Abstract: Objective: To explore the development needs of emergency and critical care nursing specialty alliance institutions, so as to provide a reference for promoting the construction of the alliance and the development of emergency and critical care nursing. Methods: We employed a descriptive qualitative research method, and the interview outline was developed based on Leavitt's Organizational Change Theory. Purposeful sampling was used to select nursing management personnel from 15 medical institutions within the regional emergency and critical care nursing specialty alliance for semi-structured interviews. The data analysis was conducted using content analysis method. Results: Four themes were distilled in conjunction with Leavitt's Organizational Change Theory. Organizational structure development needs included alliance organizational structure construction, alliance culture development, alliance and specialty system construction, and collaboration mechanism establishment. Task development needs included development goal setting and work content optimization. Technological development needs included specialty department construction and information management. Personnel development needs included nursing team management and nurse's capability improvement. Conclusion: The emergency and critical care nursing specialty alliance institutions have multidimensional development needs in terms of organizational structure, tasks, technology, and personnel. Relevant policies and management approaches need to be improved to meet the needs of institutional members, promote sustainable development of the alliance, and facilitate the downward integration of high-quality nursing resources.

Key words: nursing specialty alliance; emergency and critical care; Organizational Change Theory; development needs; nursing quality; qualitative study