护士亲历患者自杀事件后真实体验质性研究的Meta整合
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女,硕士在读,护士

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Meta-synthesis of qualitative research on nurses′ experiences of patient suicide
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    目的 系统评价护士亲身经历患者自杀事件后真实体验的质性研究,为设计有效的应对策略提供依据。 方法 检索Cochrane Library、Ovid、中国知网等数据库中护士亲历患者自杀后的质性研究。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对纳入文献的方法学进行质量评价,依据其汇集性整合方法进行结果整合。 结果 共纳入10篇文献,提炼63个研究结果,归纳成9个类别,综合成4个整合结果:患者自杀事件通过个人因素和社会因素使护士产生压力感;个体和社会的应对资源影响护士对患者自杀事件的反应;因压力源和应对资源的不同,护士采取积极或消极的应对方式;护士个体化应对患者自杀事件后的生理、心理及行为变化。 结论 护士自身、护理管理者和医院要及时识别护士亲历患者自杀后的压力源和应对资源,重视其应对方式和压力反应,给予系统化的对策,恢复护士身心健康。

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    Objective To systematically review and synthesize qualitative research on nurses′ experiences of patient suicide and to provide evidence for designing effective coping strategies. Methods We searched electronic databases as Cochrane Library, Ovid, CNKI, etc. to retrieve qualitative research on nurses′ experiences of patient suicide. The JBI Critical Appraisal Checklist for Qualitative Research was used to evaluate the quality of studies and then data synthesis was performed. Results Ten articles were eligible.Sixty-three findings were extracted from the studies and were integrated into 9 new categories and finally 4 themes were elicited:patient suicide makes nurses feel stressed through personal and social factors; individual and social coping resources affect nurses′ reaction to patient suicide; due to different stressors and coping resources, nurses adopt positive or negative coping styles; physical, psychological and behavioral changes of nurses after managing patient suicide. Conclusion Nurses themselves, nursing managers and hospitals should timely identify nurses′ stressors and coping resources, pay more attention to their coping styles and stress reactions, and provide systematic countermeasures in an effort to help them restore physical and mental health.

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王美娟,颜梦雅,高杨,徐亦虹,柳小琳,杨丹,潘红英.护士亲历患者自杀事件后真实体验质性研究的Meta整合[J].护理学杂志,2022,27(5):65-69

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  • 收稿日期:2021-10-24
  • 最后修改日期:2021-12-26
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  • 在线发布日期: 2023-08-28