The application of 6S management in hospital intensive care units (ICUs) yields significant results

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Why is 6S management implemented in hospital intensive care units (ICUs)? Overview by Huatianmou 6S Management Experts: The Intensive Care Unit (ICU) is a specialized facility for the treatment of critically ill patients. These patients are characterized by rapid changes in their condition, severe disease progression, numerous complications, poor prognoses, and high mortality rates. Scholars and healthcare professionals have been striving to find safe and efficient nursing management models, and the 6S management model is precisely a product of the evolving times; by gradually emphasizing safety, it came into being as the 6S management model (Seiri, Seiton, Seiso, Seiketsu, Shitsuke, Safety). In keeping with the trends of the times, a certain hospital applied the 6S management model to its intensive care unit (ICU), achieving satisfactory results, as detailed below. Objective: To explore the application and effectiveness of the 6S management model in critically ill patients in the ICU. Methods: 100 critically ill patients admitted to the ICU of our hospital from July 2017 to December 2017 were randomly divided into two groups. The patients in the control group received routine care, while those in the experimental group received nursing care based on the 6S management model. The incidence of complications, length of hospital stay, hospitalization costs, and patients’ family members’ satisfaction with the nursing care were compared between the two groups. 1 Materials and Methods 1.1 General Information 100 critically ill patients admitted to the ICU of our hospital were selected. Among them, 50 severe patients were randomly selected before the implementation of the 6S management model as the control group, including 29 males and 21 females ； Age ranged from 50 to 75 years, with an average of (48.57±16.43) years. After adopting the 6S management model, 50 severe disease patients were randomly selected as the observation group, including 31 males and 19 females ； Age ranged from 37 to 75 years, with an average of (49.15±17.32) years. There were no statistically significant differences (P>0.05) between the two groups in terms of general characteristics such as gender and age, indicating that they were comparable. 1.2 Inclusion and exclusion criteria Inclusion criteria: ① All patients met the criteria for admission to the ICU ； ②This study was approved by the hospital’s Medical Ethics Committee. Exclusion criteria: ① The patient died despite aggressive rescue efforts ； ②The patient has impaired consciousness ； ③The patient has issues with speech, hearing, and intelligence, which prevent them from communicating effectively with medical staff ； ④The patient’s family members are unwilling to participate in this study. 1.3 Methods 1.3.1 Data collection methods Before data collection, the investigators participating in this study underwent centralized training. After the training, they had to pass both a written test and an expert interview; only those who passed both assessments were allowed to participate in the study. Uniform instructions are used during data collection. 1.3.2 Nursing intervention methods: Patients in the control group received conventional nursing care such as psychological care, health education, medication management, care related to invasive procedures, and positioning care, while patients in the observation group received nursing measures guided by the 6S management model, which mainly included the following aspects. ①Organize nursing staff in the department for professional training: Before implementing the 6S management model, it is necessary to strengthen the understanding of all nursing staff in the department regarding the concepts and essence of 6S management, so that they can apply these concepts and principles in their daily nursing tasks ； In addition, it is necessary to enhance the training of nursing staff in knowledge related to the care of critically ill patients in the ICU. This can be achieved by combining group lectures with individual training, as well as using both written and multimedia materials along with verbal instruction; it is also important to integrate theoretical lectures with practical case studies. Such efforts will help nursing staff gain a better understanding of the knowledge related to critically ill patients in the ICU, thereby laying the foundation for providing comprehensive and systematic care to patients. ②Psychological care for the patient’s family members: Due to the severity and critical nature of the patient’s condition, the family members experience significant psychological stress and emotional burden, which can lead to negative emotions such as pessimism, fear, and disappointment. Therefore, nursing staff use simple language to explain to the patient’s family members information related to the patient’s illness, the general treatment process, and possible complications, thereby reducing their unnecessary worries and fears. During interactions and communications with the patient’s family, using appropriate touch, kind and friendly smiles, and patient listening can help the family members feel the care and comfort provided by the medical staff. ③Follow-up after discharge: Personalized methods such as Feixin, QQ groups, and address books are used for follow-up, allowing patients to choose the communication method that suits them best to interact with medical staff and thereby improving the quality of care for children. 1.4 Clinical observation indicators: The incidence of complications, average length of stay, average hospitalization costs in the two groups of patients were observed, as well as the satisfaction of patients’ family members regarding the manner and attitude of nursing staff in providing care services (the Nursing Work Satisfaction Survey Form was used to assess the family members’ satisfaction). Satisfaction = (Number of satisfied cases + Number of moderately satisfied cases) / Total number of cases × 100%. 1.5 Statistical Methods The relevant data were analyzed using SPSS 19.0 statistical software. Quantitative data were expressed as x±s, and the t-test was used; categorical data were expressed as absolute values or proportions, for which the χ2 test was applied, with P