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

摘要：

目的 系统评价、分析安宁疗护志愿者参与志愿服务的真实体验，旨在为医护人员对安宁疗护志愿者进行培训、给予支持提供依据。方法 计算机检索PubMed、Web of Science、Embase、Cochrane Library、ProQuest、Scopus、CINAHL、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安宁疗护志愿者参与志愿服务真实体验的质性研究，检索时限为从建库至2023年11月。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准进行文献质量评价，采用汇集性整合方法对研究结果进行归纳整合。结果 最终纳入14篇文献，共提取出49个主题，归纳出10个新的类别，形成4个整合结果。①安宁疗护志愿者参与志愿服务的动机复杂多样；②安宁疗护志愿者面临多重挑战；③安宁疗护志愿者应对挑战的态度积极、方式多样；④安宁疗护志愿者感知到志愿服务的双重益处。结论 安宁疗护志愿者参与志愿服务的体验复杂。在招募志愿者时，建议医护人员评估其参与志愿服务的动机及心理状况；在志愿服务过程中，引导其建立和维持积极心理体验，减轻负性情绪，同时强化培训和支持系统，不断提高志愿者的服务能力。

关键词: 安宁疗护, 志愿者, 体验, 质性研究, Meta整合, 护理