Journal articles: 'Total quality management in nursing'

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Williams, Timothy P., and Rtifis S. Hozve. "Applying Total Quality Management: A Nursing Guide." Journal For Healthcare Quality 14, no. 1 (January 1992): 41. http://dx.doi.org/10.1097/01445442-199201000-00015.

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Lanza, Marilyn Lewis. "Total Quality Management." Clinical Nurse Specialist 8, no. 4 (July 1994): 221. http://dx.doi.org/10.1097/00002800-199407000-00016.

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Schroeder, Patricia. "Total Quality Management for Home Care." Journal of Nursing Care Quality 11, no. 1 (October 1996): 70. http://dx.doi.org/10.1097/00001786-199610000-00015.

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Andreoli, Kathleen G. "Total quality management—A new culture." Journal of Professional Nursing 8, no. 2 (March 1992): 72. http://dx.doi.org/10.1016/8755-7223(92)90065-7.

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Ernst, Diane Fahey. "Total quality management in the hospital setting." Journal of Nursing Care Quality 8, no. 2 (January 1994): 1–8. http://dx.doi.org/10.1097/00001786-199401000-00003.

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Mohamed, Faten, Fatma Mohamed, Safaa Abd Elrahman, and Sanaa Aref. "Nursing Staff Awareness Regarding Challenges for Applying Total Quality Management." Minia Scientific Nursing Journal 009, no. 1 (June 30, 2021): 104–10. http://dx.doi.org/10.21608/msnj.2021.190447.

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Schnelle, John F., Joseph G. Ouslander, Dan Osterweil, and Sheldon Blumenihal. "Total Quality Management: Administrative and Clinical Applications in Nursing Homes." Journal of the American Geriatrics Society 41, no. 11 (November 1993): 1259–66. http://dx.doi.org/10.1111/j.1532-5415.1993.tb07312.x.

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Wai Mun, Tang, and Muhammad Faizal A. Ghani. "Continuous Improvement in Nursing Education through Total Quality Management (TQM)." Journal of Education and Learning (EduLearn) 7, no. 4 (November 1, 2013): 193. http://dx.doi.org/10.11591/edulearn.v7i4.192.

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Widtfeldt, Anne Keenan, and James R. Widtfeldt. "Total Quality Management in American Industry." AAOHN Journal 40, no. 7 (June 1992): 311–18. http://dx.doi.org/10.1177/216507999204000702.

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Occupational health nurses must apply the universal principles of Total Quality Management so that health services are customer driven, value added, process focused, and statistically measured. They must elicit customer input prior to, along with, and after program implementation. Programs must be directed toward doing the right things and doing things right. Measurement must be a priority of any program in health services. If occupational health nurses do all this, they will be at the forefront of the American quality movement, especially as it relates to health care.

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Recker, Diane, and Melody Oie. "Application of total quality management to unit-based quality assessment and improvement." Journal of Nursing Care Quality 8, no. 4 (July 1994): 25–32. http://dx.doi.org/10.1097/00001786-199407000-00005.

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Masters, Fran, and June A. Schmele. "Total quality management: An idea whose time has come." Journal of Nursing Care Quality 5, no. 4 (July 1991): 7–16. http://dx.doi.org/10.1097/00001786-199107000-00003.

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Phoon, Janet, Karen Corder, and Marjorie Barter. "Managed care and total quality management: A necessary integration." Journal of Nursing Care Quality 10, no. 2 (January 1996): 25–32. http://dx.doi.org/10.1097/00001786-199601000-00005.

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Zonsius, Mary Klingelsmith, and Marcia Murphy. "USE OF TOTAL QUALITY MANAGEMENT SPARKS STAFF NURSE PARTICIPATION IN CONTINUOUS QUALITY IMPROVEMENT." Nursing Clinics of North America 30, no. 1 (March 1995): 1–12. http://dx.doi.org/10.1016/s0029-6465(22)02274-5.

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Rocha, Elyrose Sousa Brito, and Maria Auxiliadora Trevizan. "Quality management at a hospital's nursing service." Revista Latino-Americana de Enfermagem 17, no. 2 (April 2009): 240–45. http://dx.doi.org/10.1590/s0104-11692009000200016.

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The study aimed to know the opinion of nurses in relation to the Quality Management implemented in a hospital service. This is an exploratory and descriptive study carried out with a sample of 17 individuals. The main results, among the 14 principles of quality, reveal that the seventh principle "adopt and institute leadership" received the highest score. On the other hand, the lowest scored principle was the third: "cease the dependency of mass inspection". The obtained results, coupled with theoretical knowledge on the subject and professional experience on the management of nursing services, lead us to the conclusion that nurses consider Total Quality a practical philosophy to be implemented in the services under their responsibility and accept the challenge of overcoming barriers related to tradition, going from discourse to practice.

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Dutton, J. "Advancing quality: total quality management in the National Health Service." Accident and Emergency Nursing 5, no. 2 (April 1997): 119. http://dx.doi.org/10.1016/s0965-2302(97)90097-7.

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Saleh Moustafa Saleh, Manal, Hanan Elsaid Elsabahy, Sahar Abdel - Latif Abdel- Sattar, and Khadra Mohammed Atiea Mohammed. "Developing and validating a strategic plan for total quality management in nursing." Egyptian Journal of Health Care 10, no. 4 (December 1, 2019): 459–70. http://dx.doi.org/10.21608/ejhc.2019.213348.

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Williams, Timothy, and Rufus Howe. "W. Edwards Deming and Total Quality Management: An Interpretation for Nursing Practice." Journal For Healthcare Quality 14, no. 1 (January 1992): 36–39. http://dx.doi.org/10.1111/j.1945-1474.1992.tb00011.x.

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Rooney, Edward, and Anne Keenan Widtfeldt. "Total Quality Management/Continuous Quality Improvement in Business and Health Care." AAOHN Journal 40, no. 7 (June 1992): 309–10. http://dx.doi.org/10.1177/216507999204000701.

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Simpson, E. M. "Putting Total Quality Management Theory into Practice." Drug Information Journal 28, no. 4 (October 1994): 1029–39. http://dx.doi.org/10.1177/009286159402800419.

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Deleers, Michel. "From Quality Control to Total Quality Management: A Logical Evolution." Drug Information Journal 28, no. 4 (October 1994): 917–20. http://dx.doi.org/10.1177/009286159402800402.

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Cruickshank, Mary. "A study of quality management practices in nursing in universities in Australia." Australian Health Review 26, no. 1 (2003): 194. http://dx.doi.org/10.1071/ah030194.

