护士进行居家安宁疗护服务体验质性研究的Meta整合

Development and reliability and validity test of Nurses′ Growth Mindset Assessment Scale

目的系统评价护士进行居家安宁疗护服务体验的质性研究,为提高居家安宁疗护服务质量,完善该护理服务体系提供依据。方法计算机检索Cochrane Library、PubMed、Web of Science、EBSCO、Medline、中国知网、中国生物医学文献数据库、万方数据库、维普数据库中关于护士进行居家安宁疗护服务体验的质性研究文献,检索时限为建库至2022年4月1日。采用澳大利亚循证卫生保健中心(JBI)质性研究质量评价标准(2016)进行文献质量评价,运用Meta整合方法对结果进行汇总分析。结果共纳入9篇文献,提炼出23个研究结果,归纳为8个新类别,形成3个整合结果:护士认可开展居家安宁疗护服务的意义;护士提供居家安宁疗护服务时正负性情绪并存;实施居家安宁疗护服务所面临的挑战。结论居家安宁疗护服务的开展有助于为临终患者提供连续性照护并提高其临终生命质量,但同时应进一步提高护士的居家安宁疗护服务能力并完善相关政策保障,以促进我国居家安宁疗护事业稳步发展。

Objective To construct a Nurses′Growth Mindset Assessment Scale,and to test the reliability and validity of the scale,so as to provide an assessment tool for accurately assessing nurses′growth mindset ability.Methods From June to October 2021,taking the growth mindset theory as the research framework,at the same time,the related researches on the growth mindset were reviewed and analyzed,the item pool of the scale was comprehensively constructed,and the formal version of the scale was formed through factor analysis,Delphi method and other research methods.A total of 578 nurses from Qilu Hospital of Shandong University and Shandong Provincial Hospital were investigated to test the reliability and validity of the scale by simple sampling method.Results The constructed formal scale consisted of 31 items and 3 dimensions.The 3 dimensions were self-awareness,attitude towards challenges and resilience to setbacks.The cumulative variance contribution rate was 65.954%.The Cronbach′s alpha coefficient was 0.926,and the Spearman-Brown split-half reliability coefficient was 0.750.Conclusions Nurses′Growth Mindset Assessment Scale has good reliability and validity,and can be used to evaluate the nurses′growth mindset ability.