护士灵性照护认知与体验质性研究的Meta整合

doi:10.3761/j.issn.1672-9234.2020.06.014

摘要/Abstract

摘要： 目的系统评价和整合护士灵性照护认知与体验的质性研究,为促进临床灵性照护的实施以及灵性照护实践方案的制订提供参考。方法检索PubMed、Embase、Web of Science、EBSCO、中国知网、万方、维普、Airiti Library数据库中关于护士灵性照顾认知与体验的相关质性研究,检索时限均为建库至2019年10月,采用2017版澳大利亚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,采用汇集性整合的方法进行Meta整合。结果共纳入12项研究,提炼93个研究结果,归纳形成9个新类别,得出3个整合结果,分别为灵性照护的认知（灵性照护的范畴是广泛的,灵性照护的实施是必要的）;灵性照护的情感体验（正性心理感受,负性心理感受）;灵性照护的实践经验（工作环境因素可能会导致灵性照护实施困难,护士自身特质的差异可能会影响灵性照护结局,建立良好的护患关系有助于临床照护的实施,根据患者需求适当提供文化与宗教的支持,灵性照护相关的培训的益处）。结论我国的护理管理者应了解临床护士对灵性照护的认知及体验,促进灵性照护工作的临床实践,以更好地体现人文关怀理念,提高护理质量,促进我国护理事业健康发展。

关键词: 灵性, 护士, 定性研究, Meta整合

Abstract: Objective To systematically evaluate and integrate the qualitative research of nurses' spiritual care experience.Methods The following databases including PubMed,Embase,Web of Science,EBSCO,CNKI,Wanfang Data,VIP and Airiti Library were searched from inception to October 2019 to collect related qualitative studies. The JBI Critical Appraisal Tool for qualitative studies（2017 edition） was used to evaluate the quality of studies. Meta-synthesis was applied to integrate the results.Results Totally 12 studies containing 93 findings were included. Then 9 new categories were generated and finally 3 synthesized results were obtained. The cognition of spiritual care：the scope of spiritual care is extensive,and spiritual care is necessary;emotional experience of spiritual care：positive and negative psychological feelings coexist;practical experience in spiritual care：work environment factors may cause difficulties in spiritual care implementation,differences in nurses' own traits may affect spiritual care outcomes,establishing a good nurse-patient relationship is conducive to the implementation of clinical care,provide cultural and religious support appropriate to the patient's needs,and benefits of training related to spiritual care.Conclusion Nursing managers in China should actively understand the clinical nurses' perceptions and opinions on spiritual care,accelerate the development of clinical spiritual care interventions and practical programs,and promote the clinical practice of spiritual care work to better reflect the concept of human care,improve the quality of nursing,and promote the healthy development of our nursing career.

Key words: Natural Orifice Endoscopic Surgery, Nursing Care, Reflective practice

江昱,方桂珍,马硕. 护士灵性照护认知与体验质性研究的Meta整合[J]. 中华护理教育, 2020, 17(6): 539-545.

JIANG Yu,FANG Gui-zhen,MA Shuo. Experience of nurses' spiritual care：a meta-synthesis of qualitative studies[J]. Chinese Journal of Nursing Education, 2020, 17(6): 539-545.

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