routine Working Regulation' method has influence to improve the nursing quality in outpatient injection room.