The experience and coping behaviors of moral distress among nurses: a Meta-synthesis of qualitative studies
张莉昕 1庄一渝 2李惠敏
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作者信息
1. 1浙江中医药大学护理学院，杭州 310053
2. 2浙江大学医学院附属邵逸夫医院护理部，杭州 310000
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摘要
目的 整合有关护士道德困扰体验和应对方式的质性研究，为了解护士道德困扰体验，寻求最佳道德困扰应对方式提供依据。 方法 检索PubMed、Web of Science、CINAHL、Embase、中国生物医学文献数据库（CBM）、中国知网（CNKI）、中文科技期刊数据库维普（VIP）、万方数据库中相关的质性研究，检索时间均为从建库至2021年7月，采用2016版澳大利亚JBI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，采取汇集性整合的方法进行结果整合。 结果 共纳入16项研究，归纳提炼形成11个类别，3个整合结果：护士道德困扰来源、护士道德困扰体验和护士应对道德困扰的方式。 结论 应重视护士道德困扰问题，通过增强组织社会支持和提升护士自身道德韧性，及时识别和应对道德困扰，提高护理质量。 Objective To systematically review qualitative research on the experience and coping behaviors of moral distress among nurses, and to provide references for the formulation of targeted measures. Methods Search nurses moral distress qualitative research in PubMed, Web of Science, CINAHL, Embase, CBM, CNKI, VIP, Wanfang Database from the establishment of the database to July 2021. The 2016 version JBI Critical Appraisal Tool for qualitative studies in Australia was used to evaluate the quality of the eligible studies. The methods of pooled integration were used to integrate the results. Results A total of 16 studies were included, and 11 categories were summarized and refined, form three integrated results: the source of nurses′ moral distress, the experience of nurses′moral distress, and the way nurses cope with moral distress. Conclusions The nurses themselves and their managers should pay attention to the source of moral distress and their experience, and provide appropriate intervention and support to avoid and reduce moral distress and improve the quality of care.
Abstract
Objective To systematically review qualitative research on the experience and coping behaviors of moral distress among nurses, and to provide references for the formulation of targeted measures. Methods Search nurses moral distress qualitative research in PubMed, Web of Science, CINAHL, Embase, CBM, CNKI, VIP, Wanfang Database from the establishment of the database to July 2021. The 2016 version JBI Critical Appraisal Tool for qualitative studies in Australia was used to evaluate the quality of the eligible studies. The methods of pooled integration were used to integrate the results. Results A total of 16 studies were included, and 11 categories were summarized and refined, form three integrated results: the source of nurses′ moral distress, the experience of nurses′moral distress, and the way nurses cope with moral distress. Conclusions The nurses themselves and their managers should pay attention to the source of moral distress and their experience, and provide appropriate intervention and support to avoid and reduce moral distress and improve the quality of care.
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