急诊科护士临终照护体验质性研究的Meta整合

目的 系统评价急诊科护士临终照护体验的质性研究,为国内急诊科临终照护发展提供循证依据。方法 计算机检索PubMed、CINAHL、PsycINFO、The Cochrane Library、Web of Science、中国知网、万方数据库和中国生物医学文献数据库,收集急诊科护士临终照护体验相关的质性研究,检索时限均为建库至2020年7月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准（2016）对纳入研究进行质量评价,并按照Meta整合的方法对结果进行整合。结果 共纳入8项研究,提炼32个结果,归纳成9个新的类别,综合成3个整合结果：（1）急诊科护士临终照护负性心理（情感负担、应对方式）;（2）急诊科护士临终照护正性心理（尽力满足患者需求、给予家属支持、职业满足感）;（3）急诊科临终照护障碍因素（教育、人力、环境、制度）。结论 护士自身和护理管理者应重视临终照护过程中产生的负性情绪,多途径提升急诊科护士情绪智力水平以及临终照护胜任力。同时,卫生部门应进一步支持急诊科临终照护的发展,提高急诊科临终照护质量。

Qualitative Studies on Experience of Emergency Nurses in Hospice Care: A Meta-synthesis

Objective To systematically evaluate the qualitative research on hospice care experience of nurses in emergency department, and to provide evidence-based basis for the development of hospice care in emergency department in China. Methods The PubMed, CINANL, PsycINFO, Cochrane Library, Web of Science, CNKI, Wanfang Data and CBM were searched for qualitative studies on experience of emergency nurses in hospice care from the inception to July 2020. The JBI Critical Appraisal Tool for qualitative studies in Australia was used to evaluate the quality of the eligible studies. The results were integrated by meta-synthesis method. Results Eight studies were incorporated, with 32 results being extracted and 9 new categories being summarized, which were finally integrated into 3 comprehensive results. (1) Negative psychology from hospice care of emergency nurses (emotional burden and coping style); (2) Positive psychology from hospice care of emergency nurses (trying to meet the needs of patients, giving support to family members and career satisfaction);(3)Barriers of hospice care in emergency department (education, manpower, environment, systems). Conclusion Nurses and nursing managers should pay attention to negative emotion in the process of hospice care, and try to improve emotional intelligence and hospice care competency of nurses in emergency department through multiple ways. Meanwhile, there should be more support for the development of hospice care, thus to improve the quality of hospice care in emergency department.