Construction of palliative care quality indicators for cancer hospital
10.3760/cma.j.issn.1674-2907.2019.02.012
- VernacularTitle:肿瘤专科医院姑息照护质量评价指标体系的构建
- Author:
Yun ZHAO
1
;
Fang CHENG
;
Bo YANG
;
Aifeng MENG
;
Xiaoyu ZHENG
Author Information
1. 江苏省肿瘤医院&江苏省肿瘤防治研究所&南京医科大学附属肿瘤医院镇痛科,南京 210009
- Keywords:
? Nursing management research;
? Cancer hospital;
? Palliative care;
? Indicators;
Delphi method
- From:
Chinese Journal of Modern Nursing
2019;25(2):179-183
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To develop an effective and practical palliative care quality indicators for cancer hospital, to provide basis for standardizing palliative care and to realize the systematization and standardization of palliative care quality evaluation in cancer hospitals. Methods? Based on "constructure-process-outcome"quality paradigm, a palliative care quality evaluation system for cancer hospital was constructed preliminarily. The system was finally confirmed by two-round Delphi expert consultation. The reliability and representativeness of expert advice were tested by using the indicators of concentration, coordination, positive coefficient and authority coefficient of expert advice. Results? Totally 19 experts in palliative care were involved in the study. The consultation response rate was 95% for round one, and 100% for round two. The authority coefficient was 0.82, and the Kendal's coefficient of concordance was 0.395 for round one and 0.425 for round two. The final evaluation system contains 3 domains, 14 subdimensions, and 45 items. Conclusions? The consensus of experts is reliable, which can be confirmed from involvement and authority of experts. The final evaluation system states distinguish features of palliative care.