华西口腔医学杂志2025，Vol.43Issue(2)：227-235,9.DOI:10.7518/hxkq.2025.2024277
基于结构—过程—结果模型的多视角下口腔门诊护理质量认知的质性研究
Perceived quality of dental outpatient care from multiple perspectives based on Structure-Process-Outcome model
摘要
Abstract
Objective This study aimed to investigate the perception of dental outpatient care quality from multiple perspectives of administrators,physicians,nurses,and patients and propose nursing care quality evaluation indices that are consistent with the clinical reality to provide reference for the construction of a scientific,systematic,and comprehen-sive dental outpatient care quality evaluation system.Methods A total of 39 interviewees,including 7 administrators,11 doctors,11 nurses,and 10 patients,were selected for semi-structured in-depth interviews in five regionally representa-tive tertiary-level A stomatological specialty hospitals nationwide during January-April 2024 by using a multistage sam-pling method.Colaizzi 7-step analysis was used to analyze and summarize the interview data.Themes were extracted on the basis of the Structure-Process-Outcome(SPO)three-dimensional quality assessment model.Results Five main themes and 15 secondary themes were extracted from three quality dimensions:structure,process,and re-sult.The related topics of structural quality were as fol-lows:disinfection and isolation norms,equipment and consumable management,nursing manpower ratio and nurse edu-cation structure,and emergency capability.The related topics of process quality were as follows:pre-diagnosis risk as-sessment,patient triage and guidance,communication and attitude,health education,humanistic care,continuous care,specialty operation,and four-hand operation.The related topics of result quality were as follows:satisfaction,adverse event management and analysis,effective complaints and disputes.Conclusion Structure quality is the foundation,pro-cess quality is the core,and result quality is the key in the evaluation of the quality of oral outpatient care.The standard-ization of disinfection and isolation,equipment and consumable management,allocation of reasonable nursing manpow-er and post capacity,implementation of high-quality nursing services,and improvement of the quality and satisfaction of medical cooperation are necessary guarantees to ensure the quality of oral outpatient care.关键词
口腔门诊/护理质量/指标/质量评价/结构-过程-结果/质性研究Key words
dental clinic/quality of care/indicator/quality evaluation/Structure-Process-Outcome/qualita-tive research分类
医药卫生引用本文复制引用
马永红,刘帆,杨春霞,杨金容,许力升,谢静颖,王敬钧,韦靖怡..基于结构—过程—结果模型的多视角下口腔门诊护理质量认知的质性研究[J].华西口腔医学杂志,2025,43(2):227-235,9.基金项目
Soft Science Research Project of West China Hospital of Stomatology,Sichuan University(RD-01-202401) 四川大学华西口腔医院软科学研究项目(RD-01-2024-01) （RD-01-202401）
