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The authors have been developing a tool for measuring for the quality of nursing care since 1993. This tool consisted of three dimensions: structure, process, and outcome. Each dimension was constructed from measurements of six domains into which the applicants responses were previously categorized, such as "understanding individuality", "patient empowerment", "family care", "direct care", "medical team coordination" and "incident prevention". It has been developed and posted on a Web site for gathering data from, and returning feedback to the participantspsila units for the quality improvement of nursing. In this study, a fuzzy recommendation system for the feedback was developed through an expert panel then evaluated by participants.