Construction and preliminary application of a non-technical skill indicator system for emergency surgery nurses

Liang Bei; Kang Wenwen; Zhang Jiaojiao; Hou Mixue; Zhang Ruining

doi:10.3760/cma.j.cn116021-20250411-02223

您当前的位置：

首页 >

文章列表页 >

Construction and preliminary application of a non-technical skill indicator system for emergency surgery nurses

更新时间：2026-01-13

- Construction and preliminary application of a non-technical skill indicator system for emergency surgery nurses
- Chinese Journal of Medical Education Research Pages: 1-10(2026)
- 作者机构：
  
  空军军医大学唐都医院烧伤整形科，西安 710038
- 作者简介：
  
  Zhang Ruining, Email: amberzrn@163.com
- 基金信息：
  
  Shaanxi Provincial Scientific Research Program(2021SF-292)
- DOI：10.3760/cma.j.cn116021-20250411-02223
  CLC： R-05
- Received：11 April 2025，
  
  Published Online：13 January 2026，
- 稿件说明：
移动端阅览
Liang Bei, Kang Wenwen, Zhang Jiaojiao, et al. Construction and preliminary application of a non-technical skill indicator system for emergency surgery nurses[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-10.
DOI：

Liang Bei, Kang Wenwen, Zhang Jiaojiao, et al. Construction and preliminary application of a non-technical skill indicator system for emergency surgery nurses[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-10. DOI： 10.3760/cma.j.cn116021-20250411-02223.

摘要

目的

构建适用于我国急诊外科护士的非技术技能（non technical skills，NTS）指标体系，并进行初步应用与检验。

方法

通过系统文献回顾和半结构访谈初步构建指标体系条目池，采用德尔菲专家咨询法对25名专家进行两轮函询，确定指标体系内容。采用便利抽样法选取175名急诊外科护士进行横断面调查，通过信度分析和探索性因子分析检验量表的信度与效度。

结果

构建的急诊外科护士NTS指标体系包括5个一级指标（情境意识、决策与应变、沟通与协作、领导与管理、韧性发展与职业认同）、15个二级指标和37个三级指标。两轮专家咨询的积极系数分别为96%和100%，权威系数为0.90，肯德尔协调系数分别为0.42和0.51（

0.01）。量表总体Cronbach’s

系数为0.959，各维度

系数为0.832~0.923，折半信度为0.907；内容效度指数（S-CVI/Ave）为0.92，探索性因子分析提取5个公因子，累计方差贡献率为69.50%。

结论

本研究构建的急诊外科护士NTS指标体系科学可靠，基于该体系开发的评价量表具有良好的信度和效度，可为急诊外科护士的培训、考核与能力评估提供有效工具。

Abstract

Objective

To construct a non-technical skill (NTS) indicator system suitable for emergency surgery nurses in China and conduct preliminary application and validation.

Methods

An initial item pool for the indicator system was developed through a systematic literature review and semi-structured interviews. The Delphi method was used to conduct two rounds of consultation with 25 experts to determine the content of the indicator system. A cross-sectional survey was conducted using convenience sampling with 175 emergency surgery nurses. The reliability and validity of the scale were assessed through reliability analysis and exploratory factor analysis.

Results

The constructed NTS indicator system for emergency surgery nurses included 5 primary indicators (situational awareness

decision-making and adaptability

communication and collaboration

leadership and management

resilience development and professional identity)

15 secondary indicators

and 37 tertiary indicators. The positive coefficients of the two rounds of expert consultation were 96% and 100%

respectively. The authority coefficient was 0.90. The Kendall's coordination coefficients were 0.42 and 0.51

respectively (

0.01). The overall Cronbach's α coefficient of the scale was 0.959

with dimension-specific α coefficients ranging from 0.832 to 0.923. The split-half reliability was 0.907. The scale-level content validity index was 0.92. Exploratory factor analysis extracted five common factors

with a cumulative variance contribution rate of 69.50%.

Conclusions

The NTS indicator system for emergency surgery nurses constructed in this study is scientifically sound and reliable. The scale developed based on this system demonstrates high reliability and validity

providing an effective tool for the training

assessment

and competency evaluation of emergency surgery nurses.

关键词

Keywords

references

闫鑫 . 外科急诊手术患者风险胃的危险因素分析及预测模型构建 [D ] . 杭州：浙江中医药大学 , 2024 .

刘楠 . 整体护理在急诊外科创伤救治中的应用效果探讨 [J ] . 中国社区医师 , 2025 , 41 ( 2 ): 141 - 143 .

Oves-Suarez B , García-Marín JA , Aguayo-Albasini J L , et al . Unveilling the hidden skillset: exploring non-technical skills in surgical education across spanish medical universities [J ] . BMC Medical Education , 2024 , 24 ( 1 ): 7 . DOI: 10.1186/s12909-024-05362-w http://dx.doi.org/10.1186/s12909-024-05362-w .

王文静，齐向飞，谭文君，等 . 翻转课堂联合SimMan 模拟人在住院医师ACLS非技术能力培训中的应用 [J ] . 医学教育研究与实践， 2024 ， 32 （ 1 ）： 108 - 113 . DOI: 10.13555/j.cnki.c.m.e.2024.01.020 http://dx.doi.org/10.13555/j.cnki.c.m.e.2024.01.020 .

