Delphi consensus study reports a 52-indicator quality framework for palliative nursing in terminal cancer patients, highlighting a foundation for standardized care assessment.
Standardized nursing service quality evaluation is crucial to address regional disparities and optimize palliative care outcomes in China, yet a structured indicator framework remains lacking. To develop a preliminary SERVQUAL-informed, consensus-based indicator framework for palliative care nursing services for terminal cancer patients in China. An initial framework was developed through a literature review and structured according to the five dimensions of the SERVQUAL model. A two-round Delphi consultation was conducted with 17 nursing experts with experience relevant to palliative care recruited through purposive sampling. Response rates were 100% in both Delphi rounds. The expert authority coefficient was 0.918. Kendall's concordance coefficient for the indicators was statistically significant (W = 0.116-0.218, all P < 0.05), indicating a statistically significant but modest level of expert coordination. The final framework comprised 5 primary domains, 15 subdomains, and 52 measurable indicators. A preliminary consensus-based framework for evaluating palliative care nursing service quality was developed. The framework may provide a reference for future quality assessment and improvement initiatives, although further empirical validation is required before clinical application.
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Feng et al. (2026) studied this question.
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