PDCA nursing in improving quality management efficacy in endoscopic submucosal dissection

Area of Science:

• Gastroenterology
• Surgical Nursing
• Quality Improvement

Background:

• Endoscopic submucosal dissection (ESD) is a standard procedure for early gastrointestinal tumors.
• Effective nursing care is crucial for managing risks, ensuring patient privacy, and enhancing satisfaction.
• The PDCA (Plan-Do-Check-Act) nursing model offers a framework for systematic quality improvement.

Purpose of the Study:

• To evaluate the impact of the PDCA nursing model on quality management in gastrointestinal ESD.
• To assess the influence of PDCA nursing on patient-reported outcomes, including the SF-36 health survey and emotional well-being.
• To compare the PDCA nursing model with usual care in terms of clinical and economic outcomes.

Main Methods:

• A comparative study involving 178 patients undergoing gastrointestinal ESD.
• Patients were divided into a control group (usual care) and a research group (PDCA nursing model).
• Key metrics assessed included length of hospital stay, costs, visual analog scale (VAS), SF-36 scores, Zung anxiety and depression scales, and postoperative complications.

Main Results:

• The PDCA nursing group demonstrated significantly shorter hospital stays and lower costs compared to the control group (P < 0.05).
• Patients in the PDCA group reported lower VAS pain scores, improved SF-36 scores across multiple domains, and reduced anxiety and depression.
• The postoperative complication rate was substantially lower in the PDCA group (6.12%) versus the control group (32.50%) (P < 0.05).

Conclusions:

• The PDCA nursing model enhances the quality of care for gastrointestinal ESD procedures.
• Implementation of PDCA nursing leads to reduced hospital stays, lower costs, and improved patient-reported outcomes.
• PDCA nursing effectively mitigates adverse emotions and significantly decreases postoperative complications in ESD patients.