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In Australia,the traditional Quality Assurance approach used in the hospital setting has played an important role in nursing practice.During the past decade, nurses have begun making a paradigm shift from Quality Assurance to Total Quality Management but scant attention has been paid to quality management practices in nursing in the higher education sector. This paper reports on a quantitative study examining the perceptions of nurse academics to the applicability of TQM to nursing in universities. The findings identified how TQM could be applied to suit the nursing culture in the higher education sector.

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Gathoni, Nasra, and Thomas Van der Walt. "Evaluating library service quality at the Aga Khan University library: Application of a total quality management approach." Journal of Librarianship and Information Science 51, no. 1 (December 27, 2016): 123–36. http://dx.doi.org/10.1177/0961000616679725.

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The purpose of this paper is to report on an investigation of the service quality of the Aga Khan University library in Kenya. The total quality management philosophy which forms the basis of this report has been demonstrated by the use of SERVQUAL, a user-based assessment tool, in the evaluation of service quality. The research was conducted among 123 Aga Khan University library users – nursing and medical faculty and nursing and medical students – with an aim to investigate the quality of its services based on the satisfaction of library users with the services and as expressed by and based on users’ expectations and perceptions. The data was gathered through the SERVQUAL structured questionnaire and a 63% response rate was realized. The findings generally established that the expectations of Aga Khan University library users are higher than their perceptions. The results also show that there are service quality gaps in a number of services offered by the library. This research is deemed important as there is lack of information showing libraries in Kenya having involved library users in service quality evaluation through the use of objective and user-based tools. Thus this paper may lead to libraries in Kenya embracing objective measurement tools for the evaluation of library service quality. It is hoped that this article will contribute to a better understanding of philosophies such as total quality management in an academic library environment in developing countries, users’ expectations and perceptions of quality.

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Chen, Pingli, Xiulan Liu, Pengfei Xiao, and Liu Wu. "Effect of Continuous Nursing Mode on Negative Emotions and Self-Management of Patients With Parkinson’s Disease." Tobacco Regulatory Science 7, no. 5 (September 30, 2021): 2678–86. http://dx.doi.org/10.18001/trs.7.5.1.38.

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This research aims to explore the influence of continuous nursing mode on negative emotions and self-management of patients with Parkinson’s disease (PD).Seventy-two PD patients admitted to our hospital from February 2017 to March 2019 were collected in this experiment. Among them, those treated by routine nursing were divided into the control group (CG) (35 cases), and those with continuous nursing were included into the research group (RG) (37 cases). Self-perceived burden scale (SPBS) was used as an evaluation standard for patients; The higher the score, the more serious the self-perceived burden is. Before nursing and one month after nursing, the depression scores were evaluated by the Hamilton Depression Scale (HAMD); The higher the score, the more serious the depression is. The sleep quality of patients before and after nursing was assessed by the Pittsburgh Sleep Quality Index (PSQI), 21 scores in total; The higher the score, the lower the sleep quality of patients after delivery is. The function of patients’ activities of daily living (ADL) was measured by the Barthel index (Bl), totally 100 scores; The higher the score, the stronger the ADL is. The limb function of patients was analyzed by the Fugl-Meyer assessment of motor function (FAM), 100 scores in total; The higher the score, the stronger the limb function is. The quality of life of patients was evaluated by the quality of life scale (GQOL-74). There are four dimensions, 100 points for each; The higher the score, the better the quality of life is. The patients’ nursing satisfaction of our hospital were assessed by the self-made Nursing Satisfaction Questionnaire, 5 points for each question. The total score < 70 was dissatisfied, 70-89 was satisfied, and > 90 was very satisfied. Satisfaction = (very satisfied+satisfied)/total cases x100%. There was no difference in SPBS and HAMD scores between both groups before nursing intervention (P > 0.05), but the scores in the RG were lower than those in the CG after nursing intervention (P < 0.05). There was no marked difference in PSQI scores between the two groups before nursing (P > 0.05), but the scores of the RG decreased after nursing compared with the CG (P < 0.05). The FAM and Bl scores of both groups showed no difference before nursing intervention (P > 0.05), but the scores in the RG increased after nursing compared with the CG (P < 0.05). Complications occurred in both groups 6 months after discharge; The total incidence in the RG was 2.70%, dramatically lower that of the CG (22.86%) (P < 0.05).The GQOL-74 scores (physical function, mental function, social function and material life) of patients in the RG were higher than those in the CG (P < 0.05). The nursing satisfaction of patients in the RG was 97.30%, higher than that in the CG (77.14%) (P < 0.05).Continuous nursing can improve the negative emotions and self-management of patients, reduce the occurrence of complications, and perfect their quality of sleep and life.

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Hutchison, Roderick L. "Is Good Laboratory Practice Compatible with Total Quality Management?" Drug Information Journal 28, no. 4 (October 1994): 1041–45. http://dx.doi.org/10.1177/009286159402800420.

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Ma, Huan, Juan Cao, and Meng Li. "Application of PDCA Process Management in Day Operation Ward and the Influence of Nursing Quality and Safety." Computational and Mathematical Methods in Medicine 2022 (March 7, 2022): 1–8. http://dx.doi.org/10.1155/2022/8169963.

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Objective. To survey the application of PDCA (plan, do, check, and action) process management in day operation ward and the influence of nursing quality and safety. Methods. The routine nursing management was carried out in our hospital from March 2019 to March 2020, which was set as the control group ( N = 20 ), and the PDCA process management was implemented from March 2020 to March 2021 as the research group ( N = 20 ). Twenty nurses and patients were selected as subjects in two periods of time. The nursing quality, the score of individual quality control examination in clinical department, the nursing quality of operating room, the incidence of adverse events and nursing errors, the number of problems existing in the quality management of nursing documents, and the score of nursing satisfaction were accessed. Results. In the comparison of nursing quality, the nursing safety, specialty quality, and nursing norms of the study group were higher compared to the control ( P < 0.05 ). In terms of the scores of individual quality control examination in clinical departments, the scores of ward management, rescue, therapeutic articles, drug management, first-level nursing, nursing documents, and head nurses in the study group were greater compared to the control ( P < 0.05 ). In terms of the operating room nursing quality score, the instrument management, instrument preparation, nurses’ cooperation skills, disinfection and isolation quality, and the total score of the study group were above the control ( P < 0.05 ). In terms of the incidence of operative adverse events and nursing errors, the incidence of nosocomial infection, iatrogenic injury, information check error, equipment failure, violation of operation regulations, ECG monitoring error, infusion operation error, and medication error in the study group was lower compared to the control ( P < 0.05 ). According to the comparison of the number of problems existing in the quality management of nursing documents, the number of problems in temperature sheet, medical order, evaluation sheet, nursing record, and other nursing documents in the study group was lower than the control ( P < 0.05 ). The scores of nursing communication, professional technology, nursing service attitude, nursing environment, and knowledge education in the study group were higher in contrast to the control ( P < 0.05 ). Conclusion. The application of PDCA management can effectively enhance the nursing quality and safety of the day operation ward, further facilitate the quality of hospital nursing work, and improve patient satisfaction, which exert great potential, and application value in the management of day ward in the future.

