eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 1: 36 - 41

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.01.005

Special Planning——Critical Pediatric Care

Development of a quality assessment indicator system for palliative care in pediatric intensive care units

  • ZHAO Huiyun ,
  • WU Bo ,
  • XU Xiaoying ,
  • TANG Shi
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  • 1. Pediatric Intensive Care Unit， Xinhua Hospital，Shanghai Jiaotong University School of Medicine， Shanghai 200092， China
    2. Department of Pediatrics， Women&Children’s Health Care Hospital of Linyi，Linyi， Shandong Province 276000， China
    3. Department of Nursing， Pulmonary Hospital，Tongji University， Shanghai 200433， China
    4. Department of Nursing， Renji Hospital，Shanghai Jiaotong University School of Medicine，Shanghai 200127， China. *WU Bo， E-mail：wubo2019@alumni.sjtu.edu.cn

Received date: 2025-07-09

  Online published: 2026-01-06

Supported by

Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine：Nursing Development Program(xhlxm005)

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Abstract

Objective To initially construct a quality evaluation index system for palliative care in pediatric intensive care units（PICUs），providing a basis for monitoring and managing the quality of palliative care in PICUs. Methods Based on the Donabedian theoretical framework，a literature review，expert Delphi method，and analytic hierarchy process were used to construct a quality evaluation index system for nursing care，including specific contents in structure，process，and outcome dimensions. Results Three rounds of expert consultation were conducted，with a 100% response rate for each round. The expert authority coefficients were 0.97，0.96，and 0.98，respectively，and the Kendall’s coefficient of concordance was 0.102，0.312，and 0.344（P<0.01）. Ultimately，a quality evaluation index system for palliative care in PICUs was constructed，including 3 first-level indicators，11 second-level indicators，and 40 third-level indicators. Conclusion The index system ultimately formed in this study is both scientific and clinically applicable. It can be used as a reference for the quality review of palliative care，providing nurses with a clear working framework and norms，and offering quantifiable evaluation standards for exploring the effectiveness of palliative care intervention measures.

Key words： Pediatric Intensive Care Unit; Palliative Care; Nursing Quality; Index; Delphi Method; Analytic Hierarchy Process

Cite this article

ZHAO Huiyun , WU Bo , XU Xiaoying , TANG Shi . Development of a quality assessment indicator system for palliative care in pediatric intensive care units[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(1) : 36 -41 . DOI: 10.3761/j.issn.2096-7446.2026.01.005

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