护生老年护理体验质性研究的Meta整合

Nursing students'experience in geriatric nursing:a Meta-synthesis of qualitative research

目的系统评价护生在老年护理中的真实感受与应对体验,为更好地开展护生老年护理实践提供参考依据。方法计算机检索PubMed、Cochrane Library、Web of Science、Embase、CINAHL、中国知网、万方数据库、维普网、中国生物医学文献数据库等中英文数据库中关于护生老年护理体验的质性研究,检索时限从建库至2023年6月。根据澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准对纳入文献进行质量评价,采用汇集性整合方法对文献结果进行整合。结果共纳入16篇文献,提取出41个研究结果,将相似结果归纳成8个类别,综合成2个整合结果,分别为护生老年护理过程中面临诸多挑战与障碍,体验到多种复杂的情绪;护生老年护理过程中产生积极体验,收获到个人成长与价值观的升华。结论护理教育者应重视护生老年护理体验,对于其负性情绪与消极体验给予关注和引导,鼓励护生与老年人建立良好的互动关系,通过设计、开展新兴临床带教模式等方式提升护生老年护理综合素质。

Objective To systematically evaluate the real feelings and coping experiences of nursing students in geriatric nursing,so as to provide reference for nursing students to carry out geriatric nursing practice.Methods Qualitative research on the geriatric nursing experience of nursing students was electronically searched in Chinese and English databases such as PubMed,Cochrane Library,Web of Science,Embase,CINAHL,China National Knowledge Infrastructure,Wanfang Data,VIP,and China Biology Medicine disc.The search period was from database establishment to June 2023.The quality of the included literature was evaluated according to the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center.The aggregation integration method was used to integrate literature results.Results A total of 16 articles were included,and 41 results were extracted.The similar results were classified into eight categories and integrated into two integrated results,which were the challenges and obstacles faced by nursing students in the geriatric nursing process,as well as the experience of various complex emotions,and nursing students had a positive experience in the process of geriatric nursing,gaining personal growth and sublimation of values.Conclusions Nursing educators should attach importance to the geriatric nursing experience of nursing students,pay attention to and guide their negative emotions and experiences,encourage nursing students to establish well interactive relationships with the elderly,and improve the comprehensive quality of geriatric nursing among nursing students through the design and implementation of emerging clinical teaching models.