Abstract:

Objective To develop an evidence-based，localized practice protocol for the interhospital transfer of critically ill children. Methods Through a comprehensive evidence summary and semi-structured interviews，a preliminary inter-hospital transfer practice protocol for critically ill children was formulated. A panel of 31 experts from 12 hospitals in China participated in 2 rounds of expert correspondence between May and July 2022，facilitating meticulous revision of the protocol entries. Results The response rate for both rounds of questionnaires was 100%，and the expert authority coefficients ranged from 0.926 to 0.931. In the second round of consultation，the coefficient of variation for the importance score of each entry ranged from 0.036 to 0.226，and the Kendall’s W was determined to be 0.201（P<0.001）. Additionally，the coefficient of variation for the feasibility score of each entry fell within the range of 0.070 to 0.314，with Kendall’s W of 0.124（P<0.001）. Ultimately，the final interhospital transfer protocol for critically ill children comprised 8 level Ⅰ entries，16 level Ⅱ entries，and 75 level Ⅲ entries. Conclusion The interhospital transfer protocol constructed in this study is grounded in scientific evidence and exhibits practical feasibility. It serves as a valuable reference for organizing and implementing interhospital transfers of critically ill children.

Key words: Critical Illness, Inter-Hospital Transfer, Delphi Technique, Pediatric Nursing

摘要：

目的 构建基于循证、本土化的危重症患儿院际转运实践方案。方法 通过证据总结和半结构式访谈，初步形成危重症患儿院际转运实践方案。遴选国内12所医院的31名专家，于2022年5月—7月进行2轮专家函询，对方案条目进行修订。结果 2轮专家函询的问卷回收率均为100%，专家的权威系数为0.926~0.931。第2轮函询中，各条目重要性评分的变异系数为0.036~0.226，肯德尔和谐系数为0.201（P<0.001）；各条目可行性评分的变异系数为0.070~0.314，肯德尔和谐系数为0.124（P<0.001）。最终形成危重症患儿院际转运实践方案包括8项一级条目、16项二级条目、75项三级条目。结论 该研究构建的危重症患儿院际转运实践方案具有较好的科学性和可操作性，可为危重症患儿院际转运的组织和实施提供参考。

关键词: 危重病, 院际转运, 德尔菲技术, 儿科护理学