Objective:To construct an evaluation index system for the core competence of nurses in intra-hospital transportation of critically ill patients, providing reference for evaluating and cultivating the intra-hospital transportation ability of clinical nurses.Methods:A preliminary evaluation index system for the core competence of nurses in intra-hospital transportation of critically ill patients was established through literature analysis, semi-structured interviews, and research group meetings. From December 2022 to January 2023, the questionnaire consultation was conducted with 18 experts using the Delphi method. Analytic hierarchy process was used to determine the weights of indicators at all levels.Results:A total of two rounds of expert consultation were conducted, and the effective response rate of the questionnaire was 100.00%. The expert authority coefficient was 0.887, and the Kendall harmony coefficient of indicators at all levels in the second round was 0.056 to 0.281. The final evaluation index system for the core competence of nurses in intra-hospital transportation of critically ill patients included three first-level indicators, 14 second-level indicators, and 57 third-level indicators.Conclusions:The evaluation index system for the core competence of nurses in intra-hospital transportation of critically ill patients constructed is scientific and reliable, and can provide reference for evaluating and cultivating the intra-hospital transportation ability of clinical nurses.

Objective:To explore the effect of the evidence-based nursing standardized transfer process on the hospital transfer of critically ill patients in neurosurgery department.Methods:From January to December 2019, convenience sampling was used to select 600 critically ill patients who were hospitalized in the Neurosurgery Intensive Care Unit of Jingzhou Central Hospital in Hubei Province and were transferred to the computed tomography (CT) examination area in the hospital. According to the admission time, patients were divided into observation group and control group, with 300 cases in each group. Observation group received the evidence-based standardized transfer process for transfer care, and control group received routine transfer care. We compared the incidence of adverse transfer events and the satisfaction of patients' family members between the two groups.Results:Sudden convulsions or restlessness, decreased blood oxygen saturation, blood pressure/heart rate fluctuations> 20%, accidental slippage or blockage of catheters, infusion tube was off or blocked, insufficient oxygen, equipment failure, insufficient medicines of hospital transfer in observation group were 1.3% (4/300) , 7.0% (21/300) , 4.7% (14/300) , 0.3% (1/300) , 8.3% (25/300) , 0.3% (1/300) , 0.7% (2/300) , 0.3% (1/300) , lower than 4.0% (12/300) , 22.3% (67/300) , 9.3% (28/300) , 3.0% (9/300) , 19.3% (58/300) , 2.7% (8/300) , 3.3% (10/300) , 6.0% (18/300) in control group, the differences were statistically significant ( P<0.05) . The overall satisfaction of patients' family members in observation group was 91.9% (262/285) , which was higher than 69.0% (187/271) in control group, and the difference was statistically significant ( P<0.01) . Conclusions:The implementation of an evidence-based standardized transfer process can effectively reduce the incidence of adverse events during the transfer in critically ill patients of neurosurgery and improve the satisfaction of patients' family members.