Volume 23 Issue 11
Nov.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(11): 1972-1976
SHAN Xinli, CHEN Yongxia, ZHANG Jingjing, YANG Guili, RAO Weiwei, CHENG Nannan. Development of a nurse-led shared care model for palliative care in advanced cancer patients in tertiary general hospitals[J]. Chinese Journal of General Practice, 2025, 23(11): 1972-1976. doi: 10.16766/j.cnki.issn.1674-4152.004272
Citation: SHAN Xinli, CHEN Yongxia, ZHANG Jingjing, YANG Guili, RAO Weiwei, CHENG Nannan. Development of a nurse-led shared care model for palliative care in advanced cancer patients in tertiary general hospitals[J]. Chinese Journal of General Practice, 2025, 23(11): 1972-1976. doi: 10.16766/j.cnki.issn.1674-4152.004272
shu

Development of a nurse-led shared care model for palliative care in advanced cancer patients in tertiary general hospitals

doi: 10.16766/j.cnki.issn.1674-4152.004272

  • Department of Oncology, the First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

Funds:

 2023AH051896

 SK2019A0202

 2022byzd124sk

  • Received Date: 2024-11-01
    Available Online: 2026-01-07
    Abstract
  •   Objective  To establish a scientifically feasible nurse-led shared care model for palliative care in advanced cancer patients within tertiary general hospitals.  Methods  In accordance with national palliative care guidelines, an initial indicator system for the shared care model was devised across three dimensions (structure, process and outcome) through expert panel discussions and a review of the extant literature. A two-round Delphi survey was conducted among 15 palliative care specialists, with revisions made according to expert feedback.  Results  All 15 experts involved in the consultation completed both rounds of consultation (response rate: 100%). The Delphi was utilized to refine the initial list of 104 indicators was refined into a final framework comprising 3 first-level, 9 second-level, 26 third-level, and 35 fourth-level indicators, which are distributed across 9 themes (organizational structure, team composition, unit configuration, role specifications, implementation timeline, workflow design, operational protocols, core services and quality evaluation). The expert judgment coefficients were 0.807 (Round 1) and 0.840 (Round 2); the familiarity coefficients were 0.780 and 0.793; and the authority coefficients (Cr) were 0.793 and 0.817, respectively. The Kendall's W for indicator importance ranged from 0.254 to 0.636, while the operational feasibility ranged from 0.305 to 0.624. The results indicated that all indicators achieved a score greater than 4.0 (mean) for importance and feasibility, with standard deviations less than 1.0 and coefficients of variation less than 0.15 (P < 0.01).  Conclusion  The developed nurse-led shared care model for advanced cancer patients is comprehensive, feasible, and scientifically rigorous, providing a practical framework to enhance palliative care delivery in tertiary general hospitals.

     

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