Abstract:

Objective To conduct a meta-synthesis of the perception and feeling of nursing staff in advance care planning（ACP） from the perspective of nursing staff，and provide guidance for the development and implementation of ACP in China. Methods We searched databases including PubMed，Web of Science，the Cochrane Library，Embase，CINAHL，CNKI，Wan Fang，VIP and CBM. The above databases were included to retrieve the literature on the perception and feeling of nursing staff in advance care planning from inception until July 2022. JBI Critical Appraisal Tool for qualitative studies in Australia was used to evaluate the quality of included studies，and meta-synthesis was used to summarize and integrate results. Results A total of 9 studies were included;32 themes were extracted;8 categories were summarized and 3 synthesis results were obtained，namely the perception of nursing staff in ACP，the perceived benefits of nursing staff in ACP，and realistic dilemmas of ACP from the perspective of nursing staff. Conclusion The implementation of ACP is affected by patients，diseases，social support and other aspects. Multidisciplinary cooperation is needed to promote the implementation of ACP.

Key words: Advance Care Planning, Nursing Staff, Qualitative Research, Meta-Synthesis

摘要：

目的 整合护理人员对预立医疗照护计划（advance care planning，ACP）的认知与感受，为国内ACP的开展提供借鉴。方法 检索涉及护理人员对ACP认知与感受的质性研究，数据库包括PubMed、Web of Science、The Cochrane Library、Embase、CINAHL、中国知网、万方数据库、维普数据库、中国生物医学文献服务系统，检索时限为建库至2022年7月。文献质量评价采用澳大利亚乔安娜布里格斯研究所（Joanna Briggs Institute，JBI）质性研究质量评价标准，采用汇集性Meta整合方法对文献进行归纳。结果 共纳入9篇文献，提取32个主题，归纳为8个类别，得到3个整合结果：护理人员对ACP的认知、护理人员对实施ACP的益处感知、护理人员视角下实施ACP面临的现实困境。结论 ACP的实施受患者、疾病、社会支持等多方面的影响，多学科共同协作、加强护理人员ACP的培训、缓解ACP的现实困境是顺利实施ACP的保障。

关键词: 预立医疗照护计划, 护理人员, 质性研究, Meta整合