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军队医院护士在高原紧急救援方面的经验与培训需求:一项定性元综合研究

Experience and training needs of nurses in military hospital on emergency rescue at high altitude: a qualitative meta-synthesis.

作者信息

Zhao Ruixuan, Fang Shijie, Li Dongwen, Zhang Cheng

机构信息

North Sichuan Medical University, Nanchong, Sichuan, 637000, China.

General Hospital of Western Theater Command, Chengdu, Sichuan, 610083, China.

出版信息

BMC Nurs. 2024 Jun 3;23(1):370. doi: 10.1186/s12912-024-02029-1.

Abstract

BACKGROUND

Nurses play an important role in the treatment of war wounds on the plateau, and they face multiple challenges and a variety of needs in their caregiving process. This study aimed to systematically integrate and evaluate qualitative research data to understand the altitude emergency rescue experience and training needs of nurses in military hospitals and provide them with targeted assistance.

METHODS

We critically assessed the study using the Joanna Briggs Institute Critical Assessment Checklist for Qualitative Research. Extraction, summarization and meta-synthesis of qualitative data. Cochrane Library, PubMed, Embase, FMRS, CINAHL, PsycINFO, Chinese National Knowledge Infrastructure (CNKI), Wanfang Database (CECDB), VIP Database, and China Biomedical Database (CBM) were searched for relevant studies published from the establishment of the database to May 2023. Additionally, we conducted a manual search of the references of the identified studies. Registered on the PROSPERO database (CRD42024537104).

RESULTS

A total of 17 studies, including 428 participants, were included, and 139 research results were extracted, summarized into 10 new categories, and formed 3 meta-themes. Meta-theme 1: mental state of military nurses during deployment. Meta-theme 2: the experience of military nurses during deployment. Meta-theme 3: training needs for emergency care.

CONCLUSIONS

Emergency rescue of high-altitude war injuries is a challenging process. Leaders should pay full attention to the feelings and needs of military nurses during the first aid process and provide them with appropriate support.

摘要

背景

护士在高原战伤救治中发挥着重要作用,且在护理过程中面临多重挑战与多样需求。本研究旨在系统整合与评估质性研究数据,以了解军队医院护士的高原应急救援经历及培训需求,并为其提供针对性援助。

方法

我们使用乔安娜·布里格斯循证卫生保健中心质性研究严格评价清单对研究进行严格评价。对质性数据进行提取、总结与元整合。检索Cochrane图书馆、PubMed、Embase、FMRS、CINAHL、PsycINFO、中国知网(CNKI)、万方数据库(CECDB)、维普数据库和中国生物医学文献数据库(CBM),查找从各数据库建库至2023年5月发表的相关研究。此外,我们还对纳入研究的参考文献进行了手工检索。在PROSPERO数据库(CRD42024537104)上进行了注册。

结果

共纳入17项研究,包括428名参与者,提取139项研究结果,总结为10个新类别,形成3个元主题。元主题1:军队护士执行任务期间的心理状态。元主题2:军队护士执行任务期间的经历。元主题3:急救护理培训需求。

结论

高原战伤应急救援是一个具有挑战性的过程。领导者应充分关注军队护士在急救过程中的感受和需求,并为其提供适当支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/643b/11145869/c1c3171b94a6/12912_2024_2029_Fig1_HTML.jpg

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