Rahnama Mozhgan, Abdollahimohammad Abdolghani, Asadi-Bidmeshki Elaheh, Shahdadi Hossein
Department of Nursing, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.
Omega (Westport). 2023 Oct 14:302228231206513. doi: 10.1177/00302228231206513.
Nurses play an important role in caring for dying patients. The ability to face a dying patient is a vital necessity and skill for nurses. Nurses' experiences in dealing with dying patients help to identify the factors affecting nursing care. Therefore, this meta-synthesis explains nurses caring experiences for dying patients. In this meta-synthesis review, English qualitative articles related to nurses' caring experiences with dying patients that were published in Google Scholar, PubMed, Web of Science, Scopus, and CINAHL databases were selected. The results presented in 4 themes and 4 sub-themes, including (i) dual parallel nursing care (patient care and family care), (ii) conflict between nurses' beliefs and care duties, (iii) care reflections on the nurse (positive and negative care reflection, and (iv) coping strategies of nurses. This study shows that nurses provide diverse care to dying patients and their families, which has had positive and negative reflections on their personal and professional lives. Nurses sometimes had a conflict with their beliefs and treatment protocols, which hesitate to perform the treatment. Although nurses use various coping strategies when caring for dying patients and their families, they need more strategies to cope with multi-faceted physical, mental, spiritual, educational, and management issues.
护士在照顾临终患者方面发挥着重要作用。面对临终患者的能力是护士至关重要的必备条件和技能。护士在处理临终患者方面的经验有助于确定影响护理的因素。因此，本次元综合分析阐述了护士对临终患者的护理经验。在本次元综合分析综述中，选取了在谷歌学术、PubMed、科学网、Scopus和CINAHL数据库中发表的与护士对临终患者的护理经验相关的英文质性文章。结果呈现为4个主题和4个子主题，包括：（i）双重并行护理（患者护理和家属护理），（ii）护士信念与护理职责之间的冲突，（iii）护士的护理反思（积极和消极护理反思），以及（iv）护士的应对策略。本研究表明，护士为临终患者及其家属提供了多样化的护理，这对他们的个人生活和职业生涯产生了积极和消极的影响。护士有时会在信念和治疗方案上产生冲突，从而对执行治疗犹豫不决。尽管护士在照顾临终患者及其家属时会采用各种应对策略，但他们需要更多策略来应对多方面的身体、心理、精神、教育和管理问题。
