Delphi, instrument development, nominal group technique, quality



  1. McKenna, Hugh P. PhD, RN
  2. Keeney, Sinead MRes
  3. Currie, Lynne BSc (Hons)
  4. Harvey, Gill PhD, RN
  5. West, Elizabeth PhD, RN
  6. Richey, Roberta H. MRes, RN


A tool was developed, using the nominal group and Delphi techniques, to explore healthcare staff's perceptions of the quality of hospital care provided in the United Kingdom compared with a tool from the United States. Similarities were identified in many core areas; however, there were several differences between the UK and US tools. This article identifies the process and findings and discusses possible reasons for similarities and differences between the tools.