[1]陆心愉,张慧超,张舒雨,等.医务人员对于儿科预立医疗照护计划看法质性研究的Meta整合[J].军事护理,2023,40(09):83-86.[doi:10.3969/j.issn.2097-1826.2023.09.021]
　LU Xinyu,ZHANG Huichao,ZHANG Shuyu,et al.Health Professionals of Pediatric Advance Care Planning: A Systematic Review of Qualitative Studies[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(09):83-86.[doi:10.3969/j.issn.2097-1826.2023.09.021]
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医务人员对于儿科预立医疗照护计划看法质性研究的Meta整合
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年09期
页码:
83-86
栏目:
循证护理
出版日期:
2023-09-15

文章信息/Info

Title:
Health Professionals of Pediatric Advance Care Planning: A Systematic Review of Qualitative Studies
文章编号:
2097-1826(2023)09-0083-04
作者:
陆心愉1; 张慧超1; 张舒雨1; 张玉玺2
(1.南京中医药大学 护理学院,江苏 南京 210023; 2.南京医科大学第一附属医院 江苏省人民医院 老年血液/放疗病区,江苏 南京 210029)
Author(s):
LU Xinyu1; ZHANG Huichao1; ZHANG Shuyu1; ZHANG Yuxi2
(1.School of Nursing,Nanjing University Of Chinese Medicine,Nanjing 210023,Jiangsu Province,China; 2.Elderly Blood and Radiotherapy Ward.Jiangsu Province Hospital,The First Affiliated Hospital With Nanjing Medical University,Nanjing 210029,Jiangsu Province,China)
关键词:
预立医疗照护计划;  质性研究;  系统评价;  儿科
Keywords:
advance care planning;  qualitative research;  systematic review;  pediatric
分类号:
R47
DOI:
10.3969/j.issn.2097-1826.2023.09.021
文献标志码:
A
摘要:
目的 系统评价医务人员对于儿科预立医疗照护计划(pediatric advance care planning,pACP)的看法,为护理人员更好地开展pACP提供依据。方法 计算机检索Cochrane Library、PubMed、Web of Science、Science Direct、Embase、CINAHL、CNKI、万方、维普、中国生物医学文献数据库。检索时限为建库至2022年11月,搜集有关医务人员对pACP看法的质性研究,对纳入文献进行评价和整合。结果 共纳入11篇文献,提炼出32个结果,归纳组合成12个类别,综合形成5个整合结果:pACP的讨论难以发起、儿科与pACP间的文化冲突、pACP管理体系面临巨大挑战、医务人员对pACP持有消极态度、pACP团队合作的重要性。结论 pACP面临诸多难以实施的问题,通过有效评估患儿及家属预立医疗照护计划需求,健全管理体系,制订实践指南,加强护士安宁疗护教育,有助于推进pACP在儿科环境下的开展。
Abstract:
Objective To explore the healthcare professionals' views of pediatric advance care planning(pACP),and to provide theoretical basis for nurses to develop pACP.Methods Databases including Cochrane Library,PubMed,Web of Science,ScienceDirect,Embase,CINAHL,CNKI,WanFang database,VIP,and CBM were searched from the inception to November 2022,to collect qualitative studies on the views of healthcare professionals of pACP.Results A total of 11 studies were included,and 32 results were extracted and then summarized into 12 categories,which were synthesized into 5 integrated results: difficulties in initiating pACP discussions,cultural conflicts between pediatric and pACP,management system facing great challenges,healthcare professionals' negative attitudes towards pACP,and the importance of pACP teamwork.Conclusions Currently,pACP faces problems. The measurement of the needs of pACP,establishment of a comprehensive management system,formation of a guideline,and enhancement of hospice care education can promote the development of ACP in the pediatric setting.

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备注/Memo

备注/Memo:
【收稿日期】2022-11-25【修回日期】2023-07-12
【基金项目】国家自然科学基金青年基金(71704084)
【作者简介】陆心愉:硕士在读,电话:025-68305290
【通信作者】张玉玺,电话:025-68305290
更新日期/Last Update: 2023-09-15