| Peer-Reviewed

Effect of PDCA Evidence-Based Nursing Practice on Arterial Blood Gas Analysis in the Respiratory Department

Received: 17 January 2022    Accepted: 28 January 2022    Published: 16 February 2022
Views:       Downloads:
Abstract

Objective To explore the effect of PDCA evidence-based nursing intervention on arterial blood gas analysis in the respiratory department. Methods Sixty patients who underwent blood gas analysis in our hospital from February 2021 to March 2021 were selected as the control group; while the same number of patients who underwent blood gas analysis from July 2021 to August 2021 were selected as the observation group to implement PDCA evidence-based nursing practice. The effects of one-time success rate, qualified specimen rate, incidence of redness, swelling and ecchymosis at puncture point, sample turnover time and nurses' knowledge level were compared between the two groups. Results The success rate of one-time puncture and the qualified rate of specimens in the observation group were higher than those in the control group (P < 0.05). Meanwhile, the incidence of redness, swelling and ecchymosis at the puncture point and the turnover time of specimens in the observation group were lower than those in the control group (P < 0.05). After the implementation of the improvement plan, the nurses' knowledge levels in the observation group were significantly increased compared with the control group (P < 0.05). Conclusion PDCA evidence-based nursing practice can effectively improve the knowledge level of nurses, shorten the sample turnover time, increase the success rate of one-time puncture and the qualified rate of samples, reduce the incidence of adverse events such as redness, swelling and ecchymosis at the puncture point, and improve the quality of clinical nursing.

Published in American Journal of Nursing Science (Volume 11, Issue 1)
DOI 10.11648/j.ajns.20221101.15
Page(s) 43-47
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), 2024. Published by Science Publishing Group

Keywords

PDCA, Evidence-based Nursing, Respiratory Department, Blood Gas Analysis

References
[1] Huang Y P. Influencing factors and Nursing Countermeasures before arterial blood gas analysis [J] Journal of clinical rational drug use, 2017, 010 (008): 162-163.
[2] Yin D, Gao L H. Research progress of blood gas analysis and acquisition technology [J] Electronic Journal of practical clinical nursing, 2019, 000 (004): 197-198.
[3] Luo H Y, Sha Y S. Intervention measures to improve the accuracy of arterial blood gas analysis [J] Journal of nursing education, 2018, 033 (001): 45-47.
[4] Zhu H Y. Application of three arterial blood sampling methods in blood gas analysis [J] Nursing practice and research, 2015, 000 (011): 126-127.
[5] Elham A, Forogh S, Mahrooz J, et al. The Effect of Mother's Voice on Arterial Blood Sampling Induced Pain in Neonates Hospitalized in Neonate Intensive Care Unit [J]. Global Journal of Health Science, 2015, 7 (6): 198-204.
[6] Xu X F, Sun H, Li C Y, et al. Interpretation of key points of clinical practice standard for arterial blood gas analysis [J] China nursing management, 2017, 017 (009): 1158-1161.
[7] Wang J Z, Xun Y P. Application of evidence-based nursing in arterial blood collection after thoracotomy [J] Nursing research, 2018, 032 (012): 1981-1983.
[8] Jensen P R, Markewitz B A. Improved Success Rate of Arterial Puncture for Blood Gas Analysis Through Standardization [J]. Laboratory Medicine, 2018, 49 (2): 175-178.
[9] Li C, Zhao L H, Zhang L, et al. Effect of improved radial artery puncture on improving the success rate of arterial puncture in patients with New Coronavirus pneumonia: [J]. Nursing research 2020, 34 (6): 941-942.
[10] Xia H M. Nursing care of arterial blood gas analysis and collection technology [J] General nursing, 2013, 10 (004): 298-299.
[11] Xing J J, Jiang X Y. Effect of different puncture points of femoral artery on the success rate of blood gas collection in patients with cardiopulmonary resuscitation [J] Chinese Journal of emergency and critical care, 2020, V. 1 (05): 27-29.
[12] Zhu R F, Wang J. Observation on the effect of arterial blood collection in different parts of ICU patients [J] Journal of nursing, 2012 (20): 55-56.
[13] Zhang X X, Zhang Z Y, Wang X R. Study on clinical application of blood collection process in clinical operation practice standard of arterial blood gas analysis [J] China nursing management, 2019, 019 (011): 1711-1715.
[14] Ke X F, Tang X F. Research progress of arterial blood collection sites and puncture methods [J] China practical medicine, 2011, 06 (033): 247-248.
[15] Liu L M, Ye M Q, Xu X J. Application of standardized nursing process in the prevention of complications of arterial blood collection in ICU patients [J] Chinese medical science, 2019, 009 (023): 204-206.
[16] Zhang J X. Nursing quality control before analysis of arterial blood samples [J] China nursing management, 2011, 011 (008): 19-22.
[17] Zhang M, Li R L, Guo J, et al. Defect analysis of 2594 arterial blood gas samples and its Enlightenment to nursing work [J] China nursing management, 2011, 11 (008): 22-24.
[18] Zhang Y Q. Investigation on disease composition of inpatients in respiratory department of a third class hospital in Liaoning from 2012 to 2016 [J] China medical records, 2018, 19 (11): 54-57.
[19] Zhang M Q, Wang X H, An Y L, et al. Analysis of early clinical features of 2019 New Coronavirus pneumonia [J]. Chinese Journal of tuberculosis and respiration, 2020, 43 (3): 215-218.
[20] Rogers KM, McCutcheon K. Four steps to interpreting arterial blood gases. J Perioper Pract. 2015 Mar; 25 (3): 46-52.
[21] Zhai M, Jiang H F. The transmission route, prevention and protection of pneumonia COVID-19 [J]. Genomics and applied biology, 2020, 39 (10): 4895-4898.
[22] Krzych L, Wojnarowicz O, Ignacy P, et al. Be cautious during the interpretation of arterial blood gas analysis performed outside the intensive care unit [J]. Acta biochimica Polonica, 2020, 67 (3): 353-358.
Cite This Article
  • APA Style

