ArticleJournal of nursing management2026
Development and Evaluation of an Evidence-Based Management Indicator System for Transitional Care in Preterm Infants Using a Delphi and AHP Approach.
Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Development and Evaluation of an Evidence-Based Management Indicator System for Transitional Care in Preterm Infants Using a Delphi and AHP Approach.Journal of nursing management · 2026Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe transition from hospital to home represents a critical and often perilous period for preterm infants. Inadequate discharge preparation frequently leads to adverse outcomes and preventable readmissions.
objectiveThis study aimed to develop and evaluate a robust management indicator system to standardize and enhance the quality of transitional care for this vulnerable population.
methodsA sequential multiphase study was conducted, beginning with a systematic literature review to establish a preliminary indicator pool. A two-round Delphi survey involving 21 neonatal care experts was then used to refine the indicators and achieve consensus. Finally, the analytic hierarchy process (AHP) was employed to determine the relative weight of each indicator.
resultsThe response rate for both Delphi rounds was 100%. The expert consensus reliability (Cr) was 0.967 and 0.964 for the two rounds, respectively, with consensus scores (Cs) of 0.971 for both. Kendall's W coefficients were 0.385 and 0.187 (both p < 0.05), indicating statistically significant agreement among experts across both rounds. The finalized management indicator system comprises 3 equally weighted primary indicators (0.333 each), 17 secondary indicators, and 42 tertiary indicators. Notably, at the secondary level, "Transitional care readiness" (0.234) received the highest weight. Among the tertiary indicators, the highest weight was assigned to "Emergency preparedness skills" (0.162), followed by "Medication administration guidance" (0.054).
conclusionThe management indicator system developed in this study demonstrates methodological rigor and expert consensus, offering a standardized, weighted framework for assessing transitional care readiness, guiding transitional care processes, and informing evidence-based management practices for preterm infants. The system's emphasis on emergency preparedness and family capability assessment highlights areas that may warrant greater attention in current discharge planning approaches, pending further empirical validation.
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