Research Group GRINCAR, Department of Health Sciences, Faculty of Nursing and Podiatry, Ferrol Industrial Campus, University of A Coruña, Ferrol, Spain.
University Hospital Complex of A Coruña, Galician Health Service (SERGAS), A Coruña, Spain.
J Clin Nurs. 2023 Jul;32(13-14):3130-3143. doi: 10.1111/jocn.16407. Epub 2022 Jun 10.
To synthesise the available body of qualitative work regarding the experiences of registered nurses and nursing students in managing emotional demands of care.
Care is the central part of nursing, and its provision is linked to interaction with patients. Comprehensive care allows emotions to be considered as an essential part of care. However, the emotional commitment that care demands poses a challenge for the nursing staff.
Noblit and Hare's interpretive meta-ethnography, which was written and reviewed for reporting clarity using the eMERGe.
A comprehensive systematic search strategy was undertaken in PubMed, CINAHL, Scopus, Web of Science and PsycINFO in January 2020. The search included terms related to the sample population, phenomenon of interest, purpose of the study and type of research. Original or mixed qualitative articles in English, Spanish and Portuguese were included if they addressed the emotional labour experiences of nurses or nursing students.
A line-of-argument synthesis based on the metaphor The link between task-focused care and care beyond technique was developed. Three themes from analogous and refutational translations of findings in the included nine papers emerged: (1) forces to get involved in care; (2) the cost of caring and (3) need to vent.
Nursing staff and students managed the emotional demands by adjusting their involvement in care. Care beyond technique is provided by nurses who have strength and motivation in themselves and in the interaction with patients to become emotionally involved in care. Task-focused care avoids emotional exposure to patient suffering due to the personal cost involved. Venting and distancing are required to emotionally reconstruct themselves and to re-engage in care.
Increased knowledge about these experiences may raise awareness of the emotional demands as part of the care process, to prevent their impact and favour their support.
综合现有关于注册护士和护理学生在管理护理情感需求方面的经验的定性研究。
护理以关怀为核心，其提供与与患者的互动相关。全面的护理将情感视为护理的重要组成部分。然而，关怀所要求的情感投入对护理人员来说是一个挑战。
诺布利特和黑尔的解释性元民族志，为了提高报告的清晰度，使用 eMERGe 进行了编写和审查。
2020 年 1 月，在 PubMed、CINAHL、Scopus、Web of Science 和 PsycINFO 中进行了全面的系统检索策略。搜索包括与样本人群、感兴趣的现象、研究目的和研究类型相关的术语。纳入了以英语、西班牙语和葡萄牙语发表的原始或混合定性文章，如果它们涉及护士或护理学生的情感劳动经验。
基于隐喻“任务为中心的护理与超越技术的关怀之间的联系”，发展了一种基于论证的综合。从纳入的九篇论文中类似和反驳的翻译结果中出现了三个主题：（1）参与护理的动力；（2）关怀的代价；（3）宣泄的需要。
护理人员和学生通过调整他们对护理的参与来管理情感需求。超越技术的护理是由那些自身有力量和动力的护士提供的，他们与患者的互动使他们能够在情感上投入到护理中。任务为中心的护理避免了因个人代价而对患者痛苦产生情感暴露。宣泄和保持距离是情感重建和重新参与护理所必需的。
增加对这些经验的了解可能会提高对关怀作为护理过程一部分的情感需求的认识，以预防其影响并为其提供支持。
