ArticleBMC medical education2024
Adapting the Donabedian model in undergraduate nursing education: a modified Delphi study.
Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pharmacist input to depression screening and management in patients with diabetes: a systematic review.International journal of clinical pharmacy · 2026Pooled it
- Digital Governance at the Street Level: A Mixed-Methods Study of Systemic Resilience and 'Human-in-the-Loop' Telemedicine in Rural Thailand.International journal of environmental research and public health · 2026Article
- Stop play: key takeaways on physical safety awareness in healthcare simulation education.Advances in simulation (London, England) · 2026Article
- Towards quality indicators in palliative care education: An umbrella review.Palliative care and social practice · 2026Review
- The operating theatre as a catalyst for quality care.BMC health services research · 2025Article
- The Political Economy of the World Health Organization Model Lists of Essential Medicines.The Milbank quarterly · 2025Article
- Honduran nurses' perceptions among the quality of care for stroke patients: a qualitative study.Revista latino-americana de enfermagem · 2025Article
- Current State of Physical Assessment Education for Newborn and Infant Visits in Public Health Nursing Schools in Japan: A Nationwide Cross-Sectional Study.Public health nursing (Boston, Mass.)Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundDonabedian conceptual and multidimensional framework has been used in several studies in an educational context. In this study, we aimed to adapt the Donabedian three-component model (structure, process, and outcome) in undergraduate nursing education. This conceptual framework provides a comprehensive image of nursing education institutions and can help to evaluate institutions by measuring different aspects of their performance. A comprehensive understanding of the various elements of an educational institution helps to develop a complete, appropriate relevant set of performance indicators.
methodsThis was a modified Delphi study. It had three rounds. The expert panel consisted of nursing faculty members and nursing Ph.D. students. In the first round, a questionnaire was designed based on interviews, focus groups, and a literature review. Experts rated their agreement with each element on a 5-point Likert scale in rounds two and three. The consensus level was set as 75%. The stability between rounds was also determined by calculating kappa coefficients. One Sample T-Test was also calculated for new items in round three.
resultsAll 55 items of the questionnaire were confirmed in the second round based on the consensus percentage of 75. Five new items were added to the third round based on comments in round two. Eventually, all elements except one were confirmed according to the consensus level, kappa values, means, and One-Sample T-Test in round three. The structure's key elements include staff (academic and non-academic); equipment; guidelines; resources and facilities; and students' demographics and characteristics. Process key elements include communication; education; evaluation; cooperation; and consultation. Outcome key elements include knowledge development; nursing image; alumni's outcome; students' outcome; related medical centers' performance; accreditation and evaluation results; and satisfaction.
conclusionsDifferent elements of a nursing education institution at the bachelor's level were determined. The results of this study can help related bodies to develop and implement a comprehensive and systematic evaluation. These results can also be a basis for making this model useful in other nursing courses or education in other fields.
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