1. Regulations and policies: relevant regulations and policies enacted by the government can have an impact on quality of care improvement programs. For example, the government requires healthcare organizations to meet specific quality of care standards or provide certain funding and support for quality improvement.
2. Healthcare environment: The characteristics and resources of the healthcare environment also influence quality of care improvement programs. For example, the adequacy or inadequacy of facilities, equipment, and human resources in a healthcare organization, as well as the level of development of medical technology, will affect the implementation and effectiveness of the project.
3. Socio-cultural factors: socio-cultural factors are also important aspects of external conditions. Society's expectations for the quality of care, perceptions and attitudes toward nursing, as well as the needs of patients and families and the degree of participation, will have a certain impact on the quality of care improvement program.
4. Economic factors: economic factors are also one of the important considerations of external conditions. The budget and funding sources of the project, as well as the financial situation of the health care organization, will have an impact on the implementation and continuous improvement of the project.