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以家庭为中心的护理实践在分娩环境中对妇女及其家庭的影响:一项定性系统评价。

Family centered nursing practices towards women and their families in the birthing context: A qualitative systematic review.

机构信息

Centre for Studies and Research on Family Intervention (CERIF), Department of Nursing Science, Université du Québec en Outaouais, Gatineau, Quebec, Canada.

Centre for Studies and Research on Family Intervention (CERIF), Research Group on Fatherhood, Family and Society, Department of Nursing Science, Université du Québec en Outaouais, Gatineau, Quebec, Canada.

出版信息

Nurs Open. 2023 Sep;10(9):5937-5949. doi: 10.1002/nop2.1880. Epub 2023 Jun 12.

Abstract

AIM

Synthesize qualitative evidence examining how nurses' attitudes, beliefs, and sense of efficacy and the context surrounding birth facilitate or hinder family-centered nursing practice.

DESIGN

Thematic synthesis of qualitative studies.

METHODS

A literature search was conducted in CINAHL, MEDLINE, PsycINFO, SCOPUS, SCIENCE DIRECT, REPÈRES, CAIRN, and ÉRUDIT from October 2020 to June 2021. The PRISMA guidelines were followed, and studies were critically appraised using the Critical Appraisal Skills Programme checklist. Data were extracted by two independent reviewers, and Thomas and Harden's qualitative thematic synthesis method was performed for data analysis.

RESULTS

Thirteen studies were included. Three analytical themes were generated: (1) sharing power: opposing beliefs, (2) feeling a sense of efficacy in fulfilling one's role, and (3) managing a challenging work environment.

PATIENT OR PUBLIC CONTRIBUTION

Synthesizing nurses' experience is essential to promote implementation of favourable changes for care that is more focused on the needs of families.

摘要

目的

综合定性证据,探讨护士的态度、信念、效能感以及围绕分娩的环境如何促进或阻碍以家庭为中心的护理实践。

设计

定性研究的主题综合。

方法

2020 年 10 月至 2021 年 6 月,在 CINAHL、MEDLINE、PsycINFO、SCOPUS、SCIENCE DIRECT、REPÈRES、CAIRN 和 ÉRUDIT 中进行文献检索。遵循 PRISMA 指南,并使用批判性评估技能计划清单对研究进行批判性评估。数据由两名独立评审员提取,采用托马斯和哈登的定性主题综合方法进行数据分析。

结果

共纳入 13 项研究。生成了三个分析主题:(1)分享权力:对立的信念,(2)在履行角色时感到效能感,(3)管理具有挑战性的工作环境。

患者或公众贡献

综合护士的经验对于促进实施更关注家庭需求的有利护理变革至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d4/10416028/3447cba33c9a/NOP2-10-5937-g002.jpg

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