Adapting the Donabedian model in undergraduate nursing education: a modified Delphi study

Ghofrani, Marjan; Valizadeh, Leila; Zamanzadeh, Vahid; Ghahramanian, Akram; Janati, Ali; Taleghani, Fariba

doi:10.1186/s12909-024-05187-7

BMC Medical Education

Table 2 Agreement percent, standard deviation, mean, kappa value, and one sample T-Test p- values for elements of structure, process, and outcome in undergraduate nursing education

From: Adapting the Donabedian model in undergraduate nursing education: a modified Delphi study

Elements	Second round			Third round			The stability between rounds 2 and (Weighted Kappa)	One Sample T-Test (P-value)
Elements	Agreement percent (%)^a	Std. Deviation	Mean	Agreement percent (%)^a	Std Deviation	Mean	The stability between rounds 2 and (Weighted Kappa)	One Sample T-Test (P-value)
1^b	91.7	16-Jan	4.5	91.7	0/66	4.42	0.71	-
2	100	0/45	4.75	100	0/49	4.67	0.80	-
3^c	-		-	81.9	0/75	4.18	-	0.00
4	100	0/38	4.83	100	0/38	4.83	0/4	-
5	100	0/38	4.83	100	0/00	5	0	-
6	91.6	0/62	4.75	91.6	0/62	4.75	1	-
7	100	0/00	May-00	100	0/28	4.92	0
8	100	0/38	4.83	100	0/28	4.92	0/625	-
9	100	0/38	4.92	100	0/28	4.83	0/625	-
10	100	0/38	4.83	100	0/38	4.83	1	-
11	91.7	0/90	4.58	100	0/49	4.67	0/72	-
12	100	0/38	4.83	100	0/38	4.83	1	-
13	100	0/28	4.92	100	0/28	4.92	1	-
14	100	0/28	4.92	100	0/28	4.92	1	-
15	100	0/45	4.75	100	0/45	4.75	1	-
16	100	0/38	4.83	100	0/38	4.83	1	-
17	-	-	-	100	0	5	-	-
18	-	-	-	83.3	0.79	4.42	-	0
19	87.5	0.74	4.38	91.6	0.9	4.42	0.39	-
20	100	0.51	4.58	100	0.51	4.58	1	-
21	91.7	0.66	4.58	91.7	0.66	4.58	1	-
22	-	-	-	83.3	1	4.5	-	0
23	100	0.51	4.58	100	0.51	4.58	1	-
24	100	0.38	4.83	100	0.38	4.83	1	-
25	100	0.38	4.83	100	0.28	4.92	0.62	-
26	100	0	5	100	0	5	0	-
27	91.6	0.62	4.75	91.7	0.65	4.67	0/88	-
28	100	0.38	4.83	100	0.28	4.92	0.62	-
29	100	0.38	4.83	100	0.28	4.92	0.62	-
30	100	0.38	4.83	100	0.28	4.92	0.62	-
31	100	0.49	4.67	100	0.45	4.75	0.80	-
32	100	0.46	4.73	100	0.49	4.67	1	-
33	100	0.51	4.58	100	0.51	4.58	1	-
34	100	0.49	4.67	100	0.51	4.58	0.82	-
35	100	0.28	4.92	100	0.28	4.92	1	-
36	91.6	0.62	4.75	91.6	0.62	4.75	1	-
37	91.7	0.65	4.67	83.4	0.99	4.42	0.44	-
38	100	0.45	4.75	100	0.49	4.67	0/80	-
39	91.7	0.65	4.67	91.7	0.65	4.67	1	-
40	100	0.51	4.63	75	0.78	4.27	1	-
41	100	0	5	100	0	5	0	-
42	100	0	5	100	0	5	0	-
43	91.7	0.65	4.67	91.7	0.65	4.67	1	-
44	75	0.9	4.42	75	0.9	4.42	1	-
45	100	0.45	4.75	100	0.49	4.67	0.80	-
46	91.6	0.67	4.5	91.7	0.66	4.58	0.90	-
47	100	0.3	4.91	100	0.28	4.92	1	-
48	91.6	0.67	4.5	91.6	0.67	4.5	1	-
49	100	0.38	4.83	100	0.38	4.83	1	-
50	100	0.49	4.67	100	0.49	4.67	1	-
51	100	0.45	4.75	100	0.45	4.75	1	-
52	-	-	-	72.8	0.94	3.91	-	0
53	75	1.08	4.42	83.3	1	4.45	0.95	-
54	100	0	5	91.7	0.57	4.83	0	-
55	100	0.45	4.75	100	0.45	4.75	1	-
56	83.3	0.98	4.33	75	1.03	4.17	0.91	-
57	100	0.28	4.92	100	0.28	4.92	1	-
58	100	0.28	4.92	100	0.28	4.92	1	-
59	100	0.28	4.92	100	0.28	4.92	1	-
60	90.9	0.90	4.73	83.4	1.15	4.33	0.76	-

^aThe percentage of agreement is the sum percent of two scores of 4 and 5 on the 5-point Likert scale
^bItems number 1, 4, 14, and 19 were edited based on expert panel members’ comments in round two
^cItems number 3, 17, 18, 22, and 52 were added to round 3 and were created based on panel members’ comments in round 2, so instead of the kappa coefficient, One Sample T-Test was calculated for them

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