School of Nursing, Lanzhou University, Lanzhou, China.
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Nurs Open. 2023 Jun;10(6):3547-3560. doi: 10.1002/nop2.1651. Epub 2023 Feb 25.
To identify the challenges facing burn care nurses and burn patients' family members and to explore the relationship between the above challenges.
Whittemore and Knafl's integrative review.
Databases used for this review included Cochrane Library, Web of Science, PubMed and Embase. The original research published from January 2010 to November 2021 was selected. Studies reporting the challenges of family members or nurses of burn patients identified through extensive database search were considered for inclusion. The Mixed-Method Appraisal-Tool was applied for the evaluation of the quality of the literature. The analysis approach used was content analysis.
Of the 2746 identified studies, 17 studies were included. Key findings related to the challenges facing nurses and family members of burn patients were extracted. The themes relating to burn care nurses included ethical and religious issues, clinical issues, work-life imbalance and limited support. The themes relating to family members included family's different views on prognosis and treatment, work-life imbalance, psychological issues and lack of multifaceted support. The challenges for the formal and informal caregivers are similar and there is existence of some shared concerns. If the above challenges are not resolved, support for the burn patients may be adversely affected. Corresponding measures should be taken to overcome such challenges.
识别烧伤护理护士和烧伤患者家属面临的挑战,并探讨上述挑战之间的关系。
Whittemore 和 Knafl 的综合回顾。
本综述使用的数据库包括 Cochrane Library、Web of Science、PubMed 和 Embase。选择了 2010 年 1 月至 2021 年 11 月发表的原始研究。纳入了通过广泛数据库搜索确定的报告烧伤患者家属或护士面临挑战的研究。使用混合方法评估工具(Mixed-Method Appraisal-Tool)评估文献质量。分析方法采用内容分析。
在 2746 篇已识别的研究中,有 17 篇被纳入。提取了与烧伤护理护士和烧伤患者家属面临的挑战相关的主要发现。与烧伤护理护士相关的主题包括伦理和宗教问题、临床问题、工作-生活失衡和支持有限。与家属相关的主题包括家属对预后和治疗的不同看法、工作-生活失衡、心理问题和缺乏多方面的支持。正式和非正式照顾者面临的挑战相似,存在一些共同关注的问题。如果上述挑战得不到解决,可能会对烧伤患者的支持产生不利影响。应采取相应措施克服这些挑战。