护士对患者死亡认知与体验质性研究的Meta整合

Nurses'Cognition and Experience of Patients'Death:A Meta-synthesis

目的系统评价和整合护士对患者死亡认知与体验的质性研究。方法计算机检索CNKI、万方、维普、CBM、PubMed、Embase、The Cochrane Library、Web of Science,收集关于护士对患者死亡认知、态度、感受和体验的质性研究,检索时限均为建库至2020年4月。采用澳大利亚JBI循证卫生保健中心(2017)质性研究质量评价标准进行评价,采用汇集性整合方法对结果进行整合。结果共纳入14篇文献,提炼出115个研究结果,归纳相似研究结果形成8个新类别,得出4个整合结果,分别是:护士对患者死亡的感知;多种负性情绪应对策略;死亡经历对护士的影响;患者死亡时感知到的挑战和需求。结论医疗护理管理者应重视护士对患者死亡的认知与体验,建立相关的支持教育系统提升其死亡应对能力,增强临终照护质量。

Objective To systematically evaluate and integrate qualitative studies on nurses'cognition and experience of patients'death.Methods The databases including CNKI,WanFang Data,VIP,CBM,PubMed,Embase,The Cochrane Library and Web of Science were searched from the inception to April 2020 to collect related qualitative studies about nurses'cognition,feeling and experience of and attitude toward patients'death.The JBI Critical Appraisal Tool for qualitative studies(2017 edition)was used to evaluate the quality of studies,and the results were integrated by using meta-synthesis.Results Fourteen studies were collected;115 findings were summarized into 8 new categories,and 4 synthesized results were obtained:nurses'perception of patients'death;multiple coping strategies for negative emotions;the impact of death experience on nurses and perceived challenges and needs at the time of death.Conclusion More attention should be paid to nurses'cognition and experience of patients'death,establish support and education systems to improve nurses'ability to coping death,and enhance the quality of end-of-life care.