Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study

Yahui Zhao; Huiling Liu; Qingqing Zhai; Mengying Qi; Xiaolan Wang; Yanhua Shi

doi:doi:10.11648/j.ajns.20211001.21

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Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study

Yahui Zhao, Huiling Liu, Qingqing Zhai, Mengying Qi, Xiaolan Wang, Yanhua Shi

Published in American Journal of Nursing Science (Volume 10, Issue 1)

Received: 3 November 2020 Accepted: 9 February 2021 Published: 23 February 2021

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Abstract

The present study aimed to explore the effectiveness of quality control circle (QCC) activities under the guidance of the Deming cycle Management for improving intravenous (IV) cannula placement. A total of 1,035 patients who underwent IV cannula placement from March 2019 to June 2019 in the Department of Hepatobiliary Surgery and Department of Renal and Thoracic Surgery of our hospital were enrolled as the control group, and 1,437 patients who underwent IV cannula placement in the same places as above but from July 2019 to December 2019 were enrolled as the test group. A between-group comparison was performed on intangible and tangible outcomes (duration of IV cannula placement, complications, patient awareness rate of maintenance knowledge of IV cannula, patient satisfaction rate with nursing staff, nurse skills in IV cannula infusion, and maintenance). After QCC activities were implemented, the scores of 11 QCC members in the five aspects of QCC technique application, communication and coordination, sense of responsibility and honor, motivation, and problem-solving ability all improved compared with those before the activities (p < 0.05), and the duration of IV cannula placement in the test group was 70.22 ±48.33 h, which was longer (p < 0.05) than the 60.59±41.9 h of the control group. The test group had a significantly lower (p < 0.05) rate of complications (12.9%, 12.6%, and 1.3% for extravasation, phlebitis, and cannula obstruction, respectively) than the control group (30.0%, 11.4%, and 4.1% for blood oozing, phlebitis, and cannula obstruction respectively); the patient awareness rate of maintenance knowledge of IV cannula and patient satisfaction rate with nursing staff in the test group were 90% and 96.3%, respectively, which were significantly higher (p < 0.05) than the 82.4% and 81.5% in the control group. The scores of nurse skills in IV cannula infusion and maintenance in the test group were 90.5 ±1.3 and 93.6 ±2.0, respectively, which were significantly higher (p < 0.05) than the 85.5 ±2.7 and 81 ±1.0 in the control group. The implementation of QCC activities under the guidance of the Deming cycle Management in IV cannula placement improves the ability of the department’s nursing team to identify, analyze, and solve problems, which is favorable for continuous improvement of nursing quality, leading to an elongated duration of IV cannula placement, reduced rate of complications, and improved patient satisfaction rate with nursing services.

Published in	American Journal of Nursing Science (Volume 10, Issue 1)
DOI	10.11648/j.ajns.20211001.21
Page(s)	59-63
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Intravenous Cannula Placement, Deming Cycle, Quality Control Circle, Placemat Duration, Complications

