# Clinical value of PDCA circulation nursing in reducing nosocomial infection

**Authors:** Xia Wang, Li Gu, Wenying Chen, Chen Ma, Ran Li

PMC · DOI: 10.3389/fmed.2025.1656740 · Frontiers in Medicine · 2026-01-02

## TL;DR

This study shows that using PDCA cycle nursing improves hospital infection control and patient satisfaction.

## Contribution

The study demonstrates that PDCA cycle nursing reduces nosocomial infections and improves nursing quality.

## Key findings

- The observation group had a significantly lower nosocomial infection rate (5.00%) compared to the control group (16.67%).
- Nursing quality scores and patient self-management ability were significantly higher in the observation group.
- Nurses in the observation group showed better professional skills and higher patient satisfaction.

## Abstract

To explore the effect of PDCA circulation nursing in nursing management of nosocomial infection.

One hundred and twenty inpatients of our hospital from January 2019 to December 2021 were randomly selected as the subjects, and were divided into control group (n = 60 cases) and observation group (n = 60 cases) according to the time point. The control group implemented routine nursing management, and the observation group implemented PDCA cycle method. The nursing satisfaction, nosocomial infection rate, nursing work quality score, patient self-management ability, medical equipment and goods qualification rate and nurse professional skill score were compared between the two groups.

Compared with the control group, the observation group demonstrated significantly higher nursing quality scores (in medical device management, environmental management, cleaning and disinfection quality, and packaging quality), higher qualification rates (of package, sterilized articles, surgical instrument cleaning, and disinfectant concentration), and greater patient self-management ability (in self-management attitude, disease cognition, self-management skills, and complication prevention) (all p < 0.05). The overall nursing satisfaction in the observation group was 95.00%, significantly higher than 73.33% in the control group (p < 0.05). The incidence of nosocomial infection in the observation group was 5.00% (3/60), significantly lower than 16.67% (10/60) in the control group (p < 0.05). Additionally, nurses in the observation group scored higher on professional skills such as team spirit, communication and coordination, and problem-solving ability (all p < 0.05).

The PDCA cycle method is effective in hospital infection management, significantly improving nursing quality, enhancing patient self-management and satisfaction, and reducing the incidence of nosocomial infection.

## Full-text entities

- **Diseases:** nosocomial infection (MESH:D003428), infection (MESH:D007239)
- **Chemicals:** PDCA (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

24 references — full list in the complete paper: https://tomesphere.com/paper/PMC12807885/full.md

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Source: https://tomesphere.com/paper/PMC12807885