Methodological study constructs a consensus-based evaluation system for neonatal jaundice care quality, indicating urgent need for standardization.
BACKGROUND: Neonatal jaundice is a prevalent neonatal condition, with improper management potentially leading to severe neurological damage. Significant disparities in care quality exist globally, highlighting the urgent need for a standardized, disease-specific nursing quality evaluation system. AIMS AND OBJECTIVES: This study aimed to construct a scientifically rigorous and reliable sensitive indicator system for evaluating the quality of neonatal jaundice care, based on Donabedian's structure-process-outcome model. METHODS: A methodological study design was employed. An initial draft was developed through a systematic literature review and semi-structured interviews. Subsequently, 18 experts participated in two rounds of Delphi consultations to reach a consensus on the indicators. RESULTS: The effective response rates for the two consultation rounds were 90.0% and 100.0%, respectively. The expert authority coefficients were 0.851 and 0.879. The final system comprises 3 first-level, 10 second-level, and 24 third-level indicators. CONCLUSION: The successfully constructed indicator system demonstrates strong scientific validity and reliability. It provides a consensus-based, standardized framework for assessing neonatal jaundice care quality, requiring further empirical testing before large-scale implementation.
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Xie et al. (2026) studied this question.
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