JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v1i3.152Articlehttps://artdesignp.com/journal/JCNR/1/3/10.26689/jcnr.v1i3.152YingZhou2017132017-11-30Objective: The purpose is to pinpoint the problems during homecare practice and identify the points and critical links of servicequality control. Method: The qualitative field research wasadopted. The three-month participatory observation wasimplemented to the home care practices performed by threecommunity health service centers in Shanghai. Then the collectedmaterials, including the field notes of nearly 100 thousand wordcount and pictures and images, have been sorted and analyzed.Result: The key factors that affect home care quality and thecritical links of quality control have been identified, namely,structure dimension, procedure dimension and result dimension,among which, structure dimension includes system, personnel,environment and equipment, etc., procedure dimension includeshealth assessment, basic nursing, nursing manipulation, emergencytreatment, health education and instruction, psychological nursing,hospice care and rehabilitation nursing, etc., and result dimensionincludes patient outcomes and nursing personnel outcomes, etc.Conclusion: This research unveils the true process of home careservice and the key factors that affect service quality, thusproviding firsthand information for the construction of a qualitycontrol index system for home care and in accord with nationalconditions.