以质量求发展,以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (7): 43-48.doi: 10.16460/j.issn1008-9969.2021.07.043

Previous Articles     Next Articles

Qualitative Studies on Experience of Emergency Nurses in Hospice Care: A Meta-synthesis

LI Huan-ze1, CHEN Hong-fang1,2, HUANG Li-qun1, AN Fang-fang1, XU Peng3, ZHUANG Miao-qing1, ZHANG Lu-yu1, WANG Jia-yi1   

  1. 1. School of Nursing, Shaanxi University of Traditional Chinese Medicine, Xianyang 712046,China;
    2. Dept. of Nursing Administration, Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi’an 710003,China;
    3. School of Medicine, Qinghai University, Xining 810016,China
  • Received:2021-01-04 Online:2021-04-10 Published:2021-05-12

Abstract: Objective To systematically evaluate the qualitative research on hospice care experience of nurses in emergency department, and to provide evidence-based basis for the development of hospice care in emergency department in China. Methods The PubMed, CINANL, PsycINFO, Cochrane Library, Web of Science, CNKI, Wanfang Data and CBM were searched for qualitative studies on experience of emergency nurses in hospice care from the inception to July 2020. The JBI Critical Appraisal Tool for qualitative studies in Australia was used to evaluate the quality of the eligible studies. The results were integrated by meta-synthesis method. Results Eight studies were incorporated, with 32 results being extracted and 9 new categories being summarized, which were finally integrated into 3 comprehensive results. (1) Negative psychology from hospice care of emergency nurses (emotional burden and coping style); (2) Positive psychology from hospice care of emergency nurses (trying to meet the needs of patients, giving support to family members and career satisfaction);(3)Barriers of hospice care in emergency department (education, manpower, environment, systems). Conclusion Nurses and nursing managers should pay attention to negative emotion in the process of hospice care, and try to improve emotional intelligence and hospice care competency of nurses in emergency department through multiple ways. Meanwhile, there should be more support for the development of hospice care, thus to improve the quality of hospice care in emergency department.

Key words: emergency department, nurse, hospice care, qualitative research, systematic review

CLC Number: 

