以质量求发展,以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (6): 37-43.doi: 10.16460/j.issn1008-9969.2022.06.037

• 循证护理 • 上一篇    下一篇

安宁疗护护士情感劳动经历质性研究的Meta整合

张慧超1, 王楠楠1, 张玉玺2   

  1. 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 老年血液/放疗病区,江苏 南京 210029
  • 收稿日期:2021-07-12 出版日期:2022-03-25 发布日期:2022-04-08
  • 通讯作者: 张玉玺(1981-),女,甘肃兰州人,硕士研究生,硕士研究生导师,副主任护师,护士长。E-mail:zhangyuxi830@163.com
  • 作者简介:张慧超(1996-),女,江苏南京人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    国家自然科学基金青年基金(71704084)

Emotional Labor Experience of Hospice Nurses: A Systematic Review of Qualitative Studies

ZHANG Hui-chao1, WHANG Nan-nan1, ZHANG Yu-xi2   

  1. 1. School of Nursing, Nanjing University of Chinese Medicine, Nanjing 210023, China;
    2. Geriatric Hematology/Radiotherapy Ward, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2021-07-12 Online:2022-03-25 Published:2022-04-08

摘要: 目的 系统评价和整合安宁疗护护士情感劳动经历,为更好的开展安宁疗护护理管理工作提供依据。方法 计算机检索收集中英文数据库PubMed、Web of Science、Embase、Cochrane Library、CINAHL、ScienceDirect、中国知网、万方、维普、中国生物医学文献数据库从建库至2021年6月24日收录的关于安宁疗护护士情感劳动经历相关的质性研究。运用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对纳入文献质量进行评价。采用汇集性整合方法进行结果整合。结果 共纳入11篇文献,提炼43个明确的结果,形成7个类别,汇总成4个整合结果。整合结果1:安宁疗护护士情感劳动中的真实情感;整合结果2:安宁疗护护士情感劳动中的情感扮演;整合结果3:安宁疗护护士情感劳动中的情感存储;整合结果4:安宁疗护情感劳动中的情感耗尽。结论 安宁疗护护士具有复杂的情感劳动,护理管理者应了解并考虑到护士的情感劳动,并促使其发挥积极作用。

关键词: 安宁疗护, 情感劳动, 护士, 质性研究, Meta整合

Abstract: Objective To systematically review emotional labor experience of hospice nurses, and to provide theoretical basis for palliative and hospice care management. Methods We searched databases including PubMed, Web of Science, Embase, Cochrane Library, CINAHL, ScienceDirect, CNKI, WangFang, VIP and CBM from the inception to June 24, 2021, to collect qualitative studies emotional labor experience of hospice nurses. The quality of included studies was evaluated with JBI Critical Appraisal Tool for qualitative studies in Australia and the results were integrated by integrating methods. Results A total of 11 studies were included and 43 complete findings were grouped according to their similarities into 7 categories, which resulted in 4 synthesized findings: real emotion; emotional acting; emotional storage and emotional exhaustion. Conclusion Hospice nurses have complex emotional labor and nursing managers should understand the positive role of emotional labor and take measures to promote emotional labor.

Key words: hospice care, emotional labor, nurse, qualitative research, Meta synthesis

中图分类号: 

