护士配合机器人手术体验质性研究的Meta整合

Nurses’experiences of participating in robotic surgery:a qualitative meta-synthesis

目的系统评价和整合护士配合机器人手术的体验,为临床实践提供建议。方法计算机检索PubMed、CINAHL(EBSCO)、Embase、Web of Science、Scopus、ProQuest Dissertations and Theses、中国生物医学文献数据库、中国知网、万方数据库、维普数据库等中英文数据库,搜集有关护士配合机器人手术体验的质性研究,检索时限为2000年1月1日—2021年11月26日。采用澳大利亚乔安娜布里格斯研究所质性研究质量评价标准(2020版)对纳入文献进行方法学质量评价,采用汇集性整合方法对原始研究结果进行整合,按照提高定性研究合成报告透明度的指南撰写论文。结果共纳入6篇质性研究,提取出39个原始研究结果,归纳为8个类别,综合为3个整合结果,分别为护士在团队合作中起到协调作用并获得成就感;护士在工作中面临多重挑战和压力;护士缺乏专业知识,需要团队培训和技术支持。结论应加强机器人手术团队成员的沟通合作,加强对手术时间、空间、设备故障和患者安全的管理,规范手术流程并明确护士的法律责任,为护士提供专业的团队培训和技术支持。

Objective To systematically review and synthesize the experience of nurses participating in robotic surgery,so as to provide recommendations for clinical practice.Methods The computer retrieval was performed in PubMed,CINAHL(EBSCO),Embase,Web of Science,Scopus,ProQuest Dissertations and Theses,SinoMed,CNKI,Wanfang Data and VIP database from January 1,2000 to November 26,2021,to collect qualitative studies in the experience of nurses participating in robotic surgery.This qualitative systematic review was conducted under the Joanna Briggs Institute guideline.This paper was written according to the enhancing transparency in reporting the synthesis of qualitative research(ENTREQ).Results A total of 6 qualitative studies were included,and 39 findings were extracted,which were summarized into 8 categories and integrated into 3 synthesized findings.Findings included that nurses play a coordinating role in teamwork and gain a sense of achievement;nurses face multiple challenges and pressures in their work;nurses lack professional knowledge and need technical support and team training.Conclusion The communication and cooperation among members of the robotic surgical team should be strengthened;the management of operation time,operating room space,equipment failure and patient safety should be strengthened;the operation process should be standardized;the legal responsibilities of nurses should be clarified;professional team training and technical support should be provided for nurses.