The impact of integrated medical and nursing PDCA cycle management combined with high-quality nursing services on outpatient nursing quality
医护一体PDCA循环管理联合优质护理服务对门诊护理质量的影响

摘要

目的 探讨医护一体化PDCA循环管理模式与优质护理服务相结合对门诊护理质量提升效果的评估。方法 随机选取2024年3月至2025年3月期间我院门诊接收的患者80例作为研究对象，运用随机数字表法将患者分成两组开展护理研究，组别为观察组和对照组,每组中各有患者40例，对照组开展门诊常规护理，观察组开展医护一体PDCA循环管理联合优质护理服务，将两组门诊护理质量、患者焦虑情绪、就诊依从性、护理不良事件发生率、投诉事件发生率、院内感染事件发生率以及患者门诊就诊时间进行对比分析。结果 管理后，观察组的门诊护理服务质量与对照组相比明显提升，患者焦虑情绪和就诊依从性改善效果均优于对照组，护理不良事件、投诉事件以及院内感染事件发生率均低于对照组，就诊时间明显短于对照组，护理服务满意度调查高于对照组。(P＜0.05)。结论 在临床门诊护理管理中开展医护一体PDCA循环管理联合优质护理服务，可进一步提高门诊护理服务质量，增强患者的身心舒适度以及就诊配合度，从而减少护理不良事件以及纠纷事件发生，提高患者就诊效率。

Abstract

Objective To explore the evaluation of the effect of combining the integrated PDCA cycle management mode of medical care with high-quality nursing services on the improvement of outpatient nursing quality.
Methods 80 patients admitted to our outpatient department from March 2024 to March 2025 were randomly selected as the research subjects. The patients were divided into two groups using a random number table method for nursing research: an observation group and a control group, with 40 patients in each group. The control group received routine outpatient nursing, while the observation group received integrated medical and nursing PDCA cycle management combined with high-quality nursing services. The quality of outpatient nursing, patient anxiety, adherence to medical treatment, incidence of nursing adverse events, incidence of complaint events, incidence of in-hospital infection events, and patient outpatient visit time were compared and analyzed between the two groups.
Results After management, the quality of outpatient nursing services in the observation group was significantly improved compared to the control group. The improvement effect on patient anxiety and adherence to medical treatment was better than that of the control group. The incidence of nursing adverse events, complaints, and hospital acquired infections was lower than that of the control group. The duration of medical treatment was significantly shorter than that of the control group, and the satisfaction survey of nursing services was higher than that of the control group. (P＜0.05).
Conclusion   In clinical outpatient nursing management, the implementation of integrated medical and nursing PDCA cycle management combined with high-quality nursing services can further improve the quality of outpatient nursing services, enhance patients' physical and mental comfort, and cooperation with medical treatment, thereby reducing the occurrence of nursing adverse events and disputes, and improving patients' medical treatment efficiency.