Application of FOCUS-PDCA cycle in enhancing the standardization of emergency collaboration among thoracic surgery nurses

Abstract To explore the effectiveness of the FOCUS-PDCA (Find, Organize, Clarify, Understand, Select, Plan, Do, Check, Act) management cycle in improving the standardization of emergency collaboration among thoracic surgery nurses. Forty nurses from two thoracic surgery wards at Zhejiang Cancer Hosp...

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Main Authors: Anlong Wang, Yiting Luo, Hui Xu, Ting Fang
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-04134-w
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author Anlong Wang
Yiting Luo
Hui Xu
Ting Fang
author_facet Anlong Wang
Yiting Luo
Hui Xu
Ting Fang
author_sort Anlong Wang
collection DOAJ
description Abstract To explore the effectiveness of the FOCUS-PDCA (Find, Organize, Clarify, Understand, Select, Plan, Do, Check, Act) management cycle in improving the standardization of emergency collaboration among thoracic surgery nurses. Forty nurses from two thoracic surgery wards at Zhejiang Cancer Hospital were selected as study subjects. The FOCUS-PDCA cycle was implemented to conduct mixed-mode emergency training, and the standardization scores of nursing operations, job competency self-assessment, and emergency collaboration before and after implementation were compared. After the implementation of FOCUS-PDCA, the assessment scores of nursing operations such as defibrillation, cardiopulmonary resuscitation, suction, tracheal intubation cooperation, and the use of nasal high-flow humidification therapy devices, as well as self-assessment scores of job competency and emergency collaboration standardization, were higher than those before the implementation (p < 0.05). The implementation of FOCUS-PDCA helps improve the standardization of emergency collaboration among thoracic surgery nurses. It should be appropriately carried out according to the department’s situation to promote continuous improvement in nursing quality and emergency response levels.
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spelling doaj-art-9c0b64917f81414ea31f71b72af9e8fa2025-08-20T03:22:07ZengNature PortfolioScientific Reports2045-23222025-05-0115111010.1038/s41598-025-04134-wApplication of FOCUS-PDCA cycle in enhancing the standardization of emergency collaboration among thoracic surgery nursesAnlong Wang0Yiting Luo1Hui Xu2Ting Fang3Department of Pulmonary Surgery, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of SciencesDepartment of Pulmonary Surgery, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of SciencesDepartment of Pulmonary Surgery, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of SciencesDepartment of Pulmonary Surgery, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of SciencesAbstract To explore the effectiveness of the FOCUS-PDCA (Find, Organize, Clarify, Understand, Select, Plan, Do, Check, Act) management cycle in improving the standardization of emergency collaboration among thoracic surgery nurses. Forty nurses from two thoracic surgery wards at Zhejiang Cancer Hospital were selected as study subjects. The FOCUS-PDCA cycle was implemented to conduct mixed-mode emergency training, and the standardization scores of nursing operations, job competency self-assessment, and emergency collaboration before and after implementation were compared. After the implementation of FOCUS-PDCA, the assessment scores of nursing operations such as defibrillation, cardiopulmonary resuscitation, suction, tracheal intubation cooperation, and the use of nasal high-flow humidification therapy devices, as well as self-assessment scores of job competency and emergency collaboration standardization, were higher than those before the implementation (p < 0.05). The implementation of FOCUS-PDCA helps improve the standardization of emergency collaboration among thoracic surgery nurses. It should be appropriately carried out according to the department’s situation to promote continuous improvement in nursing quality and emergency response levels.https://doi.org/10.1038/s41598-025-04134-wFOCUS-PDCA cycleThoracic surgeryEmergency collaboration standardizationNursing management
spellingShingle Anlong Wang
Yiting Luo
Hui Xu
Ting Fang
Application of FOCUS-PDCA cycle in enhancing the standardization of emergency collaboration among thoracic surgery nurses
Scientific Reports
FOCUS-PDCA cycle
Thoracic surgery
Emergency collaboration standardization
Nursing management
title Application of FOCUS-PDCA cycle in enhancing the standardization of emergency collaboration among thoracic surgery nurses
title_full Application of FOCUS-PDCA cycle in enhancing the standardization of emergency collaboration among thoracic surgery nurses
title_fullStr Application of FOCUS-PDCA cycle in enhancing the standardization of emergency collaboration among thoracic surgery nurses
title_full_unstemmed Application of FOCUS-PDCA cycle in enhancing the standardization of emergency collaboration among thoracic surgery nurses
title_short Application of FOCUS-PDCA cycle in enhancing the standardization of emergency collaboration among thoracic surgery nurses
title_sort application of focus pdca cycle in enhancing the standardization of emergency collaboration among thoracic surgery nurses
topic FOCUS-PDCA cycle
Thoracic surgery
Emergency collaboration standardization
Nursing management
url https://doi.org/10.1038/s41598-025-04134-w
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