A Study on the Development of Quality Indicators for Perioperative Care of Lung Cancer Patients Using the Structure-Process-Outcome Framework

DOI: https://doi.org/10.62517/jmhs.202605303

Author(s)

Jingjing Li1,Haiyun Gai2,*

Affiliation(s)

1School of Nursing, Shaanxi University of Chinese Medicine, Shaanxi, China 2Department of Nursing, Xi'an Hospital of Traditional Chinese Medicine, Shaanxi, China *Corresponding Author

Abstract

This study chose to use the Structure-Process-Outcome (SPO) framework to clarify the approach taken to developing indicators for assessing the quality of the perioperative nursing care for patients with lung cancer. Combining the ERAS guidelines for lung surgery, the literature on perioperative quality management, and the results from the research on nursing sensitive indicators, the dimensional classification, the source of items, and the application pathways of the nursing sensitive quality indicators for the perioperative period of lung cancer patients were analyzed. According to the literature, key items in the evaluation of the quality of nursing care for lung cancer patients in the perioperative period are respiratory training, pain assessment, observation of the chest drainage, early mobility and monitoring of pulmonary complications. Based on actual examples, a data-based evaluation system that emphasizes process indicators, takes outcome indicators as calibration, and takes structure indicators as support is recommended to increase the operativeness of thoracic surgery specialty nursing quality management.

Keywords

Structure-Process-Outcome; Lung Cancer; Perioperative Nursing; Nursing-Sensitive Indicators

References

[1] Liu Y, Yang L, Li J, et al. Application and effect study of a nursing quality sensitive index system in the perioperative nursing quality evaluation of lung cancer patients in thoracic surgery [J]. International Journal of Infectious Diseases, 2026, 167 (S): 108620-108620. [2] Zhou L, Hu Y, Shuai P. Development of a nursing quality evaluation indicator system for pressure injuries in orthopedics based on the Donabedian model: a Delphi study [J]. BMC Nursing, 2025, 24 (1): 1183-1183. [3] Su E X, Hong P W, He F H, et al. Impact of preoperative respiratory training on early postoperative recovery in patients undergoing lung cancer surgery: a randomized controlled trial [J]. Supportive Care in Cancer, 2025, 33 (7): 593-593. [4]Pradhan R, Lord J, Orewa G, et al. How Neighborhood Social Deprivation Is Associated With Nursing Home Quality: A Structure, Process, Outcome Model.[J]. Innovation in Aging, 2025, 9 (2): igaf004. [5] Ma R G, Zhao X X, Xi Q H, et al. [Construction of a Continuous Nursing Quality Evaluation Indicator System for Inflammatory Bowel Disease Patients Based on Donabedian's Three-Dimensional Quality Structure]. [J]. Acta Academiae Medicinae Sinicae, 2024, 46 (5): 692-699.