目的 系统评价ICU过渡期护理人员对个体角色的认知,为实施优质的ICU过渡期护理提供参考.方法 计算机检索PubMed、Web of Science、CIN A H L、Embase、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,搜索ICU过渡期护理人员对自身角色认知的质性研究,检索时限均从建库至2023年2月.采用Meta整合方法对纳人文献的研究结果进行归纳、诠释、总结.结果 共纳入13篇文献,提炼出50个结果,将相似结果归纳为10个新的类别,并综合成4个整合结果:保障护理连续性,提供健康教育、知识技术及情感支持,保障ICU过渡期护理安全,促进护理服务质量及康复结局转归.结论 护士视角下ICU过渡期护理人员发挥多样化的角色作用,伴有较强的角色认同感.护理管理者应扩大ICU过渡期护理人员角色范畴,优化角色内涵,构建优质化ICU过渡期护理团队.
Cognition of the role of nursing staff in ICU transition period:a Meta-synthesis of qualitative research
Objective To systematically evaluate the cognition of the role of ICU transitional care from the perspective of nurses,and provide references for implementing high-quality ICU transitional care.Methods Computer searches were conducted on PubMed,Web of Science,CINAHL,Embase,Cochrane Library,CNKI,Wanfang Database,VIP Database,and China Biomedical Litera-ture Database to identify qualitative studies on the role cognition of ICU transitional care.The search period extended from the es-tablishment of databases to February 2023.The Meta-synthesis method was used to summarize,interpret,and synthesize the re-sults of the included literature.Results A total of 13 articles were included,resulting in 50 findings.Similar findings were grouped into 10 new categories,which were synthesized into 4 integrated results:ensuring continuity of care;providing health education,knowledge technology,and emotional support;ensuring the safety of ICU transitional care;and promoting the quality of nursing services and rehabilitation outcomes.Conclusion From the perspective of nurses,ICU transitional care nurses play diverse roles with a strong sense of role identity.Nursing managers should expand the scope of roles for ICU transitional care personnel,opti-mize role connotations,and build a high-quality ICU transitional care team.