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Et al., Aan Komariah. "Improvement of Educational Quality: Bridging The Total Quality Management to Map Students’ Life Skills at Polytechnic of Health-Ministry." Psychology and Education Journal 58, no. 1 (January 29, 2021): 699–709. http://dx.doi.org/10.17762/pae.v58i1.820.

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This research was conducted to obtain a description that the Life Skill-Based Academic Service which is formulated based on the results of the evaluation can improve students’ life skills of Higher Education Department of Dental Nursing Polytechnic of health-ministry, Ministry of Health, Tasikmalaya and Bandung. The profile of academic service quality for Dental Nursing at Polytechnic of health-ministry, Ministry of Health, Tasikmalaya and Bandung, has not fully focused on improving life skills more thoroughly including life skills for the business world. Improvement and development of life skills through a number of learning activities, work practices and graduates who are ready to compete in the world of work. Leadership policy in implementing life skill-based academic service quality, oriented to the world of work. The formulation of policies for quality assurance is an elaboration of the vision and mission in order to produce graduates who are competent in the world of work. There is no policy evaluation specifically related to life skills. Evaluation is carried out on the output in the form of graduate and student user satisfaction with the service system. The Total Quality Management (TQM) system for service quality / academic life skill-based management has not been fully supported by the 10 main elements of TQM, especially the scientific approach. Planning focuses on main customers with internal customer support. Quality improvement is carried out by involving quality assurance units, structural and staff as team work. The improvement of the TQM system focuses on providing educational services oriented to the world of work.

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Tofighi, Maryam, Batool Tirgari, Zohreh Ghomian, Mehdi Safari, Jafar Bazyar, Ehsan Mohammadi, Leila Malekyan, and Hamid Safarpour. "Time Management Behaviors and Emotional Intelligence in Head Nurses in Emergency and Intensive Care Units." Creative Nursing 28, no. 1 (February 1, 2022): 29–35. http://dx.doi.org/10.1891/crnr-d-20-00087.

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Background: Time management is of particular importance in nursing. One of the most effective variables associated with time management is emotional intelligence (EI). This study assessed the relationship between time management and EI and the level of EI and time management skills in head nurses in emergency and intensive care units. Methods: A cross-sectional study was conducted on all head nurses in the emergency and intensive care units of nine educational hospitals at Isfahan University of Medical Sciences in Iran in 2015 using Bradberry-Greaves’ EI and Macan’s Time Management Questionnaires. Results: Participants’ total time management score was (104.15 ± 6.98); total EI score was (128 ± 15.80). There was no significant relationship between overall EI and time management skills. There was a significant relationship between age and the emotional self-awareness dimension of EI (p = .027) and the mechanics dimension of time management (p = .037), and between work experience and overall time management skills (p = .049) and the mechanics dimension of time management (p = .038). Conclusions: Specific EI and time management skills may help head nurses to cope with the challenges they face, which may improve the quality of nursing care. Nursing leaders should consider the importance of time management and EI in increasing motivation and satisfaction of nursing staff and improving quality of care.

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Brooks, Andrea, and Gerald Zeitz. "The effects of total quality management and perceived justice on organizational commitment of hospital nursing staff." Journal of Quality Management 4, no. 1 (January 1999): 69–93. http://dx.doi.org/10.1016/s1084-8568(99)80096-0.

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Siokal, Brajakson. "EFFECTIVENESS OF COMPUTER-BASED NURSING DOCUMENTATION IN NURSING CARE IN HOSPITAL – A LITERATURE REVIEW." Journal of Aafiyah Health Research (JAHR) 2, no. 1 (January 23, 2021): 16–24. http://dx.doi.org/10.52103/jahr.v2i1.305.

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Background: Nurse population in hospitals has a greater proportion than other health workers. Nearly 60-70% of the total human resources available, occupied by nurses. In fact, 90% of the health services provided are a form of nursing service. Therefore, nursing service is a form of professional service that is the biggest indicator in realizing the quality of hospital services. One of the duties of nurses in providing nursing services in accordance with standards is to document all nursing care provided. Objective: To review journals about documenting computer-based nursing care in hospitals for the effectiveness of the preparation of nursing care. Methods: Quantitative, mixed-methods, and qualitative reviews that aim to evaluate the influence of computerized nursing documentation (eg, management, computerized decision support systems and information systems) on nursing care were included. We used the nursing care performance framework as an extraction grid and analytical tool. This model illustrates how the interplay between nursing resources and nursing services can produce changes in patient conditions. The primary outcomes included nurses' practice environment, nursing processes, professional satisfaction, and nursing-sensitive outcomes. The secondary outcomes included satisfaction or dissatisfaction with computerized nursing documentation according to nurses 'and patients' perspectives. Reviews published in English, French, or Spanish from January 1, 2000 to December 15, 2019, were considered. Results: A total of 5515 titles or abstracts were assessed for eligibility and full-text papers of 72 articles were retrieved for detailed evaluation. It was found that 22 reviews published between 2002 and 2015 met the eligibility criteria. Many nursing care themes (ie, indicators) were influenced by the use of computerized nursing documentation, including time management; time spent on patient care; documentation time; information quality and access; quality of documentation; knowledge updating and utilization; nurse autonomy; intra and interprofessional collaboration; nurses' competencies and skills; nurse-patient relationship; assessment, care planning, and evaluation; teaching of patients and families; communication and care coordination; perspectives of the quality of care provided; nurses and patients satisfaction or dissatisfaction with computerized nursing documentation; patient comfort and quality of life related to care; empowerment; and functional status.

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Leonard, K. J. "Total Quality in Information Systems Management: Issues for the Health Care Industry." Methods of Information in Medicine 37, no. 02 (1998): 156–60. http://dx.doi.org/10.1055/s-0038-1634523.

