Donabedian’s Lasting Framework for Health Care Quality

Standard Operational Protocols in professional nursing practice: use, weaknesses and potentialities

“…This professional should be guided by Cofen [Federal Nursing Council] Resolution 293/2004, which establishes and sets the parameters for the nursing staff dimensioning in the care units, in order to guarantee the safety and quality of care for the client (27) . These notes corroborate the health care quality evaluation model, according to which each component of the triad (Structure, Process, Outcome) is influenced by its precursor, implying the interdependence of its elements (10)(11) .…”

“…The author defines "Structure" as the qualification of service providers, equipment, facilities and administrative systems through which care is delivered; "Process" denotes the components of the assistance provided; and "Outcome" as recovery and restoration of patient functions. The triad also emphasizes the need for valid indicators to measure structure and process, since both can be directly related to the results of the care provided, as well as reliable and easily reproducible measures of quality evaluation (11) . Based on the above, the study aims to evaluate the use of Standard Operational Protocols in the professional practice of the nursing team of a Municipal Health Department of the State of São Paulo, based on the Donabedian theoretical framework (10) , as well as to identify the weaknesses and potentialities from its implementation, aiming to answer the guiding questions of the research: Is the nursing team using SOPs in their professional practice?…”

To Ban or Not to Ban? Regulating Dual Practice in Palestine

“…The interviewees constituted a purposive sample of respondents across professions and levels of care to ensure that a wide range of perceptions were included, with two focus groups with five to six respondents in each and semistructured interviews with a sample size of 32 respondents. Questions related to quality of care were broadly based on a Donabedian framework, 20 with respondents being asked about the impact of dual practice on structural, process, and outcome aspects of the quality of care. At the data analysis stage, methods to ensure precision and credibility of the data while attempting to minimize potential bias were taken, such as coding responses and grouping them into themes, triangulation of responses through multiple data sources, fieldwork conducted by multiple researchers, and peer debriefing.…”

Medication adherence interventions and outcomes: an overview of systematic reviews

“…The structure represents the conditions under which care is provided, the process represents the activities that constitute healthcare and the outcome represents the changes in the health status 18. It is suggested that good outcome is a result of a structure that promotes a good process,19 and that any efforts to improve the approaches in the triad must be seen in the light of care and needs of the patients 20. In the ECHO model, the outcomes of medical care are classified along three general dimensions: clinical, economic and humanistic 21.…”