Cheraghi Rozita, Ebrahimi Hossein, Kheibar Nasrin, Sahebihagh Mohammad Hasan
Ph.D. Candidate in Nursing. Student Research Committee, Tabriz University of medical sciences, Tabriz, Iran.
Department of Psychology Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Nurs. 2023 Sep 11;22(1):310. doi: 10.1186/s12912-023-01460-0.
Change is a very complex and multifaceted phenomenon that is intertwined with the understanding of nursing practice, so, resistance to change in nursing can be considered as an important challenge. Knowing the reasons for this resistance can help in solving it in nursing. Therefore, the present study was conducted with the aim of investigating the reasons for resistance to change in nursing as an integrated review.
This integrative review was conducted using the Whittemore & Knafl method in 5 stages, including problem identification, searching the literature, evaluating primary sources, analyzing data, and presenting the results. Databases like SID, Irandoc, Magiran, Google Scholar, Web of Science, PubMed, CINAHL, and Scopus were searched using the keywords; "Resistance", "Change", "Nursing", "Resistance to Change" and their Persian equivalents in the time range of 2000 to January 2023. After applying inclusion criteria and assessing the articles using Bowling's Quality Assessment Tool, finally, 15 papers were included from 2964.
After reviewing and critically appraisal of the qualified articles, the findings were placed in three main categories including; (1) individual factors, (2) interpersonal factors, and (3) organizational factors and six subcategories.
Undoubtedly, change is an integral component in nursing care, and resistance to it is the result of a set of individual, interpersonal and organizational factors that change managers should pay special attention to in order to make changes due to the reasons of this resistance, and the development process of developing changes in the clinical field is easily possible.
变革是一个非常复杂且多层面的现象，与护理实践的理解相互交织，因此，护理中的变革阻力可被视为一项重大挑战。了解这种阻力产生的原因有助于在护理中解决它。因此，本研究旨在作为一项综合综述调查护理中变革阻力的原因。
本综合综述采用惠特莫尔和克纳夫方法分五个阶段进行，包括问题识别、文献检索、评估原始资料、分析数据和呈现结果。使用关键词“SID”“伊朗文献数据库”“Magiran”“谷歌学术”“科学网”“PubMed”“护理学与健康领域数据库”和“Scopus”等数据库，在2000年至2023年1月的时间范围内搜索“阻力”“变革”“护理”“变革阻力”及其波斯语对应词。在应用纳入标准并使用鲍林质量评估工具评估文章后，最终从2964篇文章中纳入了15篇。
在对合格文章进行审查和批判性评价后，研究结果分为三个主要类别，包括：（1）个人因素，（2）人际因素，（3）组织因素和六个子类别。
毫无疑问，变革是护理工作中不可或缺的一部分，对其的阻力是一系列个人、人际和组织因素的结果，变革管理者应特别关注这些因素，以便因应这种阻力的原因进行变革，并且在临床领域推动变革的发展过程很容易实现。
