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（ P<0.01）。量表总体Cronbach’s α系数为0.959，各维度 α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。

abstractsObjective: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 ( P<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.