Abstract:

Objective To construct a whole-process nursing program from pre-hospital first aid to in-hospital rehabilitation for emergency severe trauma patients based on the theory of ‘Timing It Right’，and to provide reference for clinical nursing work. Methods Guided by the theory of ‘Timing It Right’，the first draft of the intervention plan was drawn up on the basis of literature research and semi-structured interviews. From March to April 2024，18 medical and nursing experts from Hunan，Guangxi，Guangdong，Jilin，Heilongjiang Province and Beijing were consulted by Delphi experts for two rounds，and the final draft of the program was formed. Results The effective recovery rates of the two rounds of consultation were 94.73% and 100% respectively，and the expert authority coefficients were 0.919 and 0.917 respectively. The Kendall harmony coefficients of the importance and operability of the two rounds of consultation were 0.100，0.091，and 0.072，0.073 respectively，all P<0.05. The final intervention program includes 5 first-level items，17 second-level items and 72 third-level items. Conclusion The whole-process nursing program for emergency severe trauma patients based on the theory of ‘Timing It Right’ is scientific，reliable，targeted and continuous，which can meet the nursing needs of patients，and provide reference for improving the nursing quality of patients with severe trauma and improving the treatment effects of patients.

Key words: Severe Trauma, Timing It Right, Delphi Method, Emergency Treatment, Nursing Care