目的 探讨儿科急诊分诊护士护患沟通体验的真实感受，为制订护患沟通质量提升策略提供参考。方法 采用目的抽样法，于2024年1月选取西南地区某三级甲等儿童专科医院的13名儿科急诊分诊护士进行半结构式访谈，以社会生态系统理论为框架，运用定向内容分析法对访谈资料进行分析。结果 提取3个主题，9个亚主题：微观层面（沟通态度从积极向消极变化、非语言沟通的负反馈效应、沟通技巧与专业知识融合不够）；中观层面（难以建立信任关系、护患沟通双方关注点不同、环境氛围消极影响、团队沟通协作需求更高）；宏观层面（渴望医院就诊流程持续优化、儿科急诊信息化建设相对不足）。结论 儿科急诊分诊护士护患沟通体验的社会生态系统不容乐观，护理管理者应重视对儿科急诊分诊护士沟通能力的培训，推行反思性实践，加快儿科急诊信息化建设等综合干预，以提升儿科急诊分诊护士护患沟通质量和患者就医体验，提高患者满意度。

Objective To explore the real feelings of nurses’ communication experience in pediatric emergency triage，and to provide reference for developing strategies to improve the quality of nursing communication. Methods Objective sampling method was used to conduct semi-structured interviews with 13 pediatric emergency triage nurses from a tertiary grade A children’s hospital in Southwest China in January 2024. Based on the social ecosystem theory，the interview data were analyzed by directional content analysis method. Results Three themes and nine sub-themes were extracted：micro system（communication attitude changed from positive to negative，negative feedback effect of non-verbal communication，insufficient integration of communication skills and professional know-ledge）；meso-system（difficulty to establish trust relationship，different attention of the two sides of nurse-patient com-munication，negative impact of environmental atmosphere，higher demand for team communication and collaboration）；macro system（eager to optimize the hospital treatment process，relative insufficiency of pediatric emergency informa-tion construction）. Conclusion The social ecosystem of nurse-patient communication experience of pediatric emergency triage nurses was not optimistic. Nursing managers should attach importance to the training of com-munication ability of pediatric emergency triage nurses，implement reflective practices，accelerate the construction of pediatric emergency information and other comprehensive interventions，so as to improve the nurse-patient communi-cation quality of pediatric emergency triage nurses and patient medical experience，and improve patient satisfaction.