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 >

2025 , Vol. 6 >Issue 4: 428 - 433

DOI: https://doi.org/10.3761/j.issn.2096-7446.2025.04.007

Special Planning—Emergency Nursing of Trauma

Construction and applicability analysis of nursing quality evaluation index system of severe trauma care

  • CHEN Huijuan ,
  • HUANG Wei ,
  • LIU Yue ,
  • ZHAO Feifan ,
  • CHENG Jing ,
  • SUN Libing
Expand
  • Trauma Medicine Center，Peking University People’s Hospital，Beijing，100044，China

Received date: 2024-07-31

  Online published: 2025-04-02

Fold

Abstract

Objective To construct nursing quality evaluation index system for severe trauma care and provide an evaluation basis for the monitoring and control of nursing quality in the whole process of trauma care. Methods Based on the frame work of the three-dimensional “structure-process-outcome” quality model，this study used literature review，Delphi method and analytic hierarchy to determine the content and the weight of indicators. Results A total of 20 medical，nursing and management experts from 16 hospitals at national，provincial，city and county trauma care systems were included，and two rounds of consultations were conducted. The effective recovery rates were 100% and 95%，respectively. The expert authority coefficients were 0.897 and 0.911，respectively. The variation coefficients of each item ranged from 0.045~0.291 and 0.045~0.217. The Kendall harmony coefficients were 0.273 and 0.206（P<0.001）. In this study，a total of 54 nursing quality indicators for severe trauma care were formed，including 19 structural indicators，25 process indicators and 10 result indicators. Conclusion The evaluation indicators are scientific and practical，which can provide objective，scientific and effective evaluation basis for the quality control of trauma care，and provide data support for the construction of trauma database and data-oriented trauma treatment quality control system.

Key words： Severe Trauma; Trauma Center; Nursing Care; Quality Control; Indicators; Delphi Method

Cite this article

CHEN Huijuan , HUANG Wei , LIU Yue , ZHAO Feifan , CHENG Jing , SUN Libing . Construction and applicability analysis of nursing quality evaluation index system of severe trauma care[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(4) : 428 -433 . DOI: 10.3761/j.issn.2096-7446.2025.04.007

