关键词: 安宁疗护, 志愿者, 体验, 质性研究, Meta整合, 护理

Abstract:

Objective To systematically evaluate and analyze the qualitative research on the experience of volunteers in palliative care practice，thereby providing health professionals with evidence in training and support to palliative care volunteers. Methods Chinese and English databases including PubMed，Web of Science，Cochrane Library，ProQuest，Scopus，CINAHL，CNKI，Wanfang，VIP and CBM were searched for qualitative studies exploring the true feelings of volunteers in palliative care practice from inception to November 2023. The JBI Critical Appraisal Tool for Qualitative Studies from Australia was used to evaluate the quality of the studies. The results were synthesized using the meta-integration method. Results 14 studies were included in the final review. Totally 49 findings were extracted，leading to the creation of 10 new categories. 4 integrated results were synthesized as follows：① The motivations for palliative care volunteers to participate in volunteering are intricate and varied；②Palliative care volunteers encounter a range of challenges；③ Palliative care volunteers exhibit a positive attitude and utilize diverse approaches to overcome challenges；④Palliative care volunteers recognize dual benefits from their volunteering. Conclusion The experience of volunteering in palliative care is multifaceted and intricate. During the recruitment process，it is advisable for health professionals to evaluate the motivations and mental states of potential volunteers for their participation. Throughout the service tenure，volunteers should be guided to cultivate and sustain positive psychological experiences，mitigate any negative emotions，and concurrently，efforts should be made to bolster the training and support system to enhance their volunteering capabilities.

Key words: Palliative Care, Volunteers, Experience, Qualitative Research, Meta Synthesis, Nursing Care