护理人员对新生儿安宁疗护认知与感受的Meta整合  

The perception and feeling of nursing staff in neonatal palliative care:a Meta-synthesis of qualitative research

作　　者：许龙辉 杨国栋 韩孝萱 王仁秀 丛晓 许翠萍[4] Xu Longhui;Yang Guodong;Han Xiaoxuan;Wang Renxiu;Cong Xiao;Xu Cuiping(Department of Nursing,Shandong Provincial Qianfoshan Hospital,Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Department of Nursing,the First Affiliated Hospital of Shandong First Medical University,Shandong Provincial Qianfoshan Hospital,Jinan 250014,China;School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Dean′s Office,the First Affiliated Hospital of Shandong First Medical University,Shandong Provincial Qianfoshan Hospital,Jinan 250014,China)

机构地区：[1]山东中医药大学、山东省千佛山医院护理学,济南250014 [2]山东第一医科大学第一附属医院(山东省千佛山医院)护理部,济南250014 [3]山东中医药大学护理学院,济南250355 [4]山东第一医科大学第一附属医院(山东省千佛山医院)院长办公室,济南250014

出　　处：《中国实用护理杂志》2024年第33期2618-2625,共8页Chinese Journal of Practical Nursing

基　　金：山东省社科联2023年度人文社会科学课题(2023-JKZX-06)。

摘　　要：目的系统评价与分析护理人员对新生儿安宁疗护认知与感受的相关质性研究,为推动我国相关临床实践提供参考。方法通过检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、CINAHL、Embase、Cochrane Library、Web of Science、PsycINFO数据库,收集关于护理人员对新生儿安宁疗护认知与感受的质性研究,检索时限为建库至2024年3月28日。使用2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心的质性研究质量评价标准进行文献评价,并采用汇集性Meta整合法对研究结果进行归纳整合。结果共纳入12篇文献,提取出46个主题,归纳为8个类别,得到3个整合结果:护理人员负性与正性体验并存、护理人员实施新生儿安宁疗护面临的现实困境、护理人员对新生儿安宁疗护的实践经验与需求。结论需要持续关注护理人员的负性情绪,解决人员配备、培训、沟通和道德困境的难题,确保临终新生儿得到恰当的临终症状管理。Objective To systematically evaluate qualitative studies on the perceptions and feelings of nursing staffs implementing neonatal palliative care,aiming to provide insights for advancing clinical practice in China.Methods The databases including China National Knowledge Infrastructure,Wanfang,VIP,Chinese Biomedical Literature Database,PubMed,CINAHL,Embase,Cochrane Library,Web of Science,and PsycINFO were included to retrieve the literature on the perceptions and feelings of nursing staffs from inception until March 28,2024.The literature quality was assessed utilizing the Joanna Briggs Institute Australian Centre for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research(2016),and the findings were synthesized through Meta-integration techniques.Results A total of 12 studies were included,yielding 46 themes were extracted;8 categories were summarized and 3 synthesis results were obtained:nursing staffs experience both negative and positive aspects,the real-life challenges faced by nursing staffs in implementing neonatal palliative care,and the practical experiences and needs of nursing staffs regarding neonatal palliative care.Conclusions It is crucial to continually address nursing staffs′negative emotions and tackle challenges related to staffing,training,communication,and ethical dilemmas to ensure appropriate end-of-life symptom management in neonatal palliative care.

关 键 词：定性研究 新生儿 安宁疗护 护理人员 Meta整合 

分 类 号：R473.72[医药卫生—护理学]