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AbstractFaced with rising costs, growing demand and declining funding, hospitals and others must either cut services or improve the efficiency and effectiveness of what they do. Neither solution can be implemented without adequate relevant information. Without understanding which services are providing the most value to its customers, sensible cutbacks will be difficult to make. Improving efficiency requires a knowledge of where there are inefficiencies, and improving effectiveness requires an understanding of what the outcomes of health care are. The solution, as many have documented, is to create, as a first step, a database containing detailed health care patient data. In this paper, we present continuous improvement techniques as a requirement for the design and development ofthis much needed database.

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Ding, Weiwei, Fei Luo, Pingping Lin, Yu Tang, and Ying Liu. "Effect of Nursing Outcome-Oriented Intervention on Airway Management in Elderly Long-Term Bedridden Patients." Computational and Mathematical Methods in Medicine 2022 (October 11, 2022): 1–6. http://dx.doi.org/10.1155/2022/9557330.

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Objective. This study intended to explore the nursing outcome-oriented intervention’s effect on airway management in elderly long-term bedridden patients. Methods. A total of 120 cases of elderly long-term bedridden patients admitted to our hospital from May 2018 to June 2020 were enrolled and randomly divided into the observation group ( n = 60 ) and control group ( n = 60 ). The control group received the routine nursing intervention, while the observation group received the nursing outcome-oriented intervention. Forced expiratory volume (FEV1), forced vital capacity (FVC), and maximal voluntary ventilation (MVV) in the first second were compared between the two groups before and after the intervention. The pulmonary infection of the two groups was observed. Total protein, hemoglobin, albumin, and cholesterol levels were compared between the two groups. Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) were used to evaluate the two groups’ psychological status before and after the intervention. The Generic Quality of Life Inventory-74 (GQOLI-74) assessed the two groups’ quality of life. Results. After the intervention, the levels of FEV1, FVC, and MVV; total protein, hemoglobin, albumin, and cholesterol; and scores of physical function, psychological function, social function, and material life function in the observation group were higher than those in the control group. Pulmonary infection, secondary infection, the infection rate is more than 3%, HAMA, and HAMD scores, and the incidence of pressure ulcers, aspiration, constipation, and the falling bed was lower than those in the control group, with statistical significance (all P < 0.05 ). Conclusion. Nursing outcome-oriented intervention can effectively improve lung function, pulmonary infection, nutritional status, negative mood, and quality of life of long-term bedridden elderly patients.

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Alasqah, Ibrahim, Muteb Alotaibi, Cris Adolfo, Mahmudul Hassan Al Imam, Bader Alrasheadi, Adel Alhindi, Hassan Altakroni, and Ilias Mahmud. "Quality Improvement Attitudes among Saudi Nurses in Hospitals in Qassim, Saudi Arabia: A Cross-Sectional Survey." Healthcare 11, no. 1 (December 24, 2022): 49. http://dx.doi.org/10.3390/healthcare11010049.

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Background: This study aimed to provide an overview of perceptions of quality improvement among nurses working in Saudi Arabia. Methods: We conducted a descriptive cross-sectional study of 497 Saudi nurses working in public and private hospitals in Al-Qassim Province. Descriptive statistics were computed for quality improvement nursing attitude items and demographic factors. Results: A total of 497 nurses took part in the study; 29.1% of participants were females, and half of the participants were between the ages of 25–30 years. Most respondents were employed in governmental hospitals (98.7%), and 41.9% of participants had work experience ranging between 1 and 5 years. Nurses involved in providing direct patient care recognize the quality improvement attitudes related to changes in the healthcare delivery processes. Saudi nurses’ quality improvement nursing attitudes were moderate. Female, married, and older age group nurses and nurses who were working fewer hours per week showed better quality improvement attitudes. Conclusions: Saudi nurses’ quality improvement nursing attitudes are found to be moderate. Age, gender, marital status, and working hours of nurses are associated with their quality improvement attitudes. To empower nurses to improve healthcare, nursing administrators need to focus on improving the quality improvement attitudes environment.

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Gray, Jenny, and Susie Gage. "P13 Optimising paediatric intravenous fluid management plans: a quality improvement project." Archives of Disease in Childhood 105, no. 9 (August 19, 2020): e12.2-e13. http://dx.doi.org/10.1136/archdischild-2020-nppg.22.

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IntroductionIntravenous (IV) maintenance fluids are often prescribed post-surgery when enteral routes are contraindicated. Serious consequences have been documented when poor fluid management has occurred, as highlighted in the National Patient Safety Alert (NPSA) 22; reducing the risk of hyponatraemia; when administering IV fluids to children.1 In response to this, the National Institute for Health and Care Excellence (NICE) published their guidance in December 2015 regarding IV fluids in children.2 Based on NICE recommendations, a pan hospital fluid guidance was produced. Within the NICE and hospital’s own guideline it states that there should be a daily fluid management plan documented. It has been well recognised that this daily fluid management plan was not routinely been completed; hence showing non-adherence to our hospital policy and NICE recommendations.AimsPrimary aim was to improve the documentation of the daily fluid management plan; aimed at the medical staff and the secondary aim was to improve the monitoring requirements of IV fluids and documentation of these; largely aimed at the nursing staff.MethodsA simple sticker was designed and attached to continuous sheets for medical notes which had a checklist of monitoring requirements and a section for fluid balance. Additionally, 2 posters were produced; one aimed at medical staff for documenting a fluid management plan and one aimed at the nursing staff with the monitoring requirements. These posters were displayed on the paediatric surgical ward.ResultsA total of 22 patients who were prescribed IV fluids were identified for a baseline measurement, an equal number of patients were compared after the intervention. Neonates and children receiving total parenteral nutrition were excluded from the data collection. There were 41% of daily fluid management plans completed pre intervention and post intervention there were 56% completed; showing a 15% increase in completion. As regards the monitoring indications; there were increases for nursing fluid balance completed from 19% to 46%, blood glucose taken and recorded from 64% to 83% and the daily weight documented from 10% to 49%.ConclusionsThis short QI project shows that implementation of an intervention did improve outcomes across all indications investigated. The results are not as dramatic as first hoped, but this is largely due to the short time scale of 4 weeks to introduce our change and it coincided with the change-over month of junior medical staff. With further education and champions within the medical and nursing teams; further improvement is very much possible, with the main aim in reducing risk and improving patient safety.ReferencesNational Patient Safety Alert: Reducing the risk of hyponatraemia when administering intravenous infusions to neonates 2007. Available at https://www.sps.nhs.uk/articles/npsa-alert-reducing-the-risk-of-hyponatraemia-when-administering-intraveneous-infusions-to-neonates/ [Accessed 12th June 2019]NICE guidance: Intravenous fluid therapy in children and young people in hospital. Available at https://www.nice.org.uk/guidance/ng29 [Accessed 12th June 2019]

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Yu, Ran, Zerong Lian, Hua Ling, Xiaoxuan Sun, Qingwen Gan, Liqun Feng, Qiong Yan, Ying Chen, and Jiaqiu Liu. "Association between Management Care Perception and Professional Quality of Life among Intensive Care Unit Nurses: A Cross-Sectional Study." Perspectives in Psychiatric Care 2023 (February 9, 2023): 1–8. http://dx.doi.org/10.1155/2023/4036014.

