我国新入职护士培训真实体验质性研究的Meta整合

Experiences of new nurses training:a meta-synthesis of qualitative studies

目的系统评价我国新入职护士培训过程中的真实体验,为今后健全新入职护士培训体系提供参考。方法计算机检索PubMed、Embase、Web of Science、中国知网、维普、万方、中国生物医学数据库中有关新入职护士培训体验的质性研究,检索时限均为建库至2020年5月13日。采用澳大利亚循证卫生保健中心质性研究质量评价标准评价纳入文献,采用汇集性整合方法进行Meta整合。结果共纳入10项研究,提炼出49个研究结果,将相似结果归纳为6个新类别,形成2个整合结果:新入职护士在培训中获益的同时也感到身心疲惫;培训中新入职护士感知到的挑战与困难。结论护理管理者应充分关注新入职护士培训过程中的感受和体验,据此不断完善培训体系,以实现培训效率的最大化,促进新入职护士的持续发展。

Objective To systematically evaluate the qualitative research of training experiences of new nurses in China.Methods The databases including PubMed,Embase,Web of Science,CNKI,VIP,Wanfang and CBM were searched from inception to May 2020 to collect qualitative studies about standardized training experience of new nurses in China.The JBI Critical Appraisal Tool for qualitative studies(2017 edition)was used to evaluate the quality of studies.Meta-synthesis was applied to integrate the findings.Results A total of 10 studies are included,containing 49 findings.Six categories were generated,and 2 synthesized results were obtained:new nurses benefited from clinical practice,but also felt physical and psychological fatigue;during the training,new nurses face multiple challenges and difficulties.Conclusion Nursing managers should pay attention to new nurses’feelings and experience during training,constantly improve the training system,so as to achieve the training effects,and promote the continuous development of new nurses.