ArticleJournal of nursing management2026
Development of a Quality Assessment Index System for Palliative Care Services in Chinese Nursing Homes: A Modified Delphi and Analytic Hierarchy Process Study.
Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Development of a Quality Assessment Index System for Palliative Care Services in Chinese Nursing Homes: A Modified Delphi and Analytic Hierarchy Process Study.Journal of nursing management · 2026Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundAs the population ages, nursing homes are key end-of-life care settings, making high-quality palliative care essential for safeguarding older adults' quality of life. However, China currently lacks a unified and systematic tool for evaluating the quality of palliative care services in nursing homes.
aimTo develop a quality assessment index system for palliative care services tailored to Chinese nursing homes.
methodsThe study employed a mixed-methods design with three phases: (1) a literature review (40 studies, 36 policy/guideline documents; 2013-2023) and semistructured interviews with stakeholders from 6 nursing homes; (2) three rounds of modified Delphi expert consultation (n = 31, 27, 23) to revise and refine the indicators; and (3) application of the analytic hierarchy process (AHP) to determine indicator weights.
resultsThe final index system comprises 3 first-level, 22 second-level, and 47 third-level indicators. The expert authority coefficient (Cr) exceeded 0.85 across all consultation rounds. Expert consensus increased with each round (Kendall's W: 0.189 to 0.315, p < 0.05). AHP results indicated that among the first-level indicators, "process" had the highest weight (0.4114), followed by "structure" (0.3208) and "outcome" (0.2678). Within these dimensions, the highest weighted second-level indicators were "human resources planning and management" (0.0836), "comfort care services" (0.0861), and "quality of symptom management" (0.0438). Furthermore, key third-level indicators included "financial support and management" (0.0632), "basic nursing services" (0.0465), and "quality of symptom assessment and management" (0.0438).
conclusionThis study developed a scientifically grounded quality assessment index system for palliative care services in Chinese nursing homes, which offers a preliminary framework for institutional self-evaluation and quality improvement efforts pending further empirical validation. IMPLICATIONS FOR NURSING MANAGEMENT: Once empirically validated, the framework may assist managers and staff in nursing homes to identify service gaps, optimize resource allocation, and support a shift toward an "older adult-centered" holistic care model.
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