Factors preceding occupational distress in emergency nurses: An integrative review.
Factors preceding occupational distress in emergency nurses: An integrative review.
复制标题
急诊护士职业困扰的因素：综合评价。
DOI：
10.1111/jocn.16461
复制
发表时间：
2022
影响因子：
4.2
通讯作者：
R. Ogilvie
中科院分区：
文献类型：
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作者：
Rebecca Caulfield;Taneal Wiseman;J. Gullick;R. Ogilvie
宗旨和目标
这一综合性审查的目的是综合目前的证据的因素之前，并有助于急诊护士的职业困扰。
背景
急诊护士在一个受到需求超过能力挑战的环境中执业，除了有限的资源之外，人员配置无法满足这一需求，这对临床医生和患者的安全构成了独特的风险。职业困扰的风险，而跨专业证明，被认为是最高的急诊护士与临床医生，组织和患者的后续影响正在探讨。虽然以前的研究已经检查了单一的结果或元素，一个全面的审查，认为总体职业困扰的因素和组成部分是不明显的，在目前发表的文献。
设计
Whittemore和Knafl的综合性综述方法使文献的综合和分析成为一种结构化的格式。
方法
根据系统性综述和荟萃分析（PRISMA）声明的首选报告项目，对2014年至2021年期间的CINAHL、MEDLINE、Psych INFO、Embase、澳大利亚数字论文网络、国际大学缩微胶片和谷歌学术进行了综述。检索词探讨了同情疲劳，倦怠，急性和创伤后应激障碍，继发性创伤性压力/替代性创伤职业困扰的贡献。本次检索共纳入16篇出版物进行综合。
结果
纳入的文献被确定为定量（7项）、定性（6项）和混合方法（3项）研究。被确定为有助于职业困扰的发展的因素产生的特点和情况的个别护士，当地的组织治理和急诊护士角色的固有性质。因此，对患者、临床医生和医疗机构都有负面影响。
结论
急诊护士的经验暴露于几个独特的因素，导致职业困扰，这可能来自个人，组织，职业来源或这些组合。未来的研究和战略，以解决这些因素可以加强临床医生和组织提供安全，全面，高质量的护理。
与临床实践的相关性
急诊护士在独特而具有挑战性的环境中执业，使他们面临更高的职业困扰风险，并对临床医生，医疗机构和患者产生负面影响。通过调查和发展的战略，如促进知识的病人处置，急诊护士可能会遇到增加他们的幸福感，保留，工作满意度和弹性。
AIMS AND OBJECTIVES
This integrative review aimed to synthesise current evidence on the factors that precede and contribute to the occupational distress of emergency nurses.
BACKGROUND
Emergency nurses practice within an environment challenged by demand exceeding capacity, an inability of staffing to meet this demand in addition to limited resources which contribute to form a unique risk to clinician and patient safety. The risk of occupational distress, while demonstrated across specialties, is noted to be highest in emergency nurses with subsequent impacts for clinicians, organisations and patients being explored. While previous studies have examined singular outcomes or elements, a comprehensive review that considers the factors and components of the overarching occupational distress is not evident in the current published literature.
DESIGN
Whittemore and Knafl's integrative review methodology enabled a structured format for synthesis and analysis of literature.
METHODS
A review of CINAHL, MEDLINE, Psych INFO, Embase, Australian Digital Thesis Network, University Microfilm International and Google Scholar between 2014 and 2021 was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. Search terms explored the contributions of compassion fatigue, burnout, acute and post-traumatic stress disorder, and secondary traumatic stress/vicarious trauma to occupational distress. This search resulted in sixteen publications included for synthesis.
RESULTS
Literature for inclusion was identified as quantitative (seven), qualitative (six) and mixed-methods (three) studies. Factors identified as contributing to the development of occupational distress arise from the characteristics and situations of individual nurses, local organisational governance and the inherent nature of the emergency nurse role. Consequentially, there are negative impacts on patients, clinicians and healthcare organisations.
CONCLUSION
Emergency nurses experience exposure to several unique factors contributing to occupational distress which may originate from individual, organisational, occupational sources or a combination of these. Future research and strategies to address these factors could strengthen clinicians and organisations in the delivery of safe, holistic, high-quality nursing care.
RELEVANCE TO CLINICAL PRACTICE
Emergency nurses practice in unique and challenging environments which place them at higher risk of occupational distress with subsequent negative impacts for the clinician, healthcare organisation and patients. Through the investigation and development of strategies such as the facilitation of knowledge of patient disposition, emergency nurses may experience an increase in their well-being, retention, job satisfaction and resiliency.
紧急医疗技术人员的招聘和保留：一项定性研究。
影响因子：
--
作者：
Patterson,PDaniel;Probst,JaniceC;Leith,KatherineH;Corwin,SaraJ;Powell,MPaige
通讯作者：
Powell,MPaige