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Purpose. The study aims to determine the correlation between management care perception and the professional quality of life of intensive care unit (ICU) nurses in China and examine the influencing factors. Design and Methods. A cross-sectional descriptive study was conducted with 486 ICU nurses (response rate: 97.2%) from five tertiary hospitals in China from 1 January to 31 July, 2022, by convenience sampling. Data were collected through the general information questionnaire, the management care assessment scale, and the professional quality of life scale. Findings. The score of management care perception of ICU nurses was (132.24 ± 28.04), and the scores of compassion satisfactory, compassion fatigue, and burnout of professional quality of life were (37.54 ± 7.73), (20.80 ± 6.49), and (17.79 ± 5.14), respectively. Multiple linear regression analysis showed that age and the total score of managed care were positively correlated with the score of compassion satisfaction dimension (β = 1.62, 0.19) and that the total score of perceived management care was negatively correlated with the score of compassion fatigue and job burnout (β = −0.04, −0.07). ICU nurses’ perceived level of managerial care was at a moderate level. The younger the nurse and the less managerial care they perceived, the lower their job satisfaction and the greater the burnout. Practice Implications. ICU nurses’ perceptions of management care and professional quality of life are at a medium level, and a significant correlation exists between them. Therefore, measures to improve the professional quality of life should be taken. Nursing administrators are obliged to actively create a good atmosphere of management care, reduce the job burnout of ICU nurses, improve their professional quality of life, optimise the quality of nursing service, and stabilise the nursing team.

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Thomas, Elizabeth Anne. "Implementation of Occupational Health Service Improvements Through Application of Total Quality Management Processes." AAOHN Journal 59, no. 6 (May 23, 2011): 267–73. http://dx.doi.org/10.3928/08910162-20110516-01.

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Thomas, Elizabeth Anne. "Implementation of Occupational Health Service Improvements through Application of Total Quality Management Processes." AAOHN Journal 59, no. 6 (June 2011): 267–75. http://dx.doi.org/10.1177/216507991105900605.

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Suryani, Elvi, and Normayanti Rambe. "ANALISIS PENGARUH BEBAN KERJA PERAWAT TERHADAP KUALITAS PELAYANAN KEPERAWATAN RSUD KOTA PADANGSIDIMPUAN." JURNAL MUTIARA NERS 5, no. 1 (February 5, 2022): 7–14. http://dx.doi.org/10.51544/jmn.v5i1.1956.

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The workload given determines a nurse can carry out nursing care well or not. Nurses who have more workload than they should, meaning doing other work outside of nursing that results in the quality of nursing services can not achieve optimal results. Types in quantitative research with cross-sectional approach. The population in this study was all implementing nurses in the inpatient room class I Padangsidimpuan Regional General Hospital as many as 30 people using total sampling techniques. Hypothesis test using Chi-Square test. The result of the study is that the quality of nursing services in the Inpatient Room Class I Padangsidimpuan City General Hospital is sufficient and the workload of nurses average - the average productive nursing conducted has not been effective. The result of the study is that the quality of nursing services in the Inpatient Room Class I Padangsidimpuan City General Hospital is sufficient and the workload of nurses average - the average productive nursing conducted has not been effective. The results of the analysis obtained a value of p = 0.001 shows a relationship between the workload of implementing nurses and the quality of nursing services. In this study, the management of Padangsidimpuan Regional Hospital must equip facilities and infrastructure to support nursing services and be a consideration in the nursing management department to take policy in adding energy gradually in each inpatient room based on wins method.

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Ji, Yanting, Buyong Zhang, Xuan Zhang, Lingbo Xue, Qingfeng Shi, and Jie Li. "The Effect of High-Quality Nursing Management on Thyroid Tumor Patients after Bipolar Coagulation." Journal of Oncology 2022 (March 19, 2022): 1–6. http://dx.doi.org/10.1155/2022/1035971.

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Objective. To evaluate the effect of high-quality nursing on thyroid tumor patients after bipolar coagulation and its impact on nursing satisfaction. Methods. From January 2019 to January 2020, 90 patients with thyroid tumors treated with bipolar coagulation in our hospital were identified as the study objects and randomized to the control group ( n = 45 ) and the experimental group ( n = 45 ) random number table method. Both groups received conventional nursing, and the experimental group additionally adopted high-quality nursing. The incidence of postoperative complications and nursing satisfaction between the two groups was compared. The Exercise of Self-Care Agency Scale (ESCA) was used to assess the self-care ability of patients after the intervention, and the Generic Quality of Life Inventory-74 (GQOLI-74) was used to evaluate the quality of life of the two groups of patients after the intervention. The Hospital Anxiety and Depression (HAD) scale was adopted to evaluate the emotional state of the patient before and after the intervention, and the Numerical Rating Scale (NRS) was employed to evaluate the pain intensity of the patient after the intervention. Counting data was analyzed by the X2 test, and the measurement data was analyzed by t-test. Results. After the intervention, the total incidence of postoperative complications in the experimental group was significantly lower than that in the control group (11.11% versus 33.33%, P < 0.05 ). The experimental group obtained remarkably higher nursing satisfaction (93.33% versus 71.11%), ESCA scores, and GQOLI-74 scores than the control group ( P < 0.05 ). Lower HAD scores were observed in the experimental group than those of the control group ( P < 0.001 ). Lower HAD scores were observed in the experimental group than those of the control group ( P < 0.001 ). The NRS score of the experimental group was significantly lower than that of the control group 12 h and 24 h after the intervention ( P < 0.001 ). Conclusion. High-quality nursing for patients with thyroid tumors can effectively alleviate the negative emotions, improve the quality of life, and contribute to a harmonious nurse-patient relationship, which is worthy of promotion and application.