References

[1]	Li, J. (2006). Nursing Management. Beijing: People’s Health Press, pp.185–187.
[2]	Zhang, C. (2015). Application of quality control circle activities combined with PDCA management in infectious disease health education. Today Nurse, 22(7): 158-159.
[3]	Rickard, C. M., Marsh, N., Webster J., Playford, E. G., Matthew McGrail, R., Larsen, E., et al. (2015). Securing all intravenous devices effectively in hospitalized patients the SAVE trial study protocol for a multicenter randomised controlled trial. BMJ Open, 5(9): 1-6. doi: 10.1136/bmjopen-2015-008689
[4]	Zingg, W., and Pittet, D. (2009). Peripheral venous catheters: an under-evaluated problem. International Journal of Antimicrobial Agents, 34, Suppl 4: S38-42. doi 10.1016S0924-8579(09)70565-5
[5]	Hu, T., Chen, D., and Wang, C. (2018). Design and application of closed thoracic drainage tube. Chinese Journal of Practical Nursing, 34 (12): 939-940.
[6]	Zhang, Y. and Zhong, X. (2015). Improvement and application of the method of drainage tube fixation after thoracic and abdominal surgery. Journal of Nursing, 22 (3) 77 -78.
[7]	Cooke, M., Ullman, A. J., Ray-Barruel, G., Wallis, M., Corley, A., and Rickard, C. M. (2018). Not “just: an intravenous line” Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries. PLoS ONE; 13 (2): e0193436. doi 10.1371journal.pone.0193436
[8]	Rickard, C. M., McCann, D., Munnings, J., and McGrail, M. R. (2010). Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite a randomised controlled trial. BMC Medicine, 8, 53. doi 10.11861741-7015-8-53
[9]	Bolton, D. (2010). Improving peripheral cannulation practice at an NHS Trust. British Journal of Nursing. 19(21):1346, 1348-50. doi 10.12968bjon.2010.19.21.79998
[10]	Webster J, Clarke S, Paterson D, Hutton A, van Dyk S, Gale C, and Hopkins T. (2008) Routine care of peripheral intravenous catheters versus clinically indicated replacement randomised controlled trial. BMJ. 337(7662):a339. doi 10.1136bmj.a339. PMID 18614482; PMCID PMC2483870.
[11]	Guo, J., Yang, J., Zhou, Y., and Wang, Q. (2015). Development of the short peripheral venous catheter in infusion therapy. Chinese Journal of Nursing, 50 (10): 1240-1244.
[12]	Wang, F., Ye, W., and Dai, L. (2019). Effect evaluation of PDCA cycle on prolonging the indwelling time of intravenous indwelling needle. Electronic Journal of Practical Clinical Nursing, 4(4):117-118.
[13]	Zhong, Y., and Liang, Y. (2020). Observation of the effectiveness of quality control circle activities in children with intravenous cannula placement under the guidance of the Deming Circle Management. Journal of Baotou Medical College, 36 (02): 92-94.
[14]	Wang, W., Cui, N. (2016). Application of PDCA cycle in reducing unplanned extubation of peripheral venous indwelling needle in children. Chinese Medical Guide, 16 (7): 165-166.
[15]	Zhong, X., Zhang, D., Lin, X., et al. (2017). Influence of the PDCA cycle management mode on the common complications of intravenous cannula in neonates with pneumonia and the satisfaction of the neonates’ families with nursing services. Modern Diagnosis and Treatment, 28 (7): 1359-1360.
[16]	Wang, H. (2020). The role of quality control circle management in improving the standard fixation rate of indwelling needle. Nursing Practice and Research, 17 (13): 144-146.

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APA Style

Yahui Zhao, Huiling Liu, Qingqing Zhai, Mengying Qi, Xiaolan Wang, et al. (2021). Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study. American Journal of Nursing Science, 10(1), 59-63. https://doi.org/10.11648/j.ajns.20211001.21

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ACS Style

Yahui Zhao; Huiling Liu; Qingqing Zhai; Mengying Qi; Xiaolan Wang, et al. Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study. Am. J. Nurs. Sci. 2021, 10(1), 59-63. doi: 10.11648/j.ajns.20211001.21

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AMA Style

Yahui Zhao, Huiling Liu, Qingqing Zhai, Mengying Qi, Xiaolan Wang, et al. Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study. Am J Nurs Sci. 2021;10(1):59-63. doi: 10.11648/j.ajns.20211001.21

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@article{10.11648/j.ajns.20211001.21,
  author = {Yahui Zhao and Huiling Liu and Qingqing Zhai and Mengying Qi and Xiaolan Wang and Yanhua Shi},
  title = {Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {1},
  pages = {59-63},
  doi = {10.11648/j.ajns.20211001.21},
  url = {https://doi.org/10.11648/j.ajns.20211001.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211001.21},
  abstract = {The present study aimed to explore the effectiveness of quality control circle (QCC) activities under the guidance of the Deming cycle Management for improving intravenous (IV) cannula placement. A total of 1,035 patients who underwent IV cannula placement from March 2019 to June 2019 in the Department of Hepatobiliary Surgery and Department of Renal and Thoracic Surgery of our hospital were enrolled as the control group, and 1,437 patients who underwent IV cannula placement in the same places as above but from July 2019 to December 2019 were enrolled as the test group. A between-group comparison was performed on intangible and tangible outcomes (duration of IV cannula placement, complications, patient awareness rate of maintenance knowledge of IV cannula, patient satisfaction rate with nursing staff, nurse skills in IV cannula infusion, and maintenance). After QCC activities were implemented, the scores of 11 QCC members in the five aspects of QCC technique application, communication and coordination, sense of responsibility and honor, motivation, and problem-solving ability all improved compared with those before the activities (p < 0.05), and the duration of IV cannula placement in the test group was 70.22 ±48.33 h, which was longer (p < 0.05) than the 60.59±41.9 h of the control group. The test group had a significantly lower (p < 0.05) rate of complications (12.9%, 12.6%, and 1.3% for extravasation, phlebitis, and cannula obstruction, respectively) than the control group (30.0%, 11.4%, and 4.1% for blood oozing, phlebitis, and cannula obstruction respectively); the patient awareness rate of maintenance knowledge of IV cannula and patient satisfaction rate with nursing staff in the test group were 90% and 96.3%, respectively, which were significantly higher (p < 0.05) than the 82.4% and 81.5% in the control group. The scores of nurse skills in IV cannula infusion and maintenance in the test group were 90.5 ±1.3 and 93.6 ±2.0, respectively, which were significantly higher (p < 0.05) than the 85.5 ±2.7 and 81 ±1.0 in the control group. The implementation of QCC activities under the guidance of the Deming cycle Management in IV cannula placement improves the ability of the department’s nursing team to identify, analyze, and solve problems, which is favorable for continuous improvement of nursing quality, leading to an elongated duration of IV cannula placement, reduced rate of complications, and improved patient satisfaction rate with nursing services.},
 year = {2021}
}

