Abstract: Objective  To construct a clustered nursing strategy for tunnel-free and non-cuffed catheter (NCC) in hemodialysis (HD) patients using multi-criteria decision analysis (MCDA) method.  Methods  We systematically searched for relevant literature on NCC nursing from the National Guidelines Library of the United States, the International Guidelines Collaboration Network, the Ontario Registered Nurses Association, the China Medical Association Guidelines Network, Pubmed, Embase, Medline databases, Cochrane Library, CNKI, VIP, Wanfang, and the China Biomedical Literature Database. The search period is from January 2010 to July 2022. Ten experts in the fields of hemodialysis, vascular access, and infection control used MCDA method to form a NCC cluster nursing strategy, which was preliminarily applied to verify its clinical feasibility.  Results  The authority coefficient of the 10 consultation experts was 0.88. Based on the ranking of scores from high to low, 8 optimized nursing strategies were formed, namely sterile technology (590.45), care of the catheter outlet area (587.65), flushing tube care (585.25), sealing care (582.75), replacement and selection of dressing (574.83), tubing operation (573.85), maintenance evaluation (573.40), and catheter joint care (573.12).  Conclusions  The NCC cluster nursing strategy constructed using MCDA science is clinically practicable and will be continuously optimized after use to improve patient quality of life.

Key words: Multi-criteria decision analysis, Dialysis catheter, Bundles of care