Effect of both the 9S management theory and the hierarchical management model on management of intensive care unit

Efeito da teoria de gestão 9S juntamente com o modelo de gestão hierárquica na gestão de unidade de terapia intensiva

Efecto de la teoría de gestión 9S en conjunto con el modelo de gestión jerárquica en la gestión de la unidad de cuidados intensivos

Objective:  To explore the effect of the 9S management theory plus hierarchical management model on the management of intensive care unit (ICU).

Method:  Ninety patients hospitalized in ICU from January 2021 to January 2023 were selected and divided into a control group (n = 45) and a study group (n = 45) according to different ward management methods. The management lasted for one month. The ward management quality score, nursing quality score, level of comfort, severity of disease, and incidence of adverse events were compared between the two groups.

Results:  The study group had higher ward management quality scores of all items than those of the control group after management (P < 0.05). In the study group, the nursing quality scores of all items and General Comfort Questionnaire cores were higher, while the acute physiology and chronic health evaluation II scores were lower than those in the control group after management (P < 0.05). The incidence rate of adverse reactions during management in the study group was not significantly different from that of the control group (P > 0.05).

Conclusion:  Both the 9S management theory and hierarchical management model can effectively improve the ward management quality and nursing quality in ICU management.

DESCRIPTORES
Patient Comfort; Intensive Care Units; Organization and Administration; Nursing; Quality of Health Care