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TY  - JOUR
T1  - Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study
AU  - Yahui Zhao
AU  - Huiling Liu
AU  - Qingqing Zhai
AU  - Mengying Qi
AU  - Xiaolan Wang
AU  - Yanhua Shi
Y1  - 2021/02/23
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211001.21
DO  - 10.11648/j.ajns.20211001.21
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 59
EP  - 63
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211001.21
AB  - The present study aimed to explore the effectiveness of quality control circle (QCC) activities under the guidance of the Deming cycle Management for improving intravenous (IV) cannula placement. A total of 1,035 patients who underwent IV cannula placement from March 2019 to June 2019 in the Department of Hepatobiliary Surgery and Department of Renal and Thoracic Surgery of our hospital were enrolled as the control group, and 1,437 patients who underwent IV cannula placement in the same places as above but from July 2019 to December 2019 were enrolled as the test group. A between-group comparison was performed on intangible and tangible outcomes (duration of IV cannula placement, complications, patient awareness rate of maintenance knowledge of IV cannula, patient satisfaction rate with nursing staff, nurse skills in IV cannula infusion, and maintenance). After QCC activities were implemented, the scores of 11 QCC members in the five aspects of QCC technique application, communication and coordination, sense of responsibility and honor, motivation, and problem-solving ability all improved compared with those before the activities (p < 0.05), and the duration of IV cannula placement in the test group was 70.22 ±48.33 h, which was longer (p < 0.05) than the 60.59±41.9 h of the control group. The test group had a significantly lower (p < 0.05) rate of complications (12.9%, 12.6%, and 1.3% for extravasation, phlebitis, and cannula obstruction, respectively) than the control group (30.0%, 11.4%, and 4.1% for blood oozing, phlebitis, and cannula obstruction respectively); the patient awareness rate of maintenance knowledge of IV cannula and patient satisfaction rate with nursing staff in the test group were 90% and 96.3%, respectively, which were significantly higher (p < 0.05) than the 82.4% and 81.5% in the control group. The scores of nurse skills in IV cannula infusion and maintenance in the test group were 90.5 ±1.3 and 93.6 ±2.0, respectively, which were significantly higher (p < 0.05) than the 85.5 ±2.7 and 81 ±1.0 in the control group. The implementation of QCC activities under the guidance of the Deming cycle Management in IV cannula placement improves the ability of the department’s nursing team to identify, analyze, and solve problems, which is favorable for continuous improvement of nursing quality, leading to an elongated duration of IV cannula placement, reduced rate of complications, and improved patient satisfaction rate with nursing services.
VL  - 10
IS  - 1
ER  -

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Author Information

Yahui Zhao

Department of External Renal Thoracic Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Huiling Liu

Department of External Renal Thoracic Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Qingqing Zhai

Department of External Renal Thoracic Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Mengying Qi

School of Nursing, Jinan University, Guangzhou, China
Xiaolan Wang

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yanhua Shi

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Yahui Zhao, Huiling Liu, Qingqing Zhai, Mengying Qi, Xiaolan Wang, et al. (2021). Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study. American Journal of Nursing Science, 10(1), 59-63. https://doi.org/10.11648/j.ajns.20211001.21

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ACS Style

Yahui Zhao; Huiling Liu; Qingqing Zhai; Mengying Qi; Xiaolan Wang, et al. Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study. Am. J. Nurs. Sci. 2021, 10(1), 59-63. doi: 10.11648/j.ajns.20211001.21

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AMA Style

Yahui Zhao, Huiling Liu, Qingqing Zhai, Mengying Qi, Xiaolan Wang, et al. Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study. Am J Nurs Sci. 2021;10(1):59-63. doi: 10.11648/j.ajns.20211001.21