  • R48
[1] Bailey C, Murphy R, Porock D.Trajectories of End-of-life Care in the Emergency Department[J]. Ann Emerg Med,2011,57(4):362-369.DOI:10.1016/j.annemergmed.2010.10.010.
[2] Beckstrand RL, Smith KE,Luthy KEB,et al.Rural Emergency Nurses’Suggestions for Improving End-of-life Care[J]. J Emerg Nurs,2017,43(3):214-220.DOI:10.1016/j.jen.2017.03.012.
[3] Gloss K.End of Life Care in Emergency Departments:A Review of the Literature[J].Emerg Nurse,2017,25(2):29-38.DOI:10.7748/en.2017.e1707.
[4] 徐秀萍,卢佳.急诊护士直面患者死亡时情绪体验的质性研究[J].当代护士(上旬刊),2019,26(12):6-9.
[5] 吕爱华. 患者死亡对急诊科护士心理影响的合众化研究[D].杭州:浙江中医药大学,2018.
[6] 徐旭东,金奕,赵媛,等.急诊科护士死亡态度与工作敬业度及组织公民行为的相关性研究[J].中国实用护理杂志,2019(29):2290-2294.DOI:10.3760/cma.j.issn.1672-7088.2019.29.010.
[7] 马明丹,陈珊珊,刘晓,等.死亡教育对急诊科护士的死亡态度和死亡焦虑的影响研究[J].中华护理教育, 2020,17(1):76-79.DOI:10.3761/j.issn.1672-9234.2020.01.016.
[8] 张小红,刘英,郭美英,等.基于目标教学理论急诊科护士死亡教育培训内容的构建[J].中华护理教育, 2020,17(10):914-918.DOI:10.3761/j.issn.1672-9234.2020.10.010.
[9] 丁传琦,金静芬.急诊科护士死亡态度对其临终照护态度影响的研究[J].中华护理教育,2020,17(3):275-278.DOI:10.3761/j.issn.1672-9234.2020.03.018.
[10] Keung JW, Hung MS, Pang SM.Emergency Nurses’ Perceptions of Providing End-of-life Care in a Hong Kong Emergency Department: A Qualitative Study[J]. J Emerg Nurs,2016,42(3):224-232. DOI:10.1016/j.jen.2015.10.025.
[11] Mughal A, Evans C.Views and Experiences of Nurses in Providing End-of-life Care to Patients in An ED Context: A Qualitative Systematic Review[J]. Emerg Med J,2020,37(5):265-272.DOI:10.1136/emermed-2018-208278.
[12] Walsh D, Downe S.Meta-Synthesis Method for Qualitative Research:A Literature Review[J]. J Adv Nurs,2005,50(2):204-211.DOI:10.1111/j.1365-2648.2005.03380.x.
[13] 胡雁,郝玉芳.循证护理学[M].北京:人民卫生出版社,2018:157-174.
[14] Lockwood C,Munn Z,Porritt K.Qualitative Research Synthesis:Methodological Guidance for Systematic Reviewers Utilizing Meta-aggregation[J]. Int J Evid Based Healthc,2015, 13(3):179-187.DOI:10.1097/XEB.0000000000000062.
[15] 袁浩斌. 循证护理中质性研究的Meta-整合方法[J].护理学杂志,2012,27(21):67-69.
[16] Wolf LA, Delao AM, Perhats C,et al.Exploring the Management of Death: Emergency Nurses’ Perceptions of Challenges and Facilitators in the Provision of End-of-life Care in the Emergency Department[J]. J Emerg Nurs, 2015,41(5):23-33. DOI:10.1016/j.jen.2015.05.018.
[17] Hogan KA, Fothergill-Bourbonnais F, Brajtman S, et al.When Someone Dies in the Emergency Department: Perspectives of Emergency Nurses[J]. J Emerg Nurs, 2016,42(3):207-212. DOI:10.1016/j.jen.2015.09.003.
[18] Bailey C, Murphy R, Porock D.Professional Tears: Developing Emotional Intelligence around Death and Dying in Emergency Work[J].J Clin Nurs, 2011, 20(23/24):3364-3372. DOI:10.1111/j.1365-2702.2011.03860.x.
[19] Giles TM, Hammad K, Breaden K, et al.Nurses’ Perceptions and Experiences of Caring for Patients Who Die in the Emergency Department Setting[J]. Int Emerg Nurs,2019,47:100789. DOI:10.1016/j.ienj.2019.100789.
[20] Decker K, Lee S,Morphet J.The Experiences of Emergency Nurses in Providing End-of-life Care to Patients in the Emergency Department[J].Australas Emerg Nurs J,2015,18(2):68-74. DOI:10.1016/j.aenj.2014.11.001.
[21] Kongsuwan W, Matchim Y, Nilmanat K,et al.Lived Experience of Caring for Dying Patients in Emergency Room[J].Int Nurs Rev,2016,63(1):132-138. DOI: 10.1111/inr.12234.
[22] 庞林薇,李晓莉,韩朋辉.急诊科护士对临终病人死亡事件真实体验的质性研究[J].全科护理, 2019,17(13):1623-1626.
[23] 魏薇萍,丁飙,王韬,等.急诊科护士情绪智力与人文关怀能力的相关性研究[J].护理管理杂志,2017,17(5):338-340.
[24] Mayer JD, Salovey P.What Is Emotional Intelligence?[M].New York:Basic Books,1997:3-31.
[25] Evans D,Allen H.Emotional Intelligence:Its Role in Training[J]. Nurs Times, 2002,98(27):41-42.
[26] Adriaenssens J, De Gucht V, Van Der Doef M, et al.Exploring the Burden of Emergency Care: Predictors of Stress-health Outcomes in Emergency Nurses[J]. J Adv Nurs,2011,67(6):1317-1328.DOI: 10.1111/j.1365-2648.2010.05599.x.
