PDCA cycle and safety culture in nursing safety management of Day Ward chemotherapy.

IF 2.5 3区医学 Q3 ONCOLOGY

World Journal of Surgical Oncology Pub Date : 2025-03-22 DOI:10.1186/s12957-025-03738-w

Xia Chen

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引用次数: 0

Abstract

Objective: The PDCA cycle, also known as the PDCA (Plan-Do-Check-Act) cycle, is a well-established continuous quality improvement framework. This study aimed to evaluate the impact of implementing a nursing safety management strategy grounded in the PDCA cycle and safety culture principles in the context of Day Ward chemotherapy.

Methods: This a prospective group comparison study (cohort comparison) based on principles of randomization. A total of 120 patients receiving intravenous chemotherapy at the Day Ward of Nantong First People's Hospital from January 2023 to December 2023 were recruited as research participants. They were randomly assigned to either a control group or a study group, which were managed using the conventional nursing quality management approach and the PDCA cycle-based safety culture management method, respectively. The primary outcomes measured were nursing satisfaction, chemotherapy-related symptom burden, and the incidence of total implantable venous access port catheter (TIVAP)-related adverse events.

Results: After three months, the study group showed significantly lower scores on all MSAS-SF subscales (GDI: 1.05 ± 0.33, PHYS: 0.69 ± 0.35, PSYCH: 1.15 ± 0.42, TMSAS: 2.62 ± 0.34) compared to the control group (GDI: 1.22 ± 0.47, PHYS: 0.85 ± 0.32, PSYCH: 1.43 ± 0.73, TMSAS: 2.81 ± 0.36) (all P < 0.05). Nursing satisfaction was higher in the study group (95.00%) than in the control group (78.33%) (P < 0.05). Quality of life scores improved more in the study group (74.9 ± 9.2) than in the control group (68.2 ± 10.5) (P < 0.01). The study group also had fewer TIVAP-related adverse events (6.67%) compared to the control group (24.67%) (P < 0.05).

Conclusion: The adoption of a nursing safety management model rooted in the PDCA cycle and safety culture principles can effectively improve nursing quality and satisfaction, alleviate patient symptoms and enhance quality of life in the context of Day Ward chemotherapy. These findings underscore the merit of further disseminating and studying this management approach in nursing practice.

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PDCA循环与安全文化在日间病房化疗护理安全管理中的应用。

目的：PDCA循环，也称为PDCA（计划-执行-检查-行动）循环，是一个完善的持续质量改进框架。本研究旨在评估基于PDCA循环和安全文化原则的护理安全管理策略对日间病房化疗的影响。方法：采用基于随机化原则的前瞻性分组比较研究（队列比较）。选取2023年1月至2023年12月在南通市第一人民医院日间病房接受静脉化疗的患者120例作为研究对象。随机分为对照组和研究组，分别采用传统护理质量管理方法和基于PDCA循环的安全文化管理方法进行管理。主要观察指标为护理满意度、化疗相关症状负担、全植入式静脉导管（TIVAP）相关不良事件发生率。结果：3个月后，研究组在MSAS-SF各分量表（GDI: 1.05±0.33,PHYS: 0.69±0.35,PSYCH: 1.15±0.42,TMSAS: 2.62±0.34）的得分明显低于对照组（GDI: 1.22±0.47,PHYS: 0.85±0.32,PSYCH: 1.43±0.73,TMSAS: 2.81±0.36）（均P）。采用基于PDCA循环和安全文化原则的护理安全管理模式，可有效提高日间病房化疗护理质量和满意度，缓解患者症状，提高生活质量。这些发现强调了在护理实践中进一步推广和研究这种管理方法的优点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Surgical Oncology ONCOLOGY-SURGERY

CiteScore

4.70

自引率

15.60%

发文量

362

审稿时长

3 months

期刊介绍： World Journal of Surgical Oncology publishes articles related to surgical oncology and its allied subjects, such as epidemiology, cancer research, biomarkers, prevention, pathology, radiology, cancer treatment, clinical trials, multimodality treatment and molecular biology. Emphasis is placed on original research articles. The journal also publishes significant clinical case reports, as well as balanced and timely reviews on selected topics. Oncology is a multidisciplinary super-speciality of which surgical oncology forms an integral component, especially with solid tumors. Surgical oncologists around the world are involved in research extending from detecting the mechanisms underlying the causation of cancer, to its treatment and prevention. The role of a surgical oncologist extends across the whole continuum of care. With continued developments in diagnosis and treatment, the role of a surgical oncologist is ever-changing. Hence, World Journal of Surgical Oncology aims to keep readers abreast with latest developments that will ultimately influence the work of surgical oncologists.