Copy | Download

@article{10.11648/j.ajns.20211001.21,
  author = {Yahui Zhao and Huiling Liu and Qingqing Zhai and Mengying Qi and Xiaolan Wang and Yanhua Shi},
  title = {Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {1},
  pages = {59-63},
  doi = {10.11648/j.ajns.20211001.21},
  url = {https://doi.org/10.11648/j.ajns.20211001.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211001.21},
  abstract = {The present study aimed to explore the effectiveness of quality control circle (QCC) activities under the guidance of the Deming cycle Management for improving intravenous (IV) cannula placement. A total of 1,035 patients who underwent IV cannula placement from March 2019 to June 2019 in the Department of Hepatobiliary Surgery and Department of Renal and Thoracic Surgery of our hospital were enrolled as the control group, and 1,437 patients who underwent IV cannula placement in the same places as above but from July 2019 to December 2019 were enrolled as the test group. A between-group comparison was performed on intangible and tangible outcomes (duration of IV cannula placement, complications, patient awareness rate of maintenance knowledge of IV cannula, patient satisfaction rate with nursing staff, nurse skills in IV cannula infusion, and maintenance). After QCC activities were implemented, the scores of 11 QCC members in the five aspects of QCC technique application, communication and coordination, sense of responsibility and honor, motivation, and problem-solving ability all improved compared with those before the activities (p < 0.05), and the duration of IV cannula placement in the test group was 70.22 ±48.33 h, which was longer (p < 0.05) than the 60.59±41.9 h of the control group. The test group had a significantly lower (p < 0.05) rate of complications (12.9%, 12.6%, and 1.3% for extravasation, phlebitis, and cannula obstruction, respectively) than the control group (30.0%, 11.4%, and 4.1% for blood oozing, phlebitis, and cannula obstruction respectively); the patient awareness rate of maintenance knowledge of IV cannula and patient satisfaction rate with nursing staff in the test group were 90% and 96.3%, respectively, which were significantly higher (p < 0.05) than the 82.4% and 81.5% in the control group. The scores of nurse skills in IV cannula infusion and maintenance in the test group were 90.5 ±1.3 and 93.6 ±2.0, respectively, which were significantly higher (p < 0.05) than the 85.5 ±2.7 and 81 ±1.0 in the control group. The implementation of QCC activities under the guidance of the Deming cycle Management in IV cannula placement improves the ability of the department’s nursing team to identify, analyze, and solve problems, which is favorable for continuous improvement of nursing quality, leading to an elongated duration of IV cannula placement, reduced rate of complications, and improved patient satisfaction rate with nursing services.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study
AU  - Yahui Zhao
AU  - Huiling Liu
AU  - Qingqing Zhai
AU  - Mengying Qi
AU  - Xiaolan Wang
AU  - Yanhua Shi
Y1  - 2021/02/23
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211001.21
DO  - 10.11648/j.ajns.20211001.21
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 59
EP  - 63
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211001.21
AB  - The present study aimed to explore the effectiveness of quality control circle (QCC) activities under the guidance of the Deming cycle Management for improving intravenous (IV) cannula placement. A total of 1,035 patients who underwent IV cannula placement from March 2019 to June 2019 in the Department of Hepatobiliary Surgery and Department of Renal and Thoracic Surgery of our hospital were enrolled as the control group, and 1,437 patients who underwent IV cannula placement in the same places as above but from July 2019 to December 2019 were enrolled as the test group. A between-group comparison was performed on intangible and tangible outcomes (duration of IV cannula placement, complications, patient awareness rate of maintenance knowledge of IV cannula, patient satisfaction rate with nursing staff, nurse skills in IV cannula infusion, and maintenance). After QCC activities were implemented, the scores of 11 QCC members in the five aspects of QCC technique application, communication and coordination, sense of responsibility and honor, motivation, and problem-solving ability all improved compared with those before the activities (p < 0.05), and the duration of IV cannula placement in the test group was 70.22 ±48.33 h, which was longer (p < 0.05) than the 60.59±41.9 h of the control group. The test group had a significantly lower (p < 0.05) rate of complications (12.9%, 12.6%, and 1.3% for extravasation, phlebitis, and cannula obstruction, respectively) than the control group (30.0%, 11.4%, and 4.1% for blood oozing, phlebitis, and cannula obstruction respectively); the patient awareness rate of maintenance knowledge of IV cannula and patient satisfaction rate with nursing staff in the test group were 90% and 96.3%, respectively, which were significantly higher (p < 0.05) than the 82.4% and 81.5% in the control group. The scores of nurse skills in IV cannula infusion and maintenance in the test group were 90.5 ±1.3 and 93.6 ±2.0, respectively, which were significantly higher (p < 0.05) than the 85.5 ±2.7 and 81 ±1.0 in the control group. The implementation of QCC activities under the guidance of the Deming cycle Management in IV cannula placement improves the ability of the department’s nursing team to identify, analyze, and solve problems, which is favorable for continuous improvement of nursing quality, leading to an elongated duration of IV cannula placement, reduced rate of complications, and improved patient satisfaction rate with nursing services.
VL  - 10
IS  - 1
ER  -

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