工作场所暴力的高危因素及护患属情绪识别质性研究的系统评价和Meta整合

Systematic evaluation and Meta integration of high-risk factors of workplace violence and emotion recognition of nurses, patients and family members

目的探讨工作场所中暴力高危因素与护患属情绪识别。方法计算机检索从建库至2018年10月,中国知网(CNKI)、万方、中国生物医学文献数据库(CBM)、维普和PubMed数据库关于工作场所暴力高危因素及护患属情绪识别质性研究的相关文献,按照澳大利亚循证卫生保健中心(JBI)质性研究质量评价标准对纳入文献质量进行评价。根据纳入和排除标准筛选文献、进行质量评价和定性分析。结果共检索文献163篇,最终纳入8篇文献,均为现象学质性研究;Meta整合结果有2个:工作场所暴力事件高危因素的识别;护患属三方情绪的识别。结论工作场所暴力事件的发生与护士、患者、家属三方面因素有关。应从情绪识别入手,加强护士自身的情绪管理,并且提高其察觉患者、家属情绪的能力,及时识别高危因素。

Objective To explore the high-risk factors of workplace violence and emotion recognition of nurses,patients and family members.Methods Qualitative studies on risk factors of workplace and nurse-patient emotional identification were retrieved from databases including CNKI,Wanfang DATA,CBM,CQVIP and PubMed from inception to October 2018.The studies were appraised and findings extracted using the JBI critical appraisal tool for qualitative research.The results were integrated by integrating methods.Results A total of 163 literatures were retrieved,and 8 literatures were finally included,all of which were phenomenological qualitative studies.Findings were grouped and resulted in two synthesized findings:identification of high-risk factors of violence in workplace;identification of emotions among the nurses,patients and caregivers.Conclusion The workplace violence was related to three factors including nurses,patients and family members.It is required to enhance the emotion management of nurses and improve their ability of emotion recognition,in order to identify high-risk factors of workplace violence in a timely manner.