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全球医疗保健专业人员韧性的流行率:系统评价、荟萃分析和荟萃回归。

Global prevalence of resilience in health care professionals: A systematic review, meta-analysis and meta-regression.

机构信息

National University Hospital, National University Health System, Singapore.

Alexandra Hospital, National University Health System, Singapore.

出版信息

J Nurs Manag. 2022 Apr;30(3):795-816. doi: 10.1111/jonm.13558. Epub 2022 Mar 4.

Abstract

AIMS

This review aims to examine the prevalence estimate of low resilience among health care professionals and identify the factors affecting the prevalence.

BACKGROUND

Health care professionals experience high levels of stress. Understanding the health care professionals' resilience may provide an insight into how they perform in a highly stressed environment.

EVALUATION

A comprehensive search of 11 databases was conducted. Studies that provided prevalence rates for low resilience among health care professionals working in a health care setting were included. Meta-analyses, sensitivity, subgroup analyses and meta-regression were conducted.

KEY ISSUES

Among 27,720 studies, 41 studies (N = 17,073) across 16 countries were included. The prevalence of low resilience was 26% (95% CI: 20-32). Subgroup analyses indicated that types of resilience measures affect resilience prevalence significantly. A higher prevalence of low resilience was observed among allied health professions during the COVID-19 pandemic in the Middle East.

CONCLUSIONS

This review indicated the prevalence of low resilience and type of resilience measurement instruments that affected the prevalence.

IMPLICATIONS FOR NURSING MANAGEMENT

This review provides a roadmap to design tailored, discipline-specific and sustainable resilience training for nurses. Nursing managers should monitor the working hours and workload of nursing staffing in order to provide a protective working environment. This is a systematic review, and the PROSPERO registration number is CRD42021235350.

摘要

目的

本综述旨在考察医护人员低韧性的患病率,并确定影响患病率的因素。

背景

医护人员承受着较高的压力。了解医护人员的韧性,可能有助于了解他们在高度紧张的环境中如何表现。

评估

对 11 个数据库进行了全面检索。纳入了在医疗环境中工作的医护人员低韧性患病率的研究。进行了荟萃分析、敏感性分析、亚组分析和荟萃回归。

主要问题

在 27720 项研究中,有 41 项研究(N=17073 人)来自 16 个国家。低韧性的患病率为 26%(95%CI:20-32)。亚组分析表明,韧性测量类型显著影响韧性的患病率。在中东,COVID-19 大流行期间,从事辅助医疗职业的人员中,低韧性的患病率更高。

结论

本综述表明了低韧性的患病率以及影响其患病率的韧性测量类型。

对护理管理的意义

本综述为护士量身定制、具有学科特异性和可持续性的韧性培训提供了路线图。护理管理人员应监测护理人员的工作时间和工作量,以提供一个有保护作用的工作环境。这是一项系统综述,PROSPERO 注册号为 CRD42021235350。

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