Chinese Journal of Emergency and Critical Care Nursing >
Construction and applicability analysis of emergency response capability evaluation index system for extracorporeal membrane pulmonary oxygenation nurses
Received date: 2025-09-19
Online published: 2026-04-02
Objective To establish an evaluation index system for emergency response capabilities of nurses performing extracorporeal membrane oxygenation(ECMO),providing reference for the training and evaluation of emergency response capabilities of ECMO nurses. Methods From January to May 2025,using the 4R crisis management theory as the theoretical framework,literature review,semi-structured interviews,Delphi method,and analytic hierarchy process were used to determine the content and weights of the ECMO nurse emergency response capability evaluation index system. Results The effective questionnaire response rates for the two rounds of expert inquiry were 88.46% and 86.95%,respectively. The authority coefficients of the experts were 0.937 and 0.95,and the Kendall harmony coefficients were 0.205~0.467 and 0.210~0.616,respectively(P<0.05). The trajectory changes of the average and standard deviation of the first and second level indicators in the second round of expert inquiry,as well as the fountain chart of the third level indicators,showed that the expert opinions tended to be consistent. The final ECMO nurse emergency response capability evaluation index system included 4 primary indicators,13 secondary indicators,and 40 tertiary indicators. Conclusion The constructed ECMO nurse emergency response capability evaluation index system is scientific and practical,and can provide reference for the emergency capability training and clinical practice evaluation of ECMO nurses.
LI Chuansheng , MI Yuanyuan , CHEN Lihua , HUANG Weijian . Construction and applicability analysis of emergency response capability evaluation index system for extracorporeal membrane pulmonary oxygenation nurses[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(4) : 425 -431 . DOI: 10.3761/j.issn.2096-7446.2026.04.006
| [1] | Burrell A, Kim J, Alliegro P, et al. Extracorporeal membrane oxygenation for critically ill adults[J]. 2023, 9(9):CD010381. |
| [2] | Lucchini A, Villa M, Giani M, et al. Long term outcome in patients treated with veno-venous extracorporeal membrane oxygenation:a prospective observational study[J]. Intensive Crit Care Nurs, 2024, 82:103631. |
| [3] | Zangrillo A, Landoni G, Biondi-Zoccai G, et al. A meta-analysis of complications and mortality of extracorporeal membrane oxygenation[J]. Crit Care Resusc, 2013, 15(3):172-178. |
| [4] | Hadano H, Kamio T, Fukaguchi K, et al. Analysis of adverse events related to extracorporeal membrane oxygenation from a nationwide database of patient-safety accidents in Japan[J]. J Artif Organs, 2024, 27(1):15-22. |
| [5] | Azimirad M, Magnusson C, Wiseman A, et al. Nurses’ ability to timely activate rapid response systems for deteriorating patients:a comparative case scenario study between Finnish and British nurses[J]. Intensive Crit Care Nurs, 2020, 60:102871. |
| [6] | 徐海霞, 刘雅, 刘妮娜, 等. 三位一体案例推演式培训提升新护士应急能力的效果研究[J]. 中华急危重症护理杂志, 2022, 3(5):420-425. |
| Xu HX, Liu Y, Liu NN, et al. The effects of the “Trinity” case deductive model training on promoting the emergency response ability of new nurses[J]. Chin J Emerg Crit Care Nurs, 2022, 3(5):420-425. | |
| [7] | 罗伯特·希斯. 危机管理[M]. 2版. 王成等译. 北京: 中信出版社, 2004. |
| Heath R. Crisis management[M]. 2nd ed. Translated by WangC, et al. Beijing: CITIC Press, 2004. | |
| [8] | 黄南杏, 胡夏菊, 车运秋, 等. “互联网+”护士应急能力评价指标体系的构建[J]. 中华护理杂志, 2024(11):1368-1375. |
| Huang NX, Hu XJ, Che YQ, et al. Construction of the evaluation index system of nurses’ emergency ability in Internet plus[J]. Chin J Nurs, 2024(11):1368-1375. | |
| [9] | Cheng KY, Xie R, Xu ZW, et al. Developing an element system of hospital resilience to medical Run in major emerging infectious diseases:a Delphi study[J]. BMC Infect Dis, 2025, 25(1):612. |
| [10] | Liang SY, Zhai ZY, Feng XM, et al. Development of an index system for the scientific literacy of medical staff:a modified Delphi study in China[J]. BMC Med Educ, 2024, 24(1):397. |
| [11] | Shi GJ, Xu HX, Xu YH, et al. An evaluation index system to assess nurse competency in enhanced recovery after surgery programs:a Delphi study[J]. Asian Nurs Res, 2024, 18(4):358-366. |
| [12] | Li Y, Wei J, Xu H, et al. Construction of nursing-sensitive quality indicators for acute poisoning in emergency departments:an e-Delphi study[J]. J Adv Nurs, 2024, 80(11):4736-4749. |
| [13] | 贾美荣, 张珊, 张思源, 等. 江苏省血液净化护理人员传染病突发事件应急能力及影响因素的多中心调查研究[J]. 中国血液净化, 2024, 23(10):795-798. |
| Jia MR, Zhang S, Zhang SY, et al. A multi-center survey on the ability against infectious disease emergencies and its influencing factors among blood purification nursing staff in Jiangsu Province[J]. Chin J Blood Purif, 2024, 23(10):795-798. | |
| [14] | Song S, Li XY, Bell SA, et al. Emergency response:a cross-sectional study of core competencies for nurses regarding major infectious disease outbreaks[J]. J Emerg Nurs, 2021, 47(6):902-913. |
| [15] | Wei W, Liu YB, Zhou N, et al. Constructing an emergency preparedness evaluation index system for public use during major emerging infectious disease outbreaks:a Delphi study[J]. BMC Public Health, 2023, 23(1):1109. |
| [16] | Parry AE, Kirk MD, Colquhoun S, et al. Leadership,politics,and communication:challenges of the epidemiology workforce during emergency response[J]. Hum Resour Health, 2022, 20(1):33. |
| [17] | McNeill C, Adams L, Heagele T, et al. Emergency preparedness competencies among nurses:implications for nurse administrators[J]. J Nurs Adm, 2020, 50(7/8):407-413. |
| [18] | Wang YS, Sun HJ, Zou JC, et al. Evaluation model for hospital response capability for public health emergency[J]. Disaster Med Public Health Prep, 2021, 15(4):403-408. |
| [19] | Liu JW, Gui FL, Zhang MM, et al. Emergency preparedness in the central sterile supply department:a multicenter cross-sectional survey[J]. BMC Emerg Med, 2024, 24(1):133. |
| [20] | World Health Organization. Global patient safety action plan 2021-2030[EB/OL]. (2021-08-03)[2025-07-28]. https://www.who.int/publications/i/item/9789240032705. |
| [21] | 国家卫生健康委办公厅. 关于印发加强重症医学医疗服务能力建设的意见的通知[EB/OL]. (2024-04-01)[2025-12-28]. https://www.nhc.gov.cn/wjw/c100379/202405/1aa0d0fafff84dd6932f6224738a0a1b.shtml. |
| Office of the National Health Commission. Notice on issuing opinions on strengthening the construction of critical care medical service capacity[EB/OL]. (2024-04-01)[2025-12-28]. https://www.nhc.gov.cn/wjw/c100379/202405/1aa0d0fafff84dd6932f6224738a0a1b.shtml. | |
| [22] | Hong LW, Hou CY, Chen LH, et al. Developing a competency framework for extracorporeal membrane oxygenation nurses:a qualitative study[J]. Nurs Open, 2023, 10(4):2449-2463. |
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