7235College of Nursing, University of Saskatchewan, Saskatoon, Canada.
J Pediatr Hematol Oncol Nurs. 2022 Mar-Apr;39(2):99-113. doi: 10.1177/10434542211041939. Epub 2021 Sep 24.
Nursing presence creates meaningful and trusting relationships that facilitate healing for the patient and enhances the nurse's clinical experience. Although nursing presence has been linked to better health outcomes especially in chronic illnesses and end-of-life, little is known about its contribution in pediatric oncology. The purpose of this scoping review was to explore how nursing presence is understood and expressed in pediatric oncology. Arksey and O'Malley's (2005) framework was used to guide the review, with Clarke and Braun's (2013) thematic analysis process used for collating, summarizing, and reporting the results. Key search terms were developed for searches between January 1999 and July 2020 in CINAHL, MEDLINE, and Psych INFO databases. Initially, 4,357 studies were identified with a final sample of nine articles meeting specific inclusion and exclusion criteria. Gray literature retrieved from the search was used to inform the review. Most notably, there is a limited understanding of nursing presence in pediatric oncology setting. However, findings revealed five themes that can be identified with nursing presence: Being With or Being There, Therapeutic Relationships, Communication, Family-centered Approach, and Perceived Outcomes of Nursing Presence. Nurses in pediatric oncology are in an ideal position to provide nursing presence in order to improve the quality of care in pediatric oncology settings. There is a need to establish a comprehensive evidence-based understanding of the construct of nursing presence in pediatric oncology that health care providers can utilize to enhance their clinical practice and health research.
护理存在创造了有意义和值得信赖的关系，促进了患者的康复，并增强了护士的临床经验。尽管护理存在与更好的健康结果有关，尤其是在慢性病和临终关怀中，但人们对其在儿科肿瘤学中的贡献知之甚少。本范围综述的目的是探讨护理存在在儿科肿瘤学中的理解和表达。阿特赛和奥马利（2005）的框架被用来指导综述，克拉克和布劳恩（2013）的主题分析过程被用来整理、总结和报告结果。关键搜索词是为 1999 年 1 月至 2020 年 7 月在 CINAHL、MEDLINE 和 PsychINFO 数据库中的搜索而开发的。最初，有 4357 项研究被确定，最终有 9 篇符合具体纳入和排除标准的文章进入样本。从搜索中检索到的灰色文献被用来为综述提供信息。 最值得注意的是，人们对儿科肿瘤学环境中的护理存在的理解有限。然而，研究结果揭示了五个可以与护理存在相关的主题：陪伴或在场、治疗性关系、沟通、以家庭为中心的方法和护理存在的感知结果。儿科肿瘤学护士处于提供护理存在的理想位置，以提高儿科肿瘤学环境中的护理质量。 需要建立一个全面的、基于证据的护理存在的概念理解，以便医疗保健提供者可以利用它来增强他们的临床实践和健康研究。