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Xu, Qingqing, Yu Chen, Xiaping Shen, and Qunying Fang. "Application of Nursing Intervention Plan Based on Symptom Management Theory among Breast Cancer Patients." Contrast Media & Molecular Imaging 2022 (August 18, 2022): 1–8. http://dx.doi.org/10.1155/2022/3816768.

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In order to explore the application effect of nursing intervention based on symptom management theory in breast cancer patients, a total of 120 breast cancer patients who were hospitalized in the Thyroid and Breast Surgery Department of Zhejiang Xiaoshan Hospital from July 2018 to July 2021 were selected as the research subjects. Patients from the control group received routine nursing, while patients from the intervention group underwent nursing interventions based on symptom management theory. Before and after the intervention, symptom distress, Herth Hope Index, quality of life, self-rating anxiety scale (SAS), self-rating depression scale (SDS), visual analogue score (VAS), and Pittsburgh sleep quality index (PSQI) were evaluated in two groups. The results showed that the symptom severity score and the symptom distress score, SAS scores, SDS scores, VAS scores, and PSQI scores in the intervention group were significantly lower than those in the control group, while the Herth Hope Index scores and FACT-B scores in the intervention group were obviously higher than those in the control group (all P < 0.05 ) after intervention. In conclusion, nursing interventions based on symptom management theory could decrease symptom distress among breast cancer patients, increase their hope levels, improve their life quality, relieve the negative emotions, enhance the sleep quality, and reduce their pain. It is worthy of clinical application.

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Sapuan, Sapuan. "THE RELATIONSHIP BETWEEN ATTITUDE AND SUPERVISION WITH NURSING DOCUMENTATION COMPLETION IN EMERGENCY DEPARTMENT OF Dr. KARIADI GENERAL HOSPITAL SEMARANG." Jurnal Keperawatan Malang 4, no. 1 (July 22, 2019): 24–32. http://dx.doi.org/10.36916/jkm.v4i1.74.

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ABSTRACT Nursing documentation is an important instrument to ensure patient care can be carried out continuously. Quality nursing documentation will guarantee patient safety. Incomplete documentation causes information to be unclear and confusing so that it can cause errors in handling patients. This study aims to determine the relationship between attitudes and supervision with the completeness of nursing documentation at the emergency department of Dr Kariadi Hospital Semarang. The research method used an observational quantitative analytic design with a cross sectional approach. Sampling uses a total sampling technique with a total of 58 nurses. Data was collected using questionnaires and observation sheets. The Spearman test results show that attitudes related to completeness of nursing documentation (p = 0,000; r = 0.706). Supervision relates to completeness of nursing documentation (p = 0,000; r = 0.733). Based on the results of the logistic regression test it is known that attitude is the most dominant variable associated with completeness of nursing documentation (OR = 0.075). Strengthening of nurses themselves in emergency department and hospital management were required for better quality nursing documentation. Keywords: Emergency Department, Nursing Documentation, Attitude, Supervision

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Rauw, Jennifer Marie, Sunil Parimi, Helen Anderson, Pamela Hinada, Bethina Abrahams, and Katie Hennessy. "Improving management of hypersensitivity reactions: A BC Cancer-Victoria quality improvement initiative." Journal of Clinical Oncology 39, no. 28_suppl (October 1, 2021): 230. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.230.

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230 Background: Hypersensitivity reactions (HSR) are a documented, predictable side effect of multiple chemotherapy agents. Reactions negatively affect the patient experience, increase the amount of chair time, nursing and physician resources, may result in the omission of a potentially effective cancer management tool from a patient’s treatment plan and could potentially result in death. BC Cancer is a Health Care Organization with 6 cancer centres across British Columbia, Canada. Guideline(GL)s have been developed at BC Cancer to support clinicians to manage reactions acutely and reduce the risk of reactions with subsequent cycles. A recent audit identified that the GLs were not always being followed at the Victoria Centre. Our goal was to encourage physician and nursing staff to follow GLs, which we hypothesized would result in decreased rates of HSR. Methods: Our aim was to decrease HSR to < 5% of doses delivered within 1 year at BC Cancer-Victoria. We engaged stakeholders (nursing, physicians, pharmacy, clerical staff and administration). Our change ideas improved adherence to GLs by focusing on: physician attendance and documentation, written orders for rescue medication, and rate of infusion of the chemotherapy drug rechallenge. Our interventions included: two physician-education sessions, one nursing education session, daily huddles, pre-printed order development for management of the reaction (PPOA) and prophylaxis for subsequent cycles (PPOB), and a modified clinic flow. All interventions were introduced and underwent modifications through PDSA cycles. Our family of measures were: Outcome: number of reactions, percent of reactions per dose given. Process: percent of PPO use per reaction, physician attendance and notes dictated per reaction. Balancing: physician and nursing satisfaction. We analyzed the data using quality improvement run charts and control charts. Results: After the start of our initiative, our total number of reactions displayed special cause variation, and a shift in the baseline from a mean of 11.27 HSR per month to 7.526. This change was reflected in the percentage of reactions per doses given which fell from 3.1% to 1.9%. Average percentage of dictated notes per reaction increased from 55% to 64%. Physician attendance per reaction also showed special cause variation with the average increasing from 57% to 90%. PPOA and PPOB use both increased over time. Nursing and Physician satisfaction data will also be presented. Conclusions: Our successful initiative has resulted in HSR management which more closely reflects GLs, including increased physician attendance and notes, and clear consistent written orders detailed on PPO A and B. This has led to decreased HSRs at our site, resulting in decreased resource use and increased patient safety and quality. This has provincial implications as there is the potential to spread this initiative to other BC Cancer sites.

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Shin, Ju Young, and Barbara Habermann. "Nursing Research in Parkinson’s Disease From 2006 to 2015." Clinical Nursing Research 26, no. 2 (July 25, 2016): 142–56. http://dx.doi.org/10.1177/1054773816634912.

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Most people with Parkinson’s disease (PD) reside in their homes with their family members. Nurses are in a good position to partner with people with PD and their family members for better self-management of the disease and improved quality of life. The purpose of this systematic review was to assess the state of the science of nursing research related to PD during the 10-year period, 2006 to 2015. A total of 27 studies were included in this review. Family caregiving was the most studied topic, followed by symptom management/medication adherence, quality of life, end-of-life/palliative care, and functional status/improving function. Recommendations for future studies in PD include (a) developing and testing interventions based on theoretical models in the areas of self-management, symptom management, and function improvement in people with PD and for caregivers caring for people with advanced stage PD, and (b) building programs of research with interprofessional teams.

