Journal of Palliative Care & Medicine
Open Access

Acute Spinal Cord Injury (SCI) are usually caused by high energy and often leads to high paraplegia, many serve complications or death. The majority of complications include pulmonary or urinary infection, and deep venous thrombosis [1]. Actually, patient often occurs feeling of anxiety and despair at the time of hospitalization. The effective nursing interventions may help patients to go through difficult times, and help them to decrease mortality rate, and help them to extend their life spans. Quality of Control Circle (QCC) as a comprehensive and scientific management model that has achieved some good results in the nursing field in China [2]. Several published studies proved that teamwork with application of QCC can improve efficiency and reduce mortality [3-5]. However, there are also empty patches for usage of QCC in acute SCI patient. Thus, the aim of this Min-review is to present combined QCC as a support to patient with acute SCI. The new strategies of nursing care according to the QCC model as a concept will be proposed.

The QCC program was launched based on the theory of QCC [6], and the main targets or causes of QCC program for nursing strategies of acute spinal cord injury were outlined (Table 1). The roles of QCC program consisted of project director, counselor, circle head and circle members. Actually, our QCC was composed of several different kinds of min QCC according to the types of complications of caused by trauma (Figure 1). We followed the protocol of PDCA (Plan-Do- Check-Act), which proposed by Lei Lin et al. [7] (Figure 2).

Figure 1: Several different kinds of min QCC for acute SCI.

Figure 2: The protocol, steps, and PDCA of the quality control circle.

Table 1: The characteristics and tasks of Min QCC.

Several complications will be occurrence in patient with acute SCI, which consist of pulmonary and urinary infection, deep venous thrombosis, pressure injury, and depression. These complications occur subsequently or together may cause severe results or lead to death for acute SCI patient [8]. Some study proved that the effective nursing care and reasonable treatment will extend their life spans for acute SCI patient. QCC model as an effective measurement that had been used to copy with problems occurred in nursing field in China, which follows the “PDCA” (Plan-do-check-act) process [7]. In this min review, the QCC of acute SCI may help nurse improve their professional ability. After accepting training for the concept of min QCC aiming at acute SCI, nurses acquire a new pattern of treatment to a “forward-looking” prevention pattern. We will propel the clinical application of combined QCC for the acute SCI patient in the future.