Ey J D , Kollias V , Lee O , et al . Non-technical error leading to patient fatalities in the Australian surgical population [J ] . British Journal of Surgery , 2025 , 112 ( 4 ). DOI: 10.1093/bjs/znaf083 http://dx.doi.org/10.1093/bjs/znaf083 .

沈逸潇，陈允允，奚凯雯，等 . 非技术技能培训在护理教学中的研究进展 [J ] . 海南医学， 2023 , 34 （ 8 ）： 1213 - 1216 .

崔亚丹 . 基于柯氏模型的非技术技能反馈式培训在助产士急救能力中的应用效果研究 [D ] . 郑州：郑州大学， 2025 .

何丽，尹小兵，邱昌翠，等 . 急危重症救护团队非技术技能评价工具的研究进展 [J ] . 中国护理管理， 2021 ， 21 （ 5 ）： 789 - 793 .

佘兰 . 护理本科生非技术技能现状及其影响因素的研究 [D ] . 衡阳：南华大学， 2014 .

Gamborg M L , Salling L B , Rlfing J D , et al . Training technical or non-technical skills: an arbitrary distinction? A scoping review [J ] . BMC Medical Education , 2024 , 24 ( 1 ): 1 - 9 . DOI: 10.1186/s12909-024-06419-6 http://dx.doi.org/10.1186/s12909-024-06419-6 .

李金鹏 . 初始训练阶段飞行学员非技术技能训练与评估 [D ] . 成都：中国民用航空飞行学院， 2021 .

王永刚，刘吉祥 . 民航飞行员非技术技能评价模型的研究 [J ] . 中国安全生产科学技术， 2017 ， 13 （ 10 ）： 187 - 192 .

范晓嬿，顾巧云 . 基于情景模拟演练的急诊创伤护理非技术能力培训的研究 [J ] . 护理研究：上旬版， 2015 ， 29 （ 3 ）： 2 . DOI: 10.3969/j.issn.10096493.2015.07.045 http://dx.doi.org/10.3969/j.issn.10096493.2015.07.045 .

郑昕，秦希孩，卞丛凤，等 . 非技术技能系统与专业技术相结合的模式在培训心脏手术器械护士中的应用 [J ] . 齐鲁护理杂志， 2020 ， 26 （ 6 ）： 130 - 133 .

杨旭 . 手术室巡回护士非技术技能行为能力的质性研究 [C ] // 第五届上海国际护理大会论文集 . 2022 : 45 - 46 .

何丽，尹小兵，邱昌翠，等 . 急危重症救护团队非技术技能评价工具的研究进展 [J ] . 中国护理管理， 2021 ， 21 （ 5 ）： 789 - 793 .

武宣岑，堵文沁，任灵坤，等 . 护士非技术技能行为的描述性质性研究 [J ] . 军事护理， 2024 ， 41 （ 1 ）： 43 - 46 .

沈莺 . 中文版洗手护士非技术技能行为量表的编译和信效度研究 [D ] . 上海：同济大学， 2020 .

辅智薇，顾娟，冯晶晶，等 . 基于认知性访谈的护士麻醉师非技术技能系统的汉化与调适 [J ] . 军事护理， 2025 ， 42 （ 3 ）： 31 - 35 .

袁茜，周惠仙 . 洗手护士术中非技术技能的研究进展 [J ] . 护士进修杂志， 2024 ， 39 （ 2 ）: 151 - 154+160 . DOI: 10.16821/j.cnki.hsjx.2024.02.008 http://dx.doi.org/10.16821/j.cnki.hsjx.2024.02.008 .

陈叡喆，吴茜，徐敏，等 . 手术室洗手护士非技术技能的知信行调查及其影响因素分析 [J ] . 护理与康复， 2024 ， 23 （ 1 ）： 28 - 32 .

顾晋 . 胃肠外科医生非技术技能(NTS)培养与训练 [J ] . 中华胃肠外科杂志， 2019 ， 22 （ 1 ）： 3 . DOI: 10.3760/cma.j.issn.1671-0274.2019.01.005 http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2019.01.005 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Translation of the Maastricht Clinical Teaching Questionnaire and its reliability and validity in the standardized training of residents

Evaluation on the reliability and validity of the social networking using status scale among medical students

Development and Evaluation of Tobacco Control Questionnaire for Nursing Students

Construction of a competency evaluation indicator system for colorectal tumor trainees based on artificial intelligence-assisted diagnosis platform

Construction of a teacher evaluation system for clinical interns in medicine-education collaboration based on the Delphi method

Related Author

Li Xiao

Li Man

Sun Luhong

Yu Xiaobo

Dong Xue

Feng Xiaoyu

Qi Xiumei

张行

Related Institution

Department of Education, Shandong Provincial Qianfoshan Hospital, The First Affiliated Hospital of Shandong First Medical University

上海交通大学医学院学科规划处

上海市徐汇区疾病预防控制中心

重庆医科大学护理学院

General Surgery Third Ward, The Second Affiliated Hospital of Harbin Medical University

⁰