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Mak, Yim Wah, Angela H. F. Kao, Lucia W. Y. Tam, Virginia W. C. Tse, Don T. H. Tse, and Doris Y. P. Leung. "Health-promoting lifestyle and quality of life among Chinese nursing students." Primary Health Care Research & Development 19, no. 6 (April 6, 2018): 629–36. http://dx.doi.org/10.1017/s1463423618000208.

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AbstractAimThis study aimed to examine the relationships between socio-economic status, health-promoting lifestyles, and quality of life among Chinese nursing students.BackgroundNursing students will be future health promoters, but they may not always adopt the recommended healthy lifestyle. Currently, there are insufficient studies examining the health-promoting lifestyles of Chinese nursing students, and the impact of socio-economic status and health-promoting lifestyle on their health.MethodsThis was a cross-sectional survey. Data were collected from nursing students studying in pre-registration nursing programs of a university in Hong Kong. The survey was conducted through a self-administered questionnaire that solicited information regarding their socio-economic status, health-promoting lifestyle, quality of life, and perceptions of the barriers to adopting a health-promoting lifestyle.FindingsA total of 538 students returned completed questionnaires for analysis. Among the health-promoting lifestyle subscales, the participants performed best in interpersonal relations and worst in physical activity, and the vast majority of them did not actively engage in health-risk behaviors. Hierarchical regression analyses revealed that only 5% of the variance in quality of life was explained by socio-economic variables, whereas a total of 24% of the variance was explained when health-promoting lifestyle variables were added. In particular, health responsibility, physical activity, spiritual growth, and stress management were statistically significant predictors of quality of life.ConclusionsEarly concerns about how prepared nurses are to take on the role of promoting health still apply today. School administrators should plan the nursing curriculum to include activities that encourage student nurses to participate in health-promoting lifestyles. Future studies are needed to explore the barriers that prevent students from practicing health-promoting behavior.

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Moselhy, Manal Mohamed. "Nursing Students' Perception Regarding Community Health Nursing Practical Modules Experience, at the Faculty of Nursing, Modern University for Technology and Information, Egypt." Journal of Doctoral Nursing Practice 14, no. 2 (June 9, 2021): 104–14. http://dx.doi.org/10.1891/jdnp-d-20-00048.

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BackgroundLearning depends not only upon how teachers have designed and structured their subjects and courses but also upon how their students perceive and understand this design and structure. Understanding student's level of perception with their clinical education forms a basis of determining the quality of nursing education.ObjectiveAssess nursing students' perception of their learning experience with community health nursing practical modules.MethodsCross-sectional descriptive study, the convenience sample included 149 students studying a community health nursing practical course at the Faculty of Nursing affiliated to Modern University for Technology and Information. Three tools were used; (a) interviewing questionnaire regarding demographic characteristics. (b) Undergraduate modules experience questionnaire and (c) Student evaluation of clinical education environment inventory.ResultsStudents' total perception mean scores regarding the practical modules experience questionnaire was (79.82%), and different community clinical learning environment, family health centers (82.01%), schools (76. 83%), and geriatric homes (79. 29%) with statistical significance differences p ≤ .042. Furthermore, significant relationship was found between students' academic achievement and total perception of the Undergraduate Modules Experience Questionnaire (UMEQ) and its subscales, Good Teaching, Intellectual Motivation (p ≤ .01), Clear goals and standards and Generic Skills (p ≤ .04), Appropriate Assessment and Overall Satisfaction (p ≤ .05).ConclusionNursing students revealed a higher positive perception of community health nursing practical modules experiences. However, there was few areas are required for improving quality of the practical modules.Implications for nursing educationIncreasing period of students' clinical training exposure, teaching the skills of effective time management as well as increasing number of the academic staff in the community health nursing department are recommended strategies for improving quality of community health nursing practical modules.

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Xiong, Ying, Yan Liu, and Jianying Cui. "Postoperative Cognitive Behavioral Intervention in Patients with Coronary Heart Disease Based on the Effect of Nursing Process Reengineering." BioMed Research International 2022 (September 17, 2022): 1–11. http://dx.doi.org/10.1155/2022/6974909.

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With the development of society and economy, patients with coronary heart disease increasingly hope to receive more humanized services after surgery, and the reengineering of the nursing process is precisely based on humanized management. In order to create a nursing intervention that helps in boosting total nursing gains and lowering disasters, the primary element of the nursing business process reengineering is to reintegrate or condense the creative work flow that was fragmented by specialization into a whole job. The “patient” is positioned in the center of nursing process reengineering, with service quality as the main guiding principle. It follows the management principles of continuous regulation and innovation, and cultivates and promotes the development of the nursing field from the perspective of “sublation.” In the method part, this article introduces and supplements related information on nursing process reengineering, coronary heart disease, and postoperative cognitive behavioral intervention. Algorithmically, this paper proposes 3D RPN structure, loss function, capsule network, and improved activation function algorithm for coronary heart disease region extraction. In the part of experiment and results, this article collects general data of patients and compares memory ability, grades of self-management behaviors of patients treated with coronary heart disease, scores of quality control standards before and after nursing process reengineering, scores of patients’ mental state, and comparison of postoperative physical indicators. According to the test results, the test group’s diastolic and systolic blood pressure declined by more than 20, their total cholesterol dropped from 6.23 to 5.28, and their triglyceride levels dropped from 1.82 to 1.39 after the stent was implanted. Triglycerides reduced from 1.82 to 1.39, and total cholesterol dropped from 6.15 to 5.98. It indicates postoperative memory in patients with coronary heart disease. Abilities, including recognition, number, touch memory, and associative memory, decline significantly, but it can be improved after receiving the nursing process reengineering. It can be seen that nursing process reengineering can play a positive role in the postoperative cognitive behavior of patients with coronary heart disease.

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Lorenzetti, Jorge, Julieta Oro, Eliane Matos, and Francine Lima Gelbcke. "Work organization in hospital nursing: literature review approach." Texto & Contexto - Enfermagem 23, no. 4 (December 2014): 1104–12. http://dx.doi.org/10.1590/0104-07072014001510012.

