How new graduate nurses experience patient death: A systematic review and qualitative meta-synthesis.
How new graduate nurses experience patient death: A systematic review and qualitative meta-synthesis.
复制标题
新毕业护士如何经历患者死亡：系统评价和定性荟萃分析。
DOI：
10.1016/j.ijnurstu.2015.09.013
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发表时间：
2016
影响因子：
8.1
通讯作者：
M. Bloomer
中科院分区：
文献类型：
--
作者：
Ruishuang Zheng;S. Lee;M. Bloomer
背景对于护士来说，患者死亡是一种情感丰富且要求很高的经历，尤其是对于没有准备好提供临终关怀的新毕业护士来说。了解新毕业护士的死亡和临终经验，将为设计培训计划和干预措施提供信息，以提高新毕业护士的护理和支持质量。目的通过检查现有的定性研究结果，总结新毕业护士对病人死亡的经验。方法从1990年1月至2014年12月在12个数据库中进行全面检索。所有定性研究和混合方法的研究，探讨新毕业护士的病人死亡的经验，在英语和中文。两名独立的评审员选择纳入的研究，并评估每个研究的质量。进行荟萃分析，以综合纳入研究的结果。ResultsFive主要定性研究和一个混合方法的研究符合纳入和质量标准。从最初的调查结果中确定了六个关键主题：情感体验，促进良好的死亡，对家庭的支持，临终关怀问题的不足，个人和专业成长以及应对策略。新毕业的护士面对病人死亡时表达了各种各样的感受，但他们仍然试图为垂死的病人提供一个好的死亡，并为他们的家人提供支持。护士从这一具有挑战性的遭遇中受益，但他们缺乏应对策略。
BackgroundPatient death is an emotional and demanding experience for nurses, especially for new graduate nurses who are unprepared to deliver end-of-life care. Understanding new graduate nurses’ experience of death and dying will inform the design of training programs and interventions for improvements in the quality of care and support of new graduates.ObjectiveTo summarize new graduate nurses’ experience with patient death by examining the findings of existing qualitative studies.DesignSystematic review methods incorporating meta-synthesis were used.MethodsA comprehensive search was conducted in 12 databases from January 1990 to December 2014. All qualitative and mixed-method studies in English and Chinese that explored new graduate nurses’ experience of patient death were included. Two independent reviewers selected the studies for inclusion and assessed each study quality. Meta-aggregation was performed to synthesize the findings of the included studies.ResultsFive primary qualitative studies and one mix-method study met inclusion and quality criteria. Six key themes were identified from the original findings: emotional experiences, facilitating a good death, support for family, inadequacy on end-of-life care issues, personal and professional growth and coping strategies. New graduate nurses expressed a variety of feelings when faced with patient death, but still they tried to facilitate a good death for dying patients and provide support for their families. The nurses benefited from this challenging encounter though they lacked of coping strategies.