护士同情疲劳真实体验质性研究的Meta整合

目的系统评价与整合护士同情疲劳的真实体验。方法计算机检索PubMed、Web of Science、EMBase、EBSCO、CINAHL、The Cochrane Library、Scopus、中国知网、万方、维普数据库建库至2020年3月发表的有关护士同情疲劳真实体验的质性研究。对纳入研究的文献进行质量评价后,采用Meta整合方法对研究结果进行归纳。结果共纳入7篇文献,提炼出41个结果、8个类别和4个整合结果,分别为同情疲劳个体因素、同情疲劳社会组织因素、自身积极应对、良好社会支持。结论同情疲劳给护士生理与心理造成一系列不良影响,护理管理者需关注护士同情疲劳的情感体验与需求,给予足够的支持与引导,帮助护士建立积极的应对方式,预防或改善护士同情疲劳现象,保障护士身心健康。

Qualitative Research on Compassion Fatigue in Nurses: A Meta Synthesis

Objective To systematically evaluate and integrate the real experience of nurses’compassion fatigue.Methods We searched PubMed,Web of Science,EMBase,EBSCO,CINAHL,The Cochrane Library,Scopus,CNKI,WANFANG and VIP DATA for qualitative research on real experience of compassion fatigue of nurses from the inception of the database to March 2020.The literature was evaluated and then results were integrated.Results Seven qualitative studies were included involving 41 results and 8 categories,then 4 integrated themes were extracted:the internal factors of compassion fatigue,the external factors of compassion fatigue,self-regulation,and expectation of external support.Conclusion Nursing managers should pay attention to the experience and needs of nurses’compassion fatigue.Adequate support and guidance are conductive to establishing a positive coping style,preventing or improving compassion fatigue,thus to promote nurses’physical and mental health.