Quality Assurance and Donabedian Model in Nursing Evaluation

Key Points

  • Quality assurance (QA) ensures care standards are met and sustained through oversight.
  • QA in nursing uses audits, reviews, competency checks, and process monitoring.
  • The Donabedian model evaluates quality through structure, process, and outcomes.
  • Integrating QA into evaluation supports continuous improvement and safer patient care.

Pathophysiology

Patient outcomes are influenced by system design, care-delivery actions, and response results. Evaluation quality improves when nurses assess not only outcomes but also whether the care environment and processes supported those outcomes.

Classification

  • Structure: Staffing, physical resources, policies, and organizational supports.
  • Process: Clinical actions, procedures, team communication, and intervention delivery.
  • Outcomes: Patient health results, safety events, and satisfaction patterns.

Nursing Assessment

NCLEX Focus

Poor outcomes may reflect structure or process gaps, not just individual bedside performance.

  • Assess whether staffing/resources were adequate for planned care.
  • Review whether interventions followed evidence-based process standards.
  • Compare actual patient outcomes against expected quality targets.
  • Track recurrent patterns (for example infections, falls, complications) to identify system-level issues.
  • Use findings to guide corrective action planning.

Nursing Interventions

  • Participate in QA audits and documentation review cycles.
  • Implement targeted process improvements based on identified gaps.
  • Support competency and training updates when performance variability appears.
  • Standardize workflows that reduce preventable adverse outcomes.
  • Re-measure outcomes after changes to verify improvement.

Outcome-Only Bias

Focusing only on outcomes without reviewing structure/process can miss root causes and repeat errors.

Pharmacology

Medication safety QA can include process audits (timing, reconciliation, documentation) linked to adverse-event and effectiveness outcomes.

Clinical Judgment Application

Clinical Scenario

A unit reports rising hospital-acquired infection rates despite repeated reminders to staff.

Recognize Cues: Unfavorable trend persists over time. Analyze Cues: Outcome pattern suggests underlying process and/or structure problems. Prioritize Hypotheses: Workflow reliability and resource support require evaluation. Generate Solutions: Conduct targeted QA review using structure-process-outcome lens. Take Action: Implement corrective interventions and retraining where indicated. Evaluate Outcomes: Track post-change infection trend to confirm improvement.

Self-Check

  1. How do structure and process factors influence outcome trends?
  2. Why are audits and competency assessments central to QA programs?
  3. What signals that a quality-improvement change is actually working?