ICU过渡期护理人员角色认知质性研究的Meta整合

Cognition of the role of nursing staff in ICU transition period:a Meta-synthesis of qualitative research

目的 系统评价ICU过渡期护理人员对个体角色的认知,为实施优质的ICU过渡期护理提供参考。方法 计算机检索PubMed、Web of Science、CINAHL、Embase、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,搜索ICU过渡期护理人员对自身角色认知的质性研究,检索时限均从建库至2023年2月。采用Meta整合方法对纳入文献的研究结果进行归纳、诠释、总结。结果 共纳入13篇文献,提炼出50个结果,将相似结果归纳为10个新的类别,并综合成4个整合结果:保障护理连续性,提供健康教育、知识技术及情感支持,保障ICU过渡期护理安全,促进护理服务质量及康复结局转归。结论 护士视角下ICU过渡期护理人员发挥多样化的角色作用,伴有较强的角色认同感。护理管理者应扩大ICU过渡期护理人员角色范畴,优化角色内涵,构建优质化ICU过渡期护理团队。

Objective To systematically evaluate the cognition of the role of ICU transitional care from the perspective of nurses,and provide references for implementing high-quality ICU transitional care.Methods Computer searches were conducted on PubMed,Web of Science,CINAHL,Embase,Cochrane Library,CNKI,Wanfang Database,VIP Database,and China Biomedical Literature Database to identify qualitative studies on the role cognition of ICU transitional care.The search period extended from the establishment of databases to February 2023.The Meta-synthesis method was used to summarize,interpret,and synthesize the results of the included literature.Results A total of 13 articles were included,resulting in 50 findings.Similar findings were grouped into 10 new categories,which were synthesized into 4 integrated results:ensuring continuity of care;providing health education,knowledge technology,and emotional support;ensuring the safety of ICU transitional care;and promoting the quality of nursing services and rehabilitation outcomes.Conclusion From the perspective of nurses,ICU transitional care nurses play diverse roles with a strong sense of role identity.Nursing managers should expand the scope of roles for ICU transitional care personnel,optimize role connotations,and build a high-quality ICU transitional care team.