Quality" has two meanings. One is a characteristic that distinguishes it from other things, similar to the word "essence. The other is the quality or value of content. The term "nursing quality" is often used in the latter sense. This growth occurred against the backdrop of a shift in society from quantitative sufficiency to qualitative enrichment after the period of rapid economic growth and the diversification of values, as well as the growing interest in the quality of medical care and nursing care in Japan in the 1990s.nursingThis has manifested itself as the work of reviewing the quality of nursing from the aspect of service.
Nursing quality is explored in the context of measurement and evaluation, but there are a variety of ideas about what constitutes high nursing quality. One widely used concept is the Avedis Donabedian approach, which attempts to identify and assure nursing quality in terms of three interrelated components: structure, process, and outcomes. Structure" refers to the architectural structure and equipment of the hospital,nursing postThe "process" includes the number and placement ofnursingactivities andnursing postThe "results" include patient satisfaction and the number of days of hospitalization. The fact that evaluations by the Japan Agency for Health Care Excellence and the introduction of critical paths have become popular is evidence of the high demand for improvement in the quality of medical care, including nursing care.

References
(1) Ora Lea Strickland, Colleen Dilorio (editors)/Toshiko Ibe (author and supervisor): Measuring Nursing Outcomes: Patient Satisfaction and Quality Indicators of Care, Elsevier Japan, 2006.
(2) Sue Moorhead, Marion Johnson ,Meridean L. Maas (ed.)/Aiko Emoto (trans.): Nursing Outcome Classification (NOC)-Indicators and Measurement Scales for Evaluating Nursing Care, 4th edition, Igaku Shoin, 2010.