School of Nursing, Hubei University of Chinese Medicine, Wuhan, China.
Engineering Research Center of TCM Protection Technology and New Product Development for the Older Adult, Wuhan, China.
Front Public Health. 2024 Jan 8;11:1302481. doi: 10.3389/fpubh.2023.1302481. eCollection 2023.
The aim of this study is to discern the challenges and coping experiences encountered by nursing staff in long-term care facilities in China. This will be achieved through the identification, evaluation, and qualitative synthesis of comprehensive data.
This is a qualitative meta-analysis.
The research systematically examined relevant literature sourced from six databases, concluding the search in August 2023. The inclusion criteria encompassed qualitative and mixed-methods studies in both Chinese and English, focusing on challenges faced by nursing staff in long-term care facilities and their corresponding coping strategies. The application of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework facilitated the qualitative meta-integration process. Three independent researchers meticulously screened and assessed the quality of the chosen studies. The synthesis process sought to amalgamate and structure analogous findings into novel categories through multiple readings of the original literature. These categories were subsequently distilled into comprehensive themes.
Analyzed 15 articles revealed 14 sub-themes and 4 overarching analytical themes. These encompassed Sources of Challenges such as multitasking, clinical emergencies, workplace conflict, demand exceeding resources, and occupational discrimination. Psychological impacts included suppressed emotion, compassion fatigue, and self-doubt. Practical consequences involved damaged health, imbalanced life, and occupational disappointment. Coping strategies identified were self-adjusting, feeling validation and belonging, and finding support.
Our research identified the challenges faced by nursing staff in Chinese long-term care facilities and their coping experiences. We found that most challenges could be mitigated through appropriate adjustments in managerial strategies, such as reasonable human resources planning, and providing resource support, including material, emotional, and informational support. Similarly, institutions should have offered necessary emotional and psychological support to nursing staff to overcome the negative impacts of challenges and encourage them to adopt positive coping strategies.
本研究旨在识别中国长期护理机构护理人员所面临的挑战和应对经验。这将通过综合数据的识别、评估和定性综合来实现。
这是一项定性荟萃分析。
研究系统地审查了来自六个数据库的相关文献，于 2023 年 8 月完成了搜索。纳入标准包括中文和英文的定性和混合方法研究，重点关注长期护理机构护理人员面临的挑战及其应对策略。优先报告的系统评价和荟萃分析（PRISMA）框架的应用促进了定性荟萃综合过程。三名独立研究人员仔细筛选和评估了所选研究的质量。综合过程旨在通过对原始文献的多次阅读，将类似的发现合并并构建成新的类别。这些类别随后被提炼成综合主题。
分析了 15 篇文章，揭示了 14 个副标题和 4 个总体分析主题。这些主题包括多任务处理、临床紧急情况、工作场所冲突、需求超过资源、职业歧视等挑战来源。心理影响包括情绪压抑、同情疲劳和自我怀疑。实际后果包括健康受损、生活失衡和职业失望。确定的应对策略包括自我调整、获得认可和归属感以及寻求支持。
我们的研究确定了中国长期护理机构护理人员面临的挑战和他们的应对经验。我们发现，通过合理的人力资源规划和提供物质、情感和信息支持等资源支持，大多数挑战都可以通过适当调整管理策略来缓解。同样，机构应为护理人员提供必要的情感和心理支持，以克服挑战的负面影响，并鼓励他们采取积极的应对策略。
