护士职业倦怠真实体验的质性Meta整合

Qualitative Research on Job Burnout in Nurses: A Meta Synthesis

目的系统评价护士职业倦怠的真实体验。方法计算机检索PubMed、CINAHL、Web of Science、中国知网、万方数据库、维普数据库,搜索关于护士职业倦怠的质性研究,检索时限均从建库至2018年6月。进行文献质量评价后,采用Meta整合方法对研究结果进行归纳、诠释。结果共纳入7篇文献,提炼出32个结果、8个类别和4个整合结果,分别为职业倦怠个体因素,职业倦怠组织因素,期望得到支持和职业认同,自我价值实现。结论护士职业倦怠的原因是多方面的,应提高职业倦怠的认知和处理能力,护理管理者应加强护士职业倦怠的意识,早期识别职业倦怠的影响因素,采取必要的干预措施,以期更好地服务于临床。

Objective To systematically review the real experience of job burnout in nurses.Methods We searched databases including CNKI,Wan Fang Data,VIP,PubMed,CINAHLand Web of Science form the inception to June 2018 to collect qualitative studies on experience of job burnout in nurses.After quality assessment,Meta synthesis was used to summarize and explain the results.Results Seven qualitative studies were included involving 32 clear results and 8 categories,then 4 integrated themes were extracted:individual factors,organizational factors,demand of support and nurse identity and self-value realization.Conclusion Clinical nursing staff should improve the cognition and processing ability of job burnout.Nursing managers should strengthen the awareness of nurses’job burnout,identify the influence factors of job burnout early and take intervention measures so as to improve the nursing quality.