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        <identifier>oai:figshare.com:article/33871453</identifier>
        <datestamp>2026-09-17T04:57:00Z</datestamp>
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          <dc:title>Table 3_Construction of a quality evaluation index system for nutrition nursing clinics based on the Donabedian model.docx</dc:title>
          <dc:creator>Xing Zeng (546054)</dc:creator>
          <dc:creator>Yu Jiang (234328)</dc:creator>
          <dc:creator>Hui Liu (33624)</dc:creator>
          <dc:creator>Yujia Huang (5827799)</dc:creator>
          <dc:creator>Xian Chen (107385)</dc:creator>
          <dc:creator>Ai Li (13390479)</dc:creator>
          <dc:creator>Yajing Gu (25001608)</dc:creator>
          <dc:subject>Clinical and Sports Nutrition</dc:subject>
          <dc:subject>Delphi Technique</dc:subject>
          <dc:subject>Donabedian model</dc:subject>
          <dc:subject>indicator system</dc:subject>
          <dc:subject>nutrition nursing clinics</dc:subject>
          <dc:subject>quality evaluation</dc:subject>
          <dc:description>Objective&lt;p&gt;To develop an evidence-based quality evaluation index system for Nutrition Nursing Clinics (NNCs) grounded in the Donabedian Structure-Process-Outcome model.&lt;/p&gt;Methods&lt;p&gt;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 ≥3.5 and a coefficient of variation &lt;0.25. The Analytic Hierarchy Process (AHP) was then applied to calculate the weights for the finalized indicators.&lt;/p&gt;Results&lt;p&gt;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 (P &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.&lt;/p&gt;Conclusion&lt;p&gt;This study developed a preliminary, consensus-based quality evaluation index system for NNCs, representing a foundational step toward standardized evaluation in this specialty.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-17T04:57:00Z</dc:date>
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          <dc:identifier>10.3389/fnut.2026.1867437</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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