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. Key words: Nursing management research; Cancer hospital; Palliative care; Indicators; Delphi method
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