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The objective of this study was to analyze aspects of work organization in hospital nursing and its articulations with care, by means of an integrative review. A total of 25 studies were identified, from the period between 2000 and 2009. Based on the understanding of the work organization and its application in nursing, the following analytical categories were structured: conceptual and theoretical aspects, personnel management, care management, technologies, hospital accreditation, planning and material resources management. The literature evidenced the complexity of this work organization theme and the importance of studies on its application in nursing. The analysis of the publications points to the need to rethink work organization in such a way as to build less wearing and quality work alternatives, assuring the safety of both the user and the worker.

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Souza, Kellie, and Robert D. Small. "The Use of Total Quality Management Principles in Placing and Monitoring Clinical Trials." Drug Information Journal 29, no. 2 (April 1995): 695–703. http://dx.doi.org/10.1177/009286159502900249.

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Harianto, Joanggi Wiriatarina, Nursalam Nursalam, and Yulis Setiya Dewi. "Patient Safety Based Knowledge Management SECI to Improve Nusrsing Students Competency." Jurnal Ners 10, no. 2 (October 15, 2015): 324–31. http://dx.doi.org/10.20473/jn.v10i2.1404.

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Introduction: Patient safety is an important component of health services quality,and basic principles of patient care. Nursing students also have a great potential to make an action that could endanger the patient, because hospital is one of student practice area. The purpose of this study was to improve the nursing students competency in patient safety by using knowledge management SECI approached.Method: The study used exploratory survey, and quasy experiment. The samples were some of nursing students of STIKes Muhammadiyah Samarinda who were on internship programme that selected using simple random sampling technique, in total of 54 students. This research’s variables were the knowledge management SECI based-patient safety and nursing student’s competency. The data were collected by using questionnaires and observation. The data were analyze by using Partial Least Square (PLS).Result: The result showed that there were significant influence the implementation of a model patient safety based knowledge management seci on increased competence nursing students.Discussion: Improved student competency in patient safety using SECI knowledge management was carried out in four phases, that is Socialization, Externalization, Combination, and Internalization. The result was a new knowledge related to patient safety that able to improve the student’s competency.

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Lu, Li, Jun Yang, Jiafeng Zheng, Chenchen Zhang, Ye Yang, and Juan Huang. "The Effect of MDT Collaborative Nursing Combined with Hierarchical Nursing Management Model on the Quality of Life and Comfort of Patients with Gallbladder Stones Combined with Acute Cholecystitis after Surgery." Computational and Mathematical Methods in Medicine 2022 (June 13, 2022): 1–7. http://dx.doi.org/10.1155/2022/8696084.

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Objective. To explore the effect of MDT (multidisciplinary team) collaborative nursing combined with hierarchical nursing management mode on the quality of life and comfort of patients with gallbladder stones combined with acute cholecystitis after surgery. Methods. A total of 120 patients with gallbladder stones and acute cholecystitis who were treated in our hospital from March 2019 to March 2021 were selected as prospective research objects. According to the order of care, they were divided into control group and observation group with 60 cases each. Among them, the control group implements a hierarchical nursing management model, and the observation group implements MDT collaborative nursing based on this and compares the impact of the two groups on patient’s quality of life scores, daily self-care ability, nursing satisfaction, and comfort after nursing. Results. Before nursing, the comparison of the quality of life score, nursing comfort, and nursing ability of the two groups of patients was not statistically significant ( P > 0.05 ). After nursing, the mental vitality score, social interaction score, emotional restriction score, and mental status of the observation group were significantly higher than those of the control group. Statistics showed that the difference was statistically significant ( P < 0.05 ). After nursing, the scores of social comfort, physical comfort, and psychological comfort of the observation group were significantly higher than those of the control group, and statistics showed that the difference was statistically significant ( P < 0.05 ). The health knowledge level, self-care skills, self-care responsibility, and self-concept of the observation group after nursing were higher than those of the control group, while the score of depression and mood disorder was significantly lower than that of the control group. Statistics showed that this difference was statistically significant ( P < 0.05 ). After nursing, patients in the observation group had higher operating technique scores, service attitude scores, health education scores, psychological intervention scores, and nursing quality scores than those of the control group. Statistics showed that the difference was statistically significant ( P < 0.05 ). Conclusion. MDT collaborative nursing combined with hierarchical nursing management mode can effectively improve the self-care ability of patients with gallbladder stones complicated with acute cholecystitis, effectively improve the quality of life of patients, and improve the satisfaction and comfort of patients with nursing care. The postnursing care of patients after inflammation has a certain reference value.

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Luo, Fan, Jingrui Qi, Li Zhao, Yu Wang, and Mei Yang. "Effects of Personalized Nursing plus Dietary Nursing Management on LP-PLA2, Hcy Levels, and Quality of Life in Elderly Patients with Acute Coronary Syndrome." Evidence-Based Complementary and Alternative Medicine 2022 (August 17, 2022): 1–6. http://dx.doi.org/10.1155/2022/8770996.

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Objective. To explore the effect of individual nursing combined with dietary management on blood glucose levels and quality of life in elderly patients with acute coronary syndrome with diabetes. Method. This study included 68 elderly patients who underwent acute coronary syndrome at Department of Emergency in our hospital from January 2018 to January 2020. And they were assigned to a control group (n = 34) treated with individual nursing and a research group (n = 34) treated with individual nursing and dietary management according to the random number table. A comparison of the changes in blood glucose levels, anxiety and depression, quality of life, and nursing satisfaction was made between groups before and after nursing. Result. Before nursing, the differences in blood glucose levels, SAS scores, and SDS scores between groups were not considered statistically significant ( P > 0.05 ). After nursing, the blood glucose levels, SAS, and SDS levels of patients in both groups significantly decreased, and the research group presented a higher decrease when compared with the control group ( P < 0.05 ). The short form health survey (SF-36) showed that the research group had higher scores in physical function (PF), general health (GH), vitality (VT), mental health (MH), social function (SF), role-physical (RP), bodily pain (BP), and role-emotional (RE) compared with the control group ( P < 0.05 ). The satisfaction survey presented that the research group had a significantly higher total score than the control group [(91.40 ± 5.23) vs. (86.61 ± 7.14), P < 0.05 ]. Conclusion. The combination of individual nursing and dietary management not only effectively reduces glycosylated hemoglobin levels and anxiety and depression but also wins better nursing satisfaction in the treatment of acute coronary syndrome in elderly patients. Moreover, their quality of life has been significantly improved after discharge.

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Journal articles on the topic 'Total quality management in nursing'

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