Abstract:

Objective The Mini-Clinical Examination Exercise was modified to make it more suitable to evaluate the clinical ability of nurses in emergency department. Methods Based on the Mini-Clinical Examination Exercise，the first draft of the revised Mini-Clinical Examination Exercise for emergency department nursing was developed by literature review，semi-structured interview and group discussion. Two rounds of expert letter inquiry（n=22） were conducted by using the Delphi technique. Results The effective recovery rates were 91%（20/22） and 100%（20/20） in the two rounds of expert consultation，and the authority of experts in the two rounds was 0.810 and 0.895 respectively. After two rounds of expert consultation，the Kendal coefficient（W） of the assessment contents was 0.16，and that of the reference basis was 0.12. The final revision of the Mini-Clinical Examination Exercise for emergency nursing included six assessment contents and 36 reference basis. Conclusion The revision process of the Mini-Clinical Examination Exercise in Emergency Department is rigorous，and the content of the scale is close to the nursing work in emergency department，which can provide a measurement tool for the evaluation of clinical ability of emergency nurses.

Key words: Emergency Service, Hospital, Nurses, Clinical Competence, Delphi Technique, Mini-clinical examination exercise