Department of Biomedicine and Prevention, University of Tor Vergata, Via Montpellier, 1, 00133 Rome, Italy.
Department of Nursing Professions, University Hospital of Tor Vergata, Viale Oxford, 81, 00133 Rome, Italy.
Eur J Cardiovasc Nurs. 2024 Apr 12;23(3):213-220. doi: 10.1093/eurjcn/zvad078.
This systematic review assesses the organizational well-being of nurses working in cardiovascular settings and identifies environmental variables influencing it.
The Joanna Briggs Institute's methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines have been followed. The search was conducted, from the database inception up to and including 1 December 2022, on Medline (via PubMed), Cumulative Index of Nursing and Allied Health, Cochrane Library, and Scopus. Critical appraisal and data extraction were conducted using standardized tools. Six articles of high quality were included. These mostly concerned cross-sectional studies, conducted in heterogeneous contexts, which highlight the peculiarity of the cardiovascular nursing setting. Three thematic areas were identified: stressors of cardiovascular settings; outcomes of stressors on nurses; and coping strategies used by cardiovascular nurses to deal with such stress factors. Identified stress factors included a lack of autonomy, conflicts between professional and family roles, high workloads, and stressful relationships with patients and caregivers. These organizational variables could generate nurses' burnout, depression, irritability, and/or sleep disorders. In trying to cope with such stressors, cardiovascular nurses used different strategies for compensating, avoiding, escaping, or ignoring the problem, or, in other cases, became somewhat aggressive.
Considering the limited data, cardiovascular nursing coping strategies should be further investigated, so that effective pathways for preventing or limiting stress factors can be identified and applied by the organizations. Monitoring and intervening on stress factors in this care setting could improve cardiovascular nurses' organizational well-being and accordingly patients' outcomes.
PROSPERO: CRD42022355669.
本系统评价评估了心血管环境中工作的护士的组织幸福感，并确定了影响其幸福感的环境变量。
遵循了乔安娜·布里格斯研究所的方法和系统评价和荟萃分析的首选报告项目（PRISMA）指南。从数据库创建开始，到 2022 年 12 月 1 日进行了搜索，检索了 Medline（通过 PubMed）、护理和联合健康累积索引、考科兰图书馆和 Scopus。使用标准化工具进行了批判性评价和数据提取。纳入了 6 篇高质量的文章。这些文章主要涉及横断面研究，在异质背景下进行，突出了心血管护理环境的特殊性。确定了三个主题领域：心血管环境的压力源；压力源对护士的影响；心血管护士应对这些压力因素的应对策略。确定的压力因素包括缺乏自主权、专业角色和家庭角色之间的冲突、高工作量以及与患者和护理人员的紧张关系。这些组织变量可能会导致护士出现倦怠、抑郁、易怒和/或睡眠障碍。在试图应对这些压力源时，心血管护士使用了不同的策略来补偿、避免、逃避或忽略问题，或者在其他情况下变得有些攻击性。
考虑到数据有限，应进一步研究心血管护理的应对策略，以便为组织确定和应用预防或限制压力因素的有效途径。在这种护理环境中监测和干预压力因素可以提高心血管护士的组织幸福感，并相应地改善患者的结局。
PROSPERO：CRD42022355669。