References

[1] He W, Fu XH, Chen S. Advancing polytrauma care:developing and validating machine learning models for early mortality prediction[J]. J Transl Med, 2023, 21(1):664.
[2] Wang YH, Wang C, Hu P, et al. China trauma treatment statistics 2019:a national retrospective study based on hospitalized cases[J]. Front Public Health, 2023,11:1116828.
[3] 黄伟, 许庭珉, 王天兵, 等. 创伤中心医疗质量控制指标专家共识[J]. 北京大学学报(医学版), 2024, 56(3):551-554,封3.
  Huang W, Xu TM, Wang TB, et al. Expert consensus on key indicators for quality control in trauma medicine center[J]. J Peking Univ Health Sci, 2024, 56(3):551-554,cover 3.
[4] 陈慧娟, 刘洋, 孙丽冰. 创伤救治护理质量控制指标的研究现状及启示[J]. 中华急危重症护理杂志, 2021, 2(4):335-338.
  Chen HJ, Liu Y, Sun LB. Research status quo and enlighten-ment on the nursing quality control indicators of trauma care[J]. Chin J Emerg Crit Care Nurs, 2021, 2(4):335-338.
[5] 国家卫生和计划生育委员会办公厅. 关于进一步提升创伤救治能力的通知[EB/OL]. (2024-12-09). https://www.gov.cn/zhengce/zhengceku/2018-12/31/content_5435172.htm.
  National Health Commission of the People’s Republic of China. Notice on further improving the capacity of trauma treatment[EB/OL]. (2024-12-09)[2024-10-07]. https://www.gov.cn/zhengce/zhengceku/2018-12/31/content_5435172.htm.
[6] 刘湘萍, 程晶, 李哲英, 等. 中国创伤救治培训护理版课程培训实践[J]. 护理学杂志, 2023, 38(7):67-70,74.
  Liu XP, Cheng J, Li ZY, et al. Course training on China Trauma Care Training-Nursing for nurses[J]. J Nurs Sci, 2023, 38(7):67-70,74.
[7] 魏永婷, 席祖洋, 田书梅, 等. 肿瘤专科医院手术室护士绩效考核指标体系的构建[J]. 中华护理杂志, 2024, 59(15):1860-1868.
  Wei YT, Xi ZY, Tian SM, et al. Construction of an indicator system for performance appraisal in operating room nurses of cancer hospitals[J]. Chin J Nurs, 2024, 59(15):1860-1868.
[8] 冯洁惠, 朱含, 王阳秭, 等. 心脏移植围手术期护理质量评价指标的构建[J]. 中华护理杂志, 2024, 59(4):425-431.
  Feng JH, Zhu H, Wang YZ, et al. Construction of nursing quality evaluation indicators in perioperative period of heart transplantation[J]. Chin J Nurs, 2024, 59(4):425-431.
[9] 陈慧娟, 程晶, 张敏, 等. 护理人员创伤救治培训现状[J]. 创伤外科杂志, 2020, 22(1):78-80,cover 3.
  Chen HJ, Cheng J, Zhang M, et al. Current trauma care training for nurses[J]. J Trauma Surg, 2020, 22(1):78-80,cover 3.
[10] Crouch R, McHale H, Palfrey R, et al. The trauma nurse coordinator in England:a survey of demographics,roles and resources[J]. Int Emerg Nurs, 2015, 23(1):8-12.
[11] 费杏珍, 潘慧斌, 包芸, 等. 院前急救全程信息化管理软件的应用对严重创伤院内急诊救治质控时间的影响分析[J]. 中华急诊医学杂志, 2024, 33(1):115-118.
  Fei XZ, Pan HB, Bao Y, et al. Analysis of the influence of the application of information management software in pre-hospital first aid on the quality control time of emergency treatment in severe trauma hospital[J]. Chin J Emerg Med, 2024, 33(1):115-118.
[12] 陈友雷, 吴泽生, 王弋, 等. 创伤救治团队进行时间节点管理对严重多发伤医疗质量控制的有效性[J]. 浙江临床医学, 2022, 24(11):1737-1738.
  Chen YL, Wu ZS, Wang Y, et al. Effectiveness of time node management by trauma treatment team in medical quality control of severe multiple injuries[J]. Zhejiang Clin Med J, 2022, 24(11):1737-1738.
[13] 詹玥, 杨旻斐, 姚晓月, 等. 时效性管理在急诊预检分诊中的应用效果分析[J]. 护理与康复, 2023, 22(4):69-71,76.
  Zhan Y, Yang MF, Yao XY, et al. Analysis on the application effect of timeliness management in emergency predetection and triage[J]. Nurs Rehabil J, 2023, 22(4):69-71,76.
[14] Committee on Trauma,American College of Surgeons. Resources for optimal care of the injured patient[M]. Chicago: American College of Surgeons Committee on Trauma, 2014:25-28.
[15] 段岚, 樊有炜, 霍明立, 等. 严重创伤患者救治质量的控制与改进[J]. 中国急救复苏与灾害医学杂志, 2017, 12(4):375-378.
  Duan L, Fan YW, Huo ML, et al. Control and improvement of treatment quality for patients with severe trauma[J]. China J Emerg Resusc Disaster Med, 2017, 12(4):375-378.
[16] Coccolini F, Kluger Y, Moore EE, et al. Trauma quality indicators:internationally approved core factors for trauma management quality evaluation[J]. World J Emerg Surg, 2021, 16(1):6.
[17] 李阳, 李辉, 陈驾君, 等. 多发伤病历与诊断:专家共识(2023版)[J]. 创伤外科杂志, 2023, 25(8):561-568.
  Li Y, Li H, Chen JJ, et al. Chinese expert consensus on medical documentation and diagnosis for multiple trauma(2023 edition)[J]. J Trauma Surg, 2023, 25(8):561-568.
[18] Galatzer-Levy IR, Huang SH, Bonanno GA. Trajectories of resilience and dysfunction following potential trauma:a review and statistical evaluation[J]. Clin Psychol Rev, 2018,63:41-55.
[19] 景晨阳, 郭越, 樊落, 等. 急诊创伤患者低体温影响因素的Meta分析[J]. 中华急危重症护理杂志, 2024, 5(2):131-137
  Jing CY, Guo Y, Fan L. et al. Risk factors of hypothermia in emergency trauma patients:a meta-analysis[J]. Chin J Emerg Crit Care Nurs, 2024, 5(2):131-137.
[20] 李海云, 张国春, 褚梁梁, 等. 继发性创伤应激量表的汉化及其在急诊科护理人员中的应用[J]. 护理研究, 2023, 37(6):1000-1005.
  Li HY, Zhang GC, Chu LL, et al. Chinesization of Secondary Traumatic Stress Scale and its application in nursing staff of emergency department[J]. Chin Nurs Res, 2023, 37(6):1000-1005.
Options
Outlines

/

〈 〉