护士时间贫困体验质性研究的Meta整合
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Experiences of nurses in time poverty:a qualitative Meta-synthesis
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    摘要:

    目的 系统整合护士面对时间贫困的真实体验、成因、后果及其应对策略,为护理管理者及政策制定者提供有价值的理论参考。方法 系统检索中英文数据库中关于护士时间贫困体验的质性研究,检索时限为建库至2024年8月。采用2016版JBI质性研究质量评价标准对纳入文献进行质量评估,采用汇集性整合方法对纳入文献进行资料分析与整合。结果 共纳入9篇文献,提取出31个研究结果,组合成12个类别,综合成4个整合结果:时间贫困的弥散性感受,产生时间贫困体验的多方因素,时间贫困下的应对方式,时间贫困的影响。结论 护士普遍感到时间贫困,这种体验在影响护士身心健康问题的同时也对护理质量和患者安全产生影响。管理者应通过优化任务分配、提升时间控制权、增强支持系统、引入智能化工具及加强团队合作等多维措施,有效缓解护士的时间贫困。

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    Objective To systematically integrate nurses′ real experiences of time poverty, causes, consequences, and coping strategies, and to provide references for nursing managers and policy makers. Methods A systematic search of international and domestic databases for qualitative studies on nurses′ experiences in time poverty was conducted, with a search timeframe from inception up to August 2024. Methodological quality of the included literature was assessed using the Critical Appraisal Checklist for Qualitative Research from the Joanna Briggs Institute, and the meta-aggregative methodology was used to analyze and integrate the findings from the included literature. Results Nine studies were included and 31 findings were extracted. These findings were then aggregated into 12 categories, according to similarity of meaning. Finally, these elicited categories were regrouped in four syntheses:dispersed feelings of time poverty, multiple factors that induce the experience of time poverty, coping strategies under time poverty, and the impact of time poverty. Conclusion Nurses generally feel time poverty, which may impact not only on their physical and mental health, but also on quality of care and patient safety. Managers should adopt multidimensional measures such as optimizing task allocation, improving time control, enhancing support systems, introducing intelligent tools and strengthening teamwork, to alleviate nurses′ time poverty.

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朱杭恬,许涛,徐娉,陶月仙.护士时间贫困体验质性研究的Meta整合[J].护理学杂志,2025,(14):63-69

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  • 收稿日期:2025-02-10
  • 最后修改日期:2025-04-15
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  • 在线发布日期: 2025-08-13