{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:05:11Z","timestamp":1789621511862,"version":"build-2803163510"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop an evidence-based quality evaluation index system for Nutrition Nursing Clinics (NNCs) grounded in the Donabedian Structure-Process-Outcome model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A preliminary indicator system was developed through a systematic literature review, expert panel discussions, and a national survey. Utilizing the Delphi method, 17 experts participated in two rounds of consultation. Questionnaires with a 100% effective response rate in both rounds were used to collect expert opinions on the importance of indicators. Indicators were screened based on an average importance score \u22653.5 and a coefficient of variation &amp;lt;0.25. The Analytic Hierarchy Process (AHP) was then applied to calculate the weights for the finalized indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The expert authority coefficients (Cr) for the two consultation rounds were 0.90 and 0.89, respectively, indicating high expert credibility. The Kendall's W coefficients for all levels of indicators were statistically significant (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.01), demonstrating a good degree of coordination and convergence of expert opinions. Ultimately, a comprehensive quality evaluation index system for NNCs was established, comprising 3 first-level indicators, 16 second-level indicators, and 61 third-level indicators. Consistency Ratio (CR) values for all judgment matrices ranged from 0.0000 to 0.0904, confirming the logical consistency of the assigned weights.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study developed a preliminary, consensus-based quality evaluation index system for NNCs, representing a foundational step toward standardized evaluation in this specialty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1867437","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T04:50:54Z","timestamp":1789620654000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Construction of a quality evaluation index system for nutrition nursing clinics based on the Donabedian model"],"prefix":"10.3389","volume":"13","author":[{"given":"Xing","family":"Zeng","sequence":"first","affiliation":[{"name":"School of Nursing, Nanjing Medical University","place":["Nanjing, China"]},{"name":"Department of Gastrointestinal and Pancreatic Surgery, The Affiliated Jiangning Hospital of Nanjing Medical University","place":["Nanjing, China"]},{"name":"Chinese Hospital Reform and Development Institute, Nanjing University","place":["Nanjing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, The Affiliated Jiangning Hospital of Nanjing Medical University","place":["Nanjing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pancreatic Surgery, The Affiliated Jiangning Hospital of Nanjing Medical University","place":["Nanjing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujia","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Changzhou First People's Hospital","place":["Changzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xian","family":"Chen","sequence":"additional","affiliation":[{"name":"Outpatient Department, The Affiliated Jiangning Hospital of Nanjing Medical University","place":["Nanjing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai","family":"Li","sequence":"additional","affiliation":[{"name":"Nursing Department, The Affiliated Jiangning Hospital of Nanjing Medical University","place":["Nanjing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yajing","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Urology, The Affiliated Jiangning Hospital of Nanjing Medical University","place":["Nanjing, 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