eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 8: 993 - 999

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.08.018

Quality and Safety

Development and validation analysis of a checklist for extracorporeal membrane oxygenation nursing for adult ICU patients

  • SUN Shaoyang ,
  • LI Enhan ,
  • LI Yuanzhang ,
  • YUAN Yaowen ,
  • HUANG Xiaoxi ,
  • LI Mengt-ing ,
  • SUN Qianqian ,
  • WEI Zhongqiu
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  • 1 Department of Critical Care Medicine， Union Hospital，Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430033， China
    2 Department of Emergency Internal Medicine， Union Hospital，Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430033， China
    3 Department of Urology（Renal Transplantation， Union Hospital，Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430033， China）
    4 Department of Endocrinology and Metabolic Diseases， the Third People’s Hospital of Hubei Province， Wuhan 430022， China
    5 Department of Otolaryngology， Union Jiangbei Hospital，Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430100， China
*LI Enhan，E-mail:137994539@qq.com

Received date: 2025-09-03

  Online published: 2026-08-04

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Abstract

Objective To develop a nursing checklist for extracorporeal membrane oxygenation （ECMO） in adult ICU patients and evaluate its clinical applicability，thereby providing a reference for clinical ECMO safety management. Methods Based on a literature review and an investigation of current clinical practices，an initial draft of the checklist was formulated. The checklist was subsequently revised and refined through two rounds of the Delphi expert consultation method，and the final version was established through a pilot study. Results The effective questionnaire recovery rates for the two rounds of expert consultation were 100% and 94.74%，respectively；the authority coefficients were 0.831 6 and 0.898 7；the Kendall’s coefficients of concordance were 0.334 and 0.356 （all P<0.001）；and the coefficients of variation ranged from 0.032 6 to 0.225 1 and 0.033 5 to 0.225 9，indicating a convergence of expert opinions. The final ECMO nursing checklist for adult ICU patients comprised two parts：a shift handover checklist and a daily operation checklist. The shift handover checklist consisted of 13 first-level indicators and 52 second-level indicators；the daily operation checklist consisted of 8 first-level indicators and 29 second-level indicators. Conclusion The checklist developed in this study is scientific，comprehensive，and highly clinically applicable. It can standardize ECMO management，improve nursing quality and the safety of diagnosis and treatment，and serve as a reference tool for clinical ECMO safety management.

Key words： Intensive Care Unit; Extracorporeal Membrane Oxygenation; Nursing Care; Checklist; Delphi Method

Cite this article

SUN Shaoyang , LI Enhan , LI Yuanzhang , YUAN Yaowen , HUANG Xiaoxi , LI Mengt-ing , SUN Qianqian , WEI Zhongqiu . Development and validation analysis of a checklist for extracorporeal membrane oxygenation nursing for adult ICU patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(8) : 993 -999 . DOI: 10.3761/j.issn.2096-7446.2026.08.018

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