[27] Park KS, Yeom HA.Factors Influencing Korean Nurses’Attitudes towards Hospice Care[J]. Int Nurs Rev,2014,61(4):563-569.DOI:10.1111/inr.12135.
[28] 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.
[1] PENG Qi, WU Wan-ying, XIE Ling-nv. The practice and effect evaluation of case-based teaching based on ADDIE model in training for nurse specialists of wound, ostomy and continence [J]. Journal of Nursing, 2025, 32(4): 24-27.
[2] WU Chao-yu, LIU Shang-kun. Crisis management competence of nurses in post-anesthesia care unit: a qualitative study [J]. Journal of Nursing, 2025, 32(3): 17-21.
[3] TAN Wen-xuan, ZHANG Rong, ZHANG Li-li, WANG Wei, SHAO Yan-hong, FANG Qing-hong, ZHU Jin. Surgical decision dilemma among heart transplant patients: a phenomenological study [J]. Journal of Nursing, 2025, 32(3): 69-73.
[4] CAO Min, ZHANG Pei-li, HOU Xiao-ya, GAO Chao-yue, GUO Lin-fang, LI Ying. Nutritional care experience of caregivers of colorectal cancer patients undergoing chemotherapy based on ABC-X model: a qualitative study [J]. Journal of Nursing, 2025, 32(2): 13-18.
[5] WANG Yu, ZHAO Hui-jie, XIAO Meng-wei, FAN Shuo-ning, SUN Jia-li, WANG Ke-xin, SU Xuan, YANG Ying-rui. Experiences and coping styles during silicone oil filling in patients with diabetic retinopathy: a qualitative study [J]. Journal of Nursing, 2025, 32(1): 68-72.
[6] HE Jiao, LIU Yi-lan, GUAN Chun-yan, HAN Yan-hong, CHEN Rui, HU De-ying. Construction of humanistic care training course system for hospital nurses based on Taylor Principle [J]. Journal of Nursing, 2024, 31(8): 13-17.
[7] XU Xiao-dong, LIU Shun-mei, ZHAO Xuan, DING Xiu-na. Construction of core competency evaluation index for nurses of apical microsurgery [J]. Journal of Nursing, 2024, 31(8): 69-73.
[8] CAO Yi-li, WANG Ling, WANG Can, CHEN Yan-hua, QIN Hong-yun. Resource orientation of family members of hospitalized patients with schizophrenia: a qualitative study [J]. Journal of Nursing, 2024, 31(8): 74-78.
[9] MA Rui-rui, FAN Xiao-li, XU Shu-juan, ZHANG Wei, CHEN Ting, TAN Fei-fei. Nurses' involvement in end-of-life decision-making for terminally ill patients: a qualitative study [J]. Journal of Nursing, 2024, 31(7): 6-11.
[10] ZHANG Ying, CHE Xiao-yan, WAN Wan, QIN Xue, ZHANG En-si, CHONG Wu, ZHENG Shu-juan. Scope of practice and core competence of nurses acted as sex therapist in China: a qualitative study [J]. Journal of Nursing, 2024, 31(7): 68-72.
[11] PENG Jing, LI Jin-xiu, TAN Jiang-hong, WANG Xiao-qing. Effect of animation short video combined with flipped classroom on autonomous learning ability of nursing students in emergency department [J]. Journal of Nursing, 2024, 31(6): 22-25.
[12] ZHANG Lu-xin, JIAO Yan-chao, WEN Xi, TIAN Li, WANG Ting, TIAN Feng-mei, LI Hui-ling. Qualitative study on learning experience of nursing undergraduates in synchronous classes of MOOC Westbound Program [J]. Journal of Nursing, 2024, 31(6): 30-34.
[13] ZHOU Yue, ZHANG Jie, PAN Yu-fan, DAI Yu, SUN Yu-jian, XIAO Yi, YU Yu-feng. Prediction models for risk of acquired weakness in mechanically ventilated patients: a systematic review [J]. Journal of Nursing, 2024, 31(6): 56-61.
[14] WANG Jing, LI Ping, WANG Yan, ZHANG Qin, HOU Ming, WANG Zi-fan. Organizational citizenship behavior of nurses in Tertiary Grade-A hospitals and its influencing factors: a 2,050-case study [J]. Journal of Nursing, 2024, 31(6): 67-72.
[15] LU Kang-yuan, WANG Jie, CHEN Yu-bei, JI Xue-mei, ZHENG Zhi-hui. Mediating effect of organizational trust between nurses' trust in patients and work engagement based on multiple group analysis [J]. Journal of Nursing, 2024, 31(5): 1-6.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!