Sheikhrabori Akbar, Peyrovi Hamid, Khankeh Hamidreza
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Nursing Care Research Centre, Department of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2022 Feb 3;36:3. doi: 10.47176/mjiri.36.3. eCollection 2022.
Resilience refers to the capacity for suitable responding to stress in achieving the objectives at the least physical and psychological costs. The present review aims to illustrate the individual and contextual features of resilience improvement in healthcare professions. A scoping review was conducted according to the PRISMA-ScR guidelines and searching the online databases as PubMed, Embase, Scopus, Web of Science, and Google Scholar from January 2014 to December 2020 using a combination of MESH and EMTREE entry terms and free keywords. The English articles, book chapters, and grey literature were included in the study. The data were recorded to an extraction form designed in Excel. The quality assessment of studies wasn't performed due to scoping review. Thematic analysis was used to synthesize the data. 5434 articles were identified via searching in the databases. 63 articles were reviewed that most of them from the USA (30 articles, 46%) and conducted as a qualitative study (32 articles, 50%). The main aspects of resilience that were extracted from the included studies were personal resilience, resilience in the emergency department, and resilience in healthcare providers. The main feature of resilience among healthcare providers was coping. Studies with more accurate methodology should investigate the situation of the healthcare providers' resilience in difficult healthcare conditions instead of the mere emphasis on providing a fixed concept for all persons without considering the system impacts.
复原力是指在以最小的身心代价实现目标的过程中，对压力做出适当反应的能力。本综述旨在阐述医疗行业中提升复原力的个体特征和背景特征。根据PRISMA-ScR指南进行了一项范围综述，并于2014年1月至2020年12月期间，使用医学主题词表（MESH）和EMTREE叙词以及自由关键词的组合，在PubMed、Embase、Scopus、Web of Science和谷歌学术等在线数据库中进行检索。纳入研究的文献包括英文文章、书籍章节和灰色文献。数据记录在Excel中设计的提取表格中。由于是范围综述，未对研究进行质量评估。采用主题分析对数据进行综合。通过数据库检索共识别出5434篇文章。对63篇文章进行了综述，其中大部分来自美国（30篇，占46%），并且是作为定性研究开展的（32篇，占50%）。从纳入研究中提取的复原力的主要方面包括个人复原力、急诊科的复原力以及医疗服务提供者的复原力。医疗服务提供者复原力的主要特征是应对。采用更精确方法的研究应调查医疗服务提供者在艰难医疗条件下的复原力状况，而不是仅仅强调为所有人提供一个固定概念而不考虑系统影响。
