Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nurse Educ Today. 2022 May;112:105332. doi: 10.1016/j.nedt.2022.105332. Epub 2022 Mar 18.
End-of-Life care and experiencing death of infants, children, and teenagers remain one of the most difficult and traumatic events for nurses and nursing students, potentially leading to personal and professional distress. Although efforts have been made to alleviate stressors in these settings, improvements remain slow. Understanding nurses and nursing students' experiences of pediatric End-of-Life care and death in multiple care settings may direct interventions to better support quality of care and healthcare professionals in these areas.
This review aimed to qualitatively synthesize existing literature to examine the nurses and nursing students' experiences of providing End-of-Life care to children and the death of pediatric patients.
The qualitative systematic review was conducted using Sandelowski and Barroso's guidelines. The included studies were appraised using the Critical Appraisal Skill Program.
This qualitative systematic review was registered with the International Prospective Register of Systematic Reviews. Six electronic databases (Cumulative Index of Nursing and Allied Health Literature, PubMed, Embase, PsychINFO, Scopus, and Mednar) were searched from the database inception date through May 2021.
Thirty articles were included to form three key themes: (1) Emotional impact of pediatric End-of-Life care and death, (2) Perspective of delivering optimal care: What works and what does not, and (3) The complex role of nurses in pediatric End-of-Life care. Overall, the findings suggested that in an emotionally taxing environment, clinical and emotional support were paramount. Furthermore, there is a need to examine nurses' role in End-of-Life decision making and provide more discussion on professional boundaries.
This review offered nurses' and nursing students' perceptions of pediatric End-of Life care and death in the nursing profession. Findings can provide useful insights towards the planning of educational programs and institutional changes that supports nurses and nursing students in these settings.
对护士和护理学生来说，临终关怀和儿童、青少年的死亡仍然是最困难和最具创伤性的事件之一，这可能导致个人和职业困扰。尽管已经努力减轻这些环境中的压力源，但进展仍然缓慢。了解护士和护理学生在多种护理环境中提供儿童临终关怀和死亡的体验，可能会指导干预措施，以更好地支持这些领域的护理质量和医护人员。
本综述旨在定性综合现有文献，以检查护士和护理学生为儿童提供临终关怀和儿科患者死亡的体验。
使用桑德洛斯基和巴罗索的指南进行定性系统综述。使用批判性评价技能计划对纳入的研究进行评价。
本定性系统综述在国际前瞻性系统评价注册库中进行了注册。从数据库创建日期开始，通过 2021 年 5 月，在六个电子数据库（护理与相关健康文献累积索引、PubMed、Embase、心理信息、Scopus 和 Mednar）中进行了搜索。
有 30 篇文章被纳入，形成了三个关键主题：（1）儿科临终关怀和死亡的情绪影响；（2）提供最佳护理的观点：什么有效，什么无效；（3）护士在儿科临终关怀中的复杂角色。总体而言，研究结果表明，在一个情绪紧张的环境中，临床和情感支持至关重要。此外，需要检查护士在临终决策中的角色，并更多地讨论专业界限。
本综述提供了护士和护理学生对护理专业中儿童临终关怀和死亡的看法。研究结果可以为规划教育计划和机构变革提供有用的见解，以支持这些环境中的护士和护理学生。
