护士维护患者尊严的实践体验及现实困境的Meta整合

doi:10.3761/j.issn.0254-1769.2021.07.019

摘要/Abstract

摘要：

目的系统评价护士维护患者尊严的实践体验及现实困境,为临床护士维护患者尊严提供参考。方法系统检索Cochrane Library、乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）循证卫生保健中心数据库、PubMed、Embase、PsycINFO、CINAHL、Web of Science、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中有关护士维护患者尊严的质性研究,检索时限均从建库至2020年7月。采用2016版澳大利亚JBI循证卫生保健中心质性研究质量评价标准评价文献质量,采用汇集性整合法进行Meta整合。结果共纳入7篇文献,提炼出26个明确的研究结果,归纳成9个类别,综合形成3个整合结果,分别为维护患者尊严的实践活动需从多方面开展、阻碍维护患者尊严实践的护士个人因素、阻碍维护患者尊严实践的外部环境因素。结论患者尊严维护需要护士个人、护理管理者、医院、社会的共同推动;护理管理者应重视护士关于维护患者尊严的教育和护理人才培养,改革相关体制,以促进开展维护患者尊严的实践。

关键词: 护士, 患者, 尊严, 人文关怀, 质性研究, Meta整合

Abstract:

Objective To systematically evaluate nurses’ nursing experience in maintaining patient dignity and provide the evidence for promoting clinical nursing care. Methods The following databases including Cochrane Library,Joanna Briggs Institute EBP Database,PubMed,Embase,PsycINFO,CINAHL,Web of Science,CNKI,Wanfang Data,VIP,CBMdisc were searched from inception to July 2020 to collect qualitative studies in the nurses’ perspectives of maintaining patient dignity. After evaluating the quality of studies according to the JBI Critical Appraisal Tool for qualitative studies（2016 edition）,the meta-synthesis was applied to integrate the results. Results A total of 7 pieces of research were included with 26 specific research results,and then 9 categories and 3 integrated results were extracted,which were the practice of maintaining patient dignity from various aspects,nurses’ personal and external environmental factors affecting the practice of maintaining patient dignity. Conclusion The dignity campaign needs to be promoted by nurses,nursing managers,hospitals and the society. Nursing managers should attach importance to the education of dignity,nurse training and reformation of related systems,to promote the practice of maintaining patient dignity.

Key words: Nurses, Patients, Dignity, Humanistic Care, Qualitative Research, Meta-Synthesis

梁安东,郑崇皓,卢中秋,项俊之,高晨晨,杨晔琴. 护士维护患者尊严的实践体验及现实困境的Meta整合[J]. 中华护理杂志, 2021, 56(7): 1066-1071.

LIANG Andong,ZHENG Chonghao,LU Zhongqiu,XIANG Junzhi,GAO Chenchen,YANG Yeqin. Nurses’ experience in maintaining patient dignity：a qualitative meta-synthesis[J]. Chinese Journal of Nursing, 2021, 56(7): 1066-1071.

图/表 3

图1 文献筛选流程注：JBI为乔安娜布里格斯研究所。

Figure 1 Screening process of studies

表1 纳入文献的基本特征

Table 1 Characteristics of included studies

表2 纳入文献的方法学质量评价结果

Table 2 Methodological quality evaluation of included studies

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