  • R48
[1] Just D.A Biopolitics of Immaterial Labor[J]. Political Studies, 2016,64(2):401-416. DOI:10.1111/1467-9248.12185.
[2] Hochschild AR, 1983. The Managed Heart: Commercialization of Human Feeling[M]. Berkeley: University of California Press.
[3] WHO. WHO Definition of Palliative Care[EB/OL].(2020-08-05).[2021-05-01].https://www.who.int/health-topics/palliative-care.
[4] 胡雁. 如何开展质性研究的系统评价和Meta整合[J].上海护理,2020,20(7):1-5.DOI:10.3969/j.issn.1009-8399.2020.07.001.
[5] 路桂军,姜姗,李忠,等.安宁疗护服务对象准入标准的国际经验与中国实践[J].医学与哲学,2021,42(16):28-31.DOI:10.12014/j.issn.1002-0772.2021.16.07.
[6] 胡雁,彭健.我国质性研究系统评价和Meta整合论文的质量评价[J].中国护理管理,2020, 20(4):490-495.DOI:10.3969/j.issn.1672-1756.2020.04.004.
[7] Pringle J, Drummond J, McLafferty E, et al. Interpretative Phenomenological Analysis: A Discussion and Critique[J]. Nurse Res, 2011,18(3):20-24. DOI:10.7748/nr2011.04.18.3.20.c8459.
[8] The Joanna Briggs Institute. Criticl Appraisal Checklist for Qualitative Research[EB/OL].[2021-03-29].https://joannabriggs.org/ebp/critical_appraisal_tools.
[9] 胡雁,郝玉芳.循证护理学[M].北京:人民卫生出版社,2018:78-79.
[10] Zamanzadeh V, Valizadeh L, Sayadi L, et al.Emotional Labour of Caring for Hematopoietic Stem Cell Transplantation Patients: Iranian Nurses' Experiences[J]. Asian Nurs Res (Korean Soc Nurs Sci), 2013,7(2):91-97. DOI:10.1016/j.anr.2013.04.004.
[11] Rafii F, Nikbakht Nasrabadi A, Karim MA.End-of-life Care Provision: Experiences of Intensive Care Nurses in Iraq[J].Nurs Crit Care, 2016,21(2):105-112. DOI:10.1111/nicc.12219.
[12] Liu YC, Chiang HH.From Vulnerability to Passion in the End-of-Life Care: The Lived Experience of Nurses[J]. Eur J Oncol Nurs, 2017(31):30-36. DOI:10.1016/j.ejon.2017.09.002.
[13] Banning M, Gumley VA.Clinical Nurses' Expressions of the Emotions Related to Caring and Coping with Cancer Patients in Pakistan: A Qualitative Study[J]. Eur J Cancer Care (Engl),2012,21(6):800-808.DOI:10.1111/j.1365-2354.2012.01364.x.
[14] 沈洁,陆箴琦,姜安丽.肿瘤护理人员职业情感体验的质性研究[J].解放军护理杂志,2013, 30(1):5-8+29.DOI:10.3969/j.issn.1008-9993.2013.01.002.
[15] Saifan AR, Al Zoubi AM, Alrimawi I, et al.Exploring the Psychological Status of Jordanian Nurses Working with Cancer Patients[J]. J Nurs Manag, 2019,27(1):215-222. DOI:10.1111/jonm.12667.
[16] Magro-Morillo A, Boulayoune-Zaagougui S, Cantón-Habas V, et al.Emotional Universe of Intensive Care Unit Nurses from Spain and the United Kingdom:A Hermeneutic Approach[J].Intensive Crit Care Nurs, 2020(59):102850. DOI:10.1016/j.iccn.2020.102850.
[17] Andersson E, Salickiene Z, Rosengren K.To Be Involved - A Qualitative Study of Nurses' Experiences of Caring for Dying Patients[J]. Nurse Educ Today, 2016(38):144-149. DOI:10.1016/j.nedt.2015.11.026.
[18] Velarde-García JF, Luengo-González R, González-Hervias R,et al.Facing Death in the Intensive Care Unit. A Phenomenological Study of Nurses' Experiences[J]. Contemp Nurse,2016,52(1):1-12.DOI:10.1080/10376178.2016.1194725.
[19] Brighton LJ, Selman LE, Bristowe K, et al.Emotional Labour in Palliative and End-of-life Care Communication: A Qualitative Study with Generalist Palliative Care Providers[J].Patient Educ Couns, 2019, 102(3):494-502. DOI:10.1016/j.pec.2018.10.013.
[20] Kwon S, Kim M, Choi S.Nurses' Experiences of Providing “Sensitive Nursing Care” for Terminally-ill Individuals with Cancer: A Qualitative Study[J]. Eur J Oncol Nurs, 2020(46):101773. DOI:10.1016/j.ejon.2020.101773.
[21] 卢山,孙小玲.护士情绪劳动管理研究进展[J].中华护理杂志,2021, 56(1):137-142.DOI:10.3761/j.issn.0254-1769.2021.01.023.
[22] Ashforth BE, Humphrey RH.Emotional Labor in Service Roles:The Influence of Identity[J]. Acad Manag Rev,1993,18(1):88-115.
[23] Sandgren A, Thulesius H, Fridlund B, Petersson K.Striving for Emotional Survival in Palliative Cancer Nursing[J]. Qual Health Res,2006,16(1):79-96.DOI:10.1177/1049732305283930.
[24] 刘芳儒.情感劳动(Affective labor)的理论来源及国外研究进展[J].新闻界,2019(12):72-84.DOI:10.15897/j.cnki.cn51-1046/g2.20191216.001.
[25] 孙丽,许宝惠,顾道琴,等.国内外安宁疗护护士培训进展[J].护理学报, 2019, 26(19):27-30.DOI:10.16460/j.issn1008-9969.2019.19.027.
[26] 吴玉苗,奉典旭,徐东浩,等.中国安宁疗护服务政策演变与发展[J].医学与哲学,2020,41(14):23-27.DOI:10.12014/j.issn.1002-0772.2020.14.05.
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