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Development of a Benchtop Model for Evaluating the Compatibility of Wound Dressing Materials with Negative Pressure Wound Therapy Systems
Published on: May 2, 2025
Development of an evaluation indicator system for wound care quality based on the structure-process-outcome model: a
Yinfeng Hu1, Caifei Li2, Liqiong Zhou3
1Department of Rheumatology and Immunology, South China Hospital, Medical School, Shenzhen University, Shenzhen, China.
BMC Health Services Research
|June 3, 2026
Summary
A new wound care quality evaluation system was developed using the structure-process-outcome model. This scientifically rigorous system includes 3 levels and 25 indicators to objectively assess wound management quality in clinical settings.
Area of Science:
- Nursing
- Healthcare Quality Management
- Chronic Wound Care
Background:
- Rising incidence of chronic wounds (e.g., diabetic foot ulcers, pressure injuries) due to population aging and increased chronic diseases.
- Limitations of traditional wound care assessments: isolated indicators, lack of systematic monitoring, and incomplete evaluation.
- Need for a comprehensive, evidence-based system for standardized nursing management in wound care.
Purpose of the Study:
- To develop a clinically applicable wound care quality evaluation indicator system tailored to China's healthcare context.
- To promote standardized practices and enhance the quality of wound care services.
- To integrate key elements and multidimensional factors using the structure-process-outcome framework.
Main Methods:
- Utilized the structure-process-outcome model for system development.
- Literature review, theoretical analysis, and semi-structured interviews to identify initial indicators.
- Two rounds of expert consultations (27 experts each) using mean ± SD, coefficient of variation, and Kendall's W for analysis.
- Analytic Hierarchy Process employed to determine indicator weights.
Main Results:
- Achieved 100% response rates in two rounds of expert surveys with high authority coefficients (0.874, 0.889).
- Demonstrated improving expert consensus, with Kendall's W coefficients ranging from 0.169-0.192.
- Established a final indicator system comprising 3 first-level, 9 second-level, and 25 third-level indicators.
Conclusions:
- The developed indicator system is scientifically rigorous, reliable, and theoretically applicable for objectively assessing wound management quality.
- The system aligns with clinical wound care practices and nursing management.
- Further validation through clinical pilot studies is necessary to confirm practical operability and real-world applicability.
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