ArticleFlorence Nightingale journal of nursing2025
Applying a Group Decision-Making Model within a Quality Program to Improve Medication Safety.
Article in Florence Nightingale journal of nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimTo assess whether adherence to decisions made by professionals involved in the preparation and administration of orally administered medications via short-term enteral access could be enhanced through the implementation of a Group Decision-Making Model within a quality improvement program, comparing the third Plan-Do-Study-Act cycle with the fourth Plan-Do-Study-Act cycle with the Group Decision-Making Model.
methodsThis study outlines a quantitative research approach using the Standards for Quality Improvement Reporting Excellence (SQUIRE) model. The study was conducted between June 2018 and April 2019. A total of 16 nurses and 40 nursing assistants/technicians were working in the clinical medical ward at the moment of data collection. Group Decision-Making Model in conjunction with the PDSA cycle, as part of the Plan-Do-Study-Act cycle within a hospital in the State of São Paulo, Brazil, for supporting the hospital's nursing team in the preparation and administration of oral medicines via enteral access device for short-term use, including the washing of the equipment.
resultsThe findings, when compared to a prior Plan-Do-Study-Act cycle conducted without any involvement in decision-making, indicated that utilizing the Plan-Do-Study-Act cycle in conjunction with the Group Decision-Making Model method significantly improved the likelihood of successful implementation of quality improvement practices. This was especially noticeable in the case of the pill-crushing technique, where compliance increased from 5.3% in the Plan-Do-Study-Act cycle without the Group Decision Making Model to 100% in the Plan-Do-Study-Act cycle with the Group Decision-Making Model.
conclusionThe Plan-Do-Study-Act cycle serves as a supportive tool for the management team. Nevertheless, its effectiveness may be constrained when final decisions follow a top-down approach. The incorporation of a participatory phase using the Group Decision-Making Model has demonstrated substantial potential to enhance the prospects of successfully implementing quality improvement practices regarding the preparation and administration of oral medications through enteral access device for short-term use.
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