关键词: 严重创伤, 急救护理质量, 评价指标, 德尔菲法

Abstract: Objective To establish an index system for evaluating the quality of emergency nursing for severe trauma and to provide a systematic, objective and quantifiable standard for evaluating the quality of emergency nursing for severe trauma. Methods We employed the "Structure-Process-Outcome" three-dimensional quality model in the study. Under the guidance of specifications and guidelines, and after literature review, the initial index system for evaluating the quality of emergency nursing for severe trauma was established. Two-round Delphi expert enquiry in 15 clinical experts was conducted for index questionnaire and analytic hierarchy process (AHP) helped to identify the weight of each index. Results The recovery rate of two-round of expert consultation was 100%; the expert authority coefficient Cr value was 0.843,0.865, and the coordination coefficient (W) value 0.396,0.405, (P<0.01). The evaluation index system of emergency nursing quality for severe trauma was constructed, consisting of 3 first-level indexes of system construction, emergency management and effect evaluation, 12 second-level indexes and 44 third-level indexes. The weight coefficients of the third-level indexes were determined. After consistency test (CR<0.1), the variation coefficients of all indexes were less than 0.10. Conclusion With reasonable weight distribution, the constructed emergency nursing quality evaluation index system for severe trauma is objective and easy to operate, and has played an important role in the standardization of emergency nursing for patients with severe trauma.

Key words: severetrauma, rescuenursing quality, evaluationindex, Delphi method