Objective To systematically evaluate the qualitative research on the care experience of home hospice caregivers,in order to provide references for paying attention to the care quality of home caregivers and building a home hospice care support system. Methods Qualitative studies on the nursing experience of home hospice caregivers were searched in electronic databases,including the Cochrane Library,JBI,Embase,PubMed,PsycINFO,Web of Science,CINAHL,CNKI,WanFang,CBM Database. The search time was from inception to June 31,2021. Quality of the literature were evaluated according to JBI Critical Appraisal Checklist for Qualitative Research and then the meta-synthesis was performed. Results Totally 19 studies were included and 80 research results were extracted. Finally 7 categories and 3 integrated results were formed. Integrated result：①Caregivers have strong negative experience;②Caregivers actively respond to negative experiences and gain personal growth;③Caregivers seek multifaceted support. Conclusion Home hospice caregivers have heavy care burden and great physical and mental pressure,and are eager for multi-party support. It is suggested to pay attention to the inner experience and needs of family caregivers,and build a regional homogeneous linkage support system of home hospice,so as to improve the nursing quality of home hospice.

Objective To analyze the risks in a temporarily renovated ICU at Tongji Hospital in Wuhan using the Hazard Vulnerability Analysis based on the Kaiser Model,and to propose strategies to respond and manage the risks. Methods The risk management index evaluation system for nursing management was developed based on the Kaiser Model and the status of the temporarily renovated ICU at Tongji Hospital. It was surveyed via web questionnaires during Feb 21st to 25th,2020 among the medical teams in the ICU,and the index risk value and matrix distribution were analyzed. Results The top 13 risk events perceived by the medical team were listed as following.C8 nurses needle stick injury（0.447 6）,B1 patients need to be rescued （0.413 0）,C10 nurses being infected （0.411 0）,B2 patients’ psychological problems（0.407 4）,C9 doctors being infected（0.359 8）,E3 insufficient or interrupted oxygen supply（0.329 1）,D9 drug shortage（0.324 2）,E2 insufficient protective equipment（0.317 9）;C12 doctors and nurses’ absence from work due to emergency illness（0.309 1）,C7 doctors needle stick injury（0.298 2）,E1 insufficient supporting staff in the hospital（0.293 5）,B6 adverse drug reactions in patients（0.292 4）,C6 nurses’ psychological maladjustment（0.289 1）. Conclusion Managers should pay attention to the risk assessment on the status of the temporarily renovated ICU at Tongji Hospital,and then guide the problem solving; at the same time,they should attach great importance to the occupational protection and physical and mental health of medical staff.