School of Nursing, Trinity Western University, 22500 University Drive, Langley, British Columbia V2Y 1Y1, Canada.
Norma Marion Alloway Library, Trinity Western University, 22500 University Drive, Langley, British Columbia V2Y 1Y1, Canada.
J Pediatr Nurs. 2024 Sep-Oct;78:e1-e30. doi: 10.1016/j.pedn.2024.05.030. Epub 2024 Jul 31.
Trust is central to the development of nurse-patient relationships. Pediatric nurses encounter difficulties developing trust with children and their caregivers. The purpose of this scoping review was to identify, examine, and summarize available evidence on the concept of trust among nurses and children/caregivers when admitted to hospital inpatient care units.
Using the Joanna Briggs Institute (JBI) methodology for conducing and reporting scoping reviews, CINAHL, MEDLINE, PsycINFO, Cochrane DSR, Cochrane Central, and JBI EBP were searched for qualitative, quantitative, mixed methods, and review studies with no time limits published in English. Included studies presented findings on the experiences of developing trust between pediatric nurses and children under 18 years of age and their caregivers within inpatient care units.
A total of 12,269 titles and abstracts were reviewed independently by two reviewers. 366 full-text articles were retrieved, a final of 81 studies were included in the review.
Trust was bi-directional between nurses and children/caregivers, developed over time during multiple interactions, and foundational to the development of relationships. Distinct facilitators and barriers to the development of trust between nurses and children/caregivers were identified. The development of trust was rewarding and enriching for both nurses and children/caregivers and was the fundamental to the provision of safe and high-quality nursing care.
Findings provide nurses with direction and strategies on how to develop and maintain trust with children/caregivers on inpatient care units. The development of training programs and interventions geared at equipping nurses with the skills to develop trust with children/caregivers is needed.
信任是建立护患关系的核心。儿科护士在与儿童及其照顾者建立信任方面遇到困难。本综述的目的是确定、检查和总结在儿科护士和住院患儿及其照顾者之间建立信任的概念的现有证据。
使用乔安娜布里格斯研究所（JBI）的方法进行和报告范围综述，对 CINAHL、MEDLINE、PsycINFO、Cochrane DSR、Cochrane 中心和 JBI EBP 进行了检索，检索时间不限，检索内容为定性、定量、混合方法和综述研究，这些研究均以英文发表。纳入的研究报告了儿科护士与 18 岁以下儿童及其在住院病房内的照顾者之间建立信任的经验。
两名审查员独立审查了 12269 个标题和摘要。检索到 366 篇全文文章，最终有 81 项研究纳入综述。
信任是护士和儿童/照顾者之间的双向关系，在多次互动中随着时间的推移而发展，是建立关系的基础。确定了护士与儿童/照顾者之间建立信任的独特促进因素和障碍。信任的发展对护士和儿童/照顾者来说都是有益和丰富的，是提供安全和高质量护理的基础。
研究结果为护士提供了在住院病房与儿童/照顾者建立和维持信任的方向和策略。需要开发和实施培训计划和干预措施，使护士具备与儿童/照顾者建立信任的技能。
