Develop an evaluation system for quality palliative care based on the guidelines of National Consensus Project for Quality Palliative Care
10.3969/j.issn.1671-8283.2025.09.008
- VernacularTitle:基于NCP框架的安宁疗护质量指标评价体系构建
- Author:
Minling XU
1
;
Weiying DENG
;
Lijun ZHAN
;
Wenyan CHEN
;
Lan WAN
Author Information
1. 佛山市第一人民医院肺肿瘤科,广东 佛山,528000
- Publication Type:Journal Article
- Keywords:
national consensus project for quality palliative care;
palliative care;
quality indicators;
Delphi method
- From:
Modern Clinical Nursing
2025;24(9):57-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop an evaluation system for quality palliative care and provide an evaluation tool for quality palliative care service.Methods A preliminary evaluation system was drafted by using literature review and group discussion,aligning with the U.S.National Consensus Project for Quality Palliative Care(NCP).The system was revised and refined by two rounds of Delphi consultation with 15 palliative care experts(including specialists in clinical practice,nursing management,nursing research and education)from Tier-IIIA hospitals in Guangdong Province.Indicator weights were determined via consensus.Results Both rounds of expert consultation achieved 100.00%response rates.Expert authority coefficient(Cr)was 0.855.The importance scores of the level-1,level-2 and level-3 indicators of the second round of expert consultation were 4.90-5.00,4.80-5.00 and 4.37-5.00,respectively.Coefficients of variation were 0-0.06,0-0.1 and 0-0.19,respectively.The full score ratio ranged between 0.93 and 1.00,0.8 and 1.00,and 0.67 and 1.00.Kendall's W coefficients were 0.214,0.287 and 0.245,respectively(all P<0.01).The nine level-1 indicators were identified as care structure and process,physiological care,psychological care,social care,mental care,cultural care,end-of-life care,ethical care and quality improvement,with the weight coefficients of 0.123,0.153,0.110,0.106,0.098,0.082,0.119,0.092 and 0.117,respectively.The final evaluation system for quality palliative care included 9 indicators in level-1,22 in level-2 and 69 in level-3.Conclusion The evaluation system for quality palliative care developed on the basis of NCP is scientifically innovative and valid in content.Further studies are required to evaluate its validity..
