School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.
Consortium of Castelldefels Health Agents (CASAP), EAP Can Bou, Barcelona, Spain.
J Clin Nurs. 2022 May;31(9-10):1097-1112. doi: 10.1111/jocn.16015. Epub 2021 Aug 27.
To identify and critically appraise the available evidence on the overall quality of professional life of primary care nurses worldwide and its main influencing factors.
Quality of professional life of healthcare workers is a keystone that influences the quality of healthcare services provided by healthcare organisations. Nurses have a key role as healthcare services providers given the growing shortage of doctors in primary care.
A systematic review design in accordance with the PRISMA statement.
The search was conducted through MEDLINE (PubMed), CINAHL, SCOPUS, Scientific Electronic Library Online (SciELO) and Web of Science databases. The grey literature was reviewed at OpenGrey. The search was limited to human studies published from April 2010-April 2020. No limit of original language publication was applied. Three independent reviewers analysed the methodological quality of the studies.
Ten studies were included from five countries. Five studies reported nurses were satisfied with their quality of professional life and the influencing factors identified were Workload, Job autonomy, Demographic variables, Management support, Recognition, Intrinsic motivation, Interpersonal relations, Compassion fatigue, Burnout, Turnover intention, and work was reported as a component of Quality of life.
Primary healthcare nurses reported a high level of quality of professional life, but the scarce studies found do not provide solid consistency to assess the overall quality of professional life. Perception of high workload was the most frequently identified factor to negatively influence the quality of professional life of nurses.
Quality of professional life of primary care nurses is a key issue because of nurses' important relation with patient's care and satisfaction. Healthcare organisations should strive to address primary care nurses' quality of professional life to enhance their well-being and consequently patients' safety and high-quality healthcare services.
确定并批判性评价全球初级保健护士职业生活质量及其主要影响因素的现有证据。
医疗保健工作者的职业生活质量是影响医疗保健组织提供的医疗服务质量的关键因素。鉴于初级保健医生短缺，护士作为医疗服务提供者发挥着关键作用。
根据 PRISMA 声明进行系统评价设计。
通过 MEDLINE（PubMed）、CINAHL、SCOPUS、Scientific Electronic Library Online（SciELO）和 Web of Science 数据库进行搜索。在 OpenGrey 审查灰色文献。搜索仅限于 2010 年 4 月至 2020 年 4 月发表的人类研究。未对原始语言出版物的出版进行限制。三位独立的评审员分析了研究的方法学质量。
从五个国家中纳入了十项研究。五项研究报告称，护士对其职业生活质量感到满意，确定的影响因素有工作量、工作自主性、人口统计学变量、管理支持、认可、内在动机、人际关系、同情疲劳、倦怠、离职意向以及工作被报告为生活质量的一个组成部分。
初级保健护士报告职业生活质量水平较高，但发现的研究很少，无法对职业生活质量的总体情况进行可靠评估。对高工作量的感知是对护士职业生活质量产生负面影响的最常见因素。
初级保健护士的职业生活质量是一个关键问题，因为护士与患者的护理和满意度密切相关。医疗保健组织应努力提高初级保健护士的职业生活质量，以提高他们的幸福感，进而提高患者的安全性和高质量的医疗服务。
