护士隐性护理配给体验和感知质性研究的Meta整合  

Meta-synthesis of qualitative studies on nurses′ experience and perception of implicit rationing of nursing care

作　　者：张丹 熊钰[2] 刘佳惠 李星凤 熊仪 Zhang Dan;Xiong Yu;Liu Jiahui;Li Xingfeng;Xiong Yi(School of Nursing,College of Medicine,Hunan Normal University,Changsha 410013,China)

机构地区：[1]湖南师范大学医学院护理系,湖南长沙410013 [2]湖南师范大学第二附属医院(中国人民解放军联勤保障部队第九二一医院) [3]湖南省肿瘤医院

出　　处：《护理学杂志》2023年第23期59-64,共6页Journal of Nursing Science

摘　　要：目的 探讨护士经历隐性护理配给的体验和感知,为护理配给合理化管理提供参考。方法 检索国内外数据库中收录的临床护士隐性护理配给的质性研究与包含质性研究的混合性研究,检索时限为2000年1月至2023年6月,采用Meta整合方法对结果进行分类整合。结果 共纳入21篇文献,提炼59个结果,归纳形成12个新类别,整合成4个主题:隐性护理配给现象普遍但缺乏认识,导致隐性护理配给的因素呈多面性,隐性护理配给存在隐患,从多维度缓和隐性护理配给现象。结论 隐性护理配给现象给护理工作带来负面影响,管理者应给予重视,采取针对性干预措施,减少隐性护理配给现象,提高护士工作体验与护理质量。Objective To explore nurses′ experience and perception of implicit rationing of nursing care,and to provide reference for rational management of rationed nursing care.Methods Qualitative studies and mixed methods research designs involving qualitative studies on nurses′ experience and perception of implicit rationing of nursing care indexed in domestic and foreign databases were retrieved,and the search time frame was from January 2000 to June 2023.Meta-synthesis method was used to classify and integrate the results.Results A total of 21 publications were included.With 59 results extracted,12 new categories were formed and integra-ted into 4 themes:implicit rationing of nursing care was common but hardly known;the factors leading to implicit rationing of nursing care were multifaceted;implicit rationing of nursing care had hidden dangers;mitigating implicit rationing of nursing care from multiple dimensions.Conclusion The phenomenon of implicit rationing of nursing care has negative impact on nursing care,and administrators should pay attention to the phenomenon and take targeted measures to mitigate implicit rationing of nursing care,in an effort to improve nurses′ work experience and quality of care.

关 键 词：护士 护理人力资源 隐性护理配给 护理配给 护理优先级 质性研究 Meta整合 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]