    Zhe Luo, Ju Zhou, Yu-e Huang. (2022). Effect of PDCA Evidence-Based Nursing Practice on Arterial Blood Gas Analysis in the Respiratory Department. American Journal of Nursing Science, 11(1), 43-47. https://doi.org/10.11648/j.ajns.20221101.15

    Copy | Download

    ACS Style

    Zhe Luo; Ju Zhou; Yu-e Huang. Effect of PDCA Evidence-Based Nursing Practice on Arterial Blood Gas Analysis in the Respiratory Department. Am. J. Nurs. Sci. 2022, 11(1), 43-47. doi: 10.11648/j.ajns.20221101.15

    Copy | Download

    AMA Style

    Zhe Luo, Ju Zhou, Yu-e Huang. Effect of PDCA Evidence-Based Nursing Practice on Arterial Blood Gas Analysis in the Respiratory Department. Am J Nurs Sci. 2022;11(1):43-47. doi: 10.11648/j.ajns.20221101.15

    Copy | Download

  • @article{10.11648/j.ajns.20221101.15,
      author = {Zhe Luo and Ju Zhou and Yu-e Huang},
      title = {Effect of PDCA Evidence-Based Nursing Practice on Arterial Blood Gas Analysis in the Respiratory Department},
      journal = {American Journal of Nursing Science},
      volume = {11},
      number = {1},
      pages = {43-47},
      doi = {10.11648/j.ajns.20221101.15},
      url = {https://doi.org/10.11648/j.ajns.20221101.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20221101.15},
      abstract = {Objective To explore the effect of PDCA evidence-based nursing intervention on arterial blood gas analysis in the respiratory department. Methods Sixty patients who underwent blood gas analysis in our hospital from February 2021 to March 2021 were selected as the control group; while the same number of patients who underwent blood gas analysis from July 2021 to August 2021 were selected as the observation group to implement PDCA evidence-based nursing practice. The effects of one-time success rate, qualified specimen rate, incidence of redness, swelling and ecchymosis at puncture point, sample turnover time and nurses' knowledge level were compared between the two groups. Results The success rate of one-time puncture and the qualified rate of specimens in the observation group were higher than those in the control group (P Conclusion PDCA evidence-based nursing practice can effectively improve the knowledge level of nurses, shorten the sample turnover time, increase the success rate of one-time puncture and the qualified rate of samples, reduce the incidence of adverse events such as redness, swelling and ecchymosis at the puncture point, and improve the quality of clinical nursing.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Effect of PDCA Evidence-Based Nursing Practice on Arterial Blood Gas Analysis in the Respiratory Department
    AU  - Zhe Luo
    AU  - Ju Zhou
    AU  - Yu-e Huang
    Y1  - 2022/02/16
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajns.20221101.15
    DO  - 10.11648/j.ajns.20221101.15
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 43
    EP  - 47
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20221101.15
    AB  - Objective To explore the effect of PDCA evidence-based nursing intervention on arterial blood gas analysis in the respiratory department. Methods Sixty patients who underwent blood gas analysis in our hospital from February 2021 to March 2021 were selected as the control group; while the same number of patients who underwent blood gas analysis from July 2021 to August 2021 were selected as the observation group to implement PDCA evidence-based nursing practice. The effects of one-time success rate, qualified specimen rate, incidence of redness, swelling and ecchymosis at puncture point, sample turnover time and nurses' knowledge level were compared between the two groups. Results The success rate of one-time puncture and the qualified rate of specimens in the observation group were higher than those in the control group (P Conclusion PDCA evidence-based nursing practice can effectively improve the knowledge level of nurses, shorten the sample turnover time, increase the success rate of one-time puncture and the qualified rate of samples, reduce the incidence of adverse events such as redness, swelling and ecchymosis at the puncture point, and improve the quality of clinical nursing.
    VL  - 11
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Department of Respiratory and Critical Care Medicine, Songshanhu Central Hospital, Dongguan, China

  • Department of Respiratory and Critical Care Medicine, Songshanhu Central Hospital, Dongguan, China

  • Department of Respiratory and Critical Care Medicine, Songshanhu Central Hospital, Dongguan, China

  • Sections