基于理论域框架的ICU护士口腔护理实践影响因素:混合方法研究系统评价

Factors influencing ICU nurses'oral nursing practice based on theoretical domains framework:a mixed methods systematic review

目的综合ICU护士口腔护理实践的影响因素,为临床护理实践提供参考。方法系统检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、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ICU护士口腔护理实践影响因素的量性、质性和混合方法研究,采用基于数据的聚敛式综合设计对纳入文献进行综合分析。结果共纳入20篇文献,ICU护士口腔护理实践影响因素共提炼出34项影响因素,其中促进因素16项、障碍因素18项,可归纳为知识、技能、关于后果的信念、目标、环境背景和资源、社会影响领域。结论ICU护士口腔护理实践影响因素具有多样性和复杂性,未来研究可根据ICU护士口腔护理实践促进、障碍因素制定具体的干预方案,以促进ICU基础护理实践的发展。

Objective To synthesize the influencing factors of oral nursing practice among ICU nurses,so as to provide reference for clinical nursing practice.Methods The quantitative,qualitative,and mixed methods research on the influencing factors of ICU nurses'oral nursing practice was systematically retrieved in PubMed,Web of Science,Embase,CINAHL,Cochrane Library,China National Knowledge Infrastructure,WanFang Data,VIP,China Biomedical Database and so on.Data based convergent synthesis design was used for comprehensive analysis of included literature.Results A total of 20 articles were included.A total of 34 influencing factors were extracted from the oral nursing practice of ICU nurses,including 16 promoting factors and 18 obstacle factors,which were summarized as knowledge,skills,beliefs about consequences,goals,environmental background and resources,and social influence areas.Conclusions The influencing factors of ICU nurses'oral nursing practice are diverse and complex.Future research can develop specific intervention plans based on the promotion and obstacle factors of ICU nurses'oral nursing practices,so as to promote the development of ICU basic nursing practices.