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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.

DOI:10.1002/nop2.1880
PMID:37306178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10416028/
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/89d4/10416028/996839a767ce/NOP2-10-5937-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d4/10416028/3447cba33c9a/NOP2-10-5937-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d4/10416028/996839a767ce/NOP2-10-5937-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d4/10416028/3447cba33c9a/NOP2-10-5937-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d4/10416028/996839a767ce/NOP2-10-5937-g001.jpg

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J Nurs Manag. 2021 Sep;29(6):1565-1577. doi: 10.1111/jonm.13282. Epub 2021 Feb 26.
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Women's childbirth experiences: A content analysis from the Listening to Mothers in California survey.女性的分娩经历:来自加利福尼亚州倾听母亲调查的内容分析。
Birth. 2021 Jun;48(2):221-229. doi: 10.1111/birt.12531. Epub 2021 Feb 3.
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Association of Clinical Nursing Work Environment with Quality and Safety in Maternity Care in the United States.美国临床护理工作环境与母婴保健质量和安全的关联
MCN Am J Matern Child Nurs. 2020 Sep/Oct;45(5):265-270. doi: 10.1097/NMC.0000000000000653.
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From Vulnerability to Disclosure: A Normative Approach to Understanding Trust in Obstetric and Intrapartum Nurse-Patient Communication.从易受伤害到信息披露:一种理解产科及分娩期护患沟通中信任的规范方法。
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Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making.护患关系对护理质量和患者决策自主性的影响。
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