Bishaw Suzanne, Coyne Elisabeth, Halkett Georgia Kb, Bloomer Melissa J
School of Nursing and Midwifery, Griffith University, Logan, Queensland, Australia.
School of Nursing, Curtin University, Perth, Western Australia, Australia.
Palliat Med. 2024 Dec;38(10):1105-1120. doi: 10.1177/02692163241277380. Epub 2024 Sep 10.
Nurse-patient relationships are an integral component of person-centred palliative care. Greater understanding of how nurse-patient relationships are fostered and perceived by patients and nurses can be used to inform nursing practice.
To systematically identify and synthesise how nurse-patient relationships are fostered in specialist inpatient palliative care settings, and how nurse-patient relationships were perceived by patients and nurses.
Integrative review with narrative synthesis. The review protocol was registered with PROSPERO (CRD42022336148, updated April, 2023).
Five electronic databases (PubMed, CINAHL Complete, Medline, Web of Science and PsycINFO) were searched for articles published from their inception to December 2023. Studies were included if they (i) examined nurse and/or patient perspectives and experiences of nurse-patient relationships in specialist inpatient palliative care, (ii) were published in English in a (iii) peer-reviewed journal. The Mixed Methods Appraisal Tool was used to evaluate study quality. Data were synthesised using narrative synthesis.
Thirty-four papers from 31 studies were included in this review. Studies were mostly qualitative and were of high methodological quality. Four themes were identified: (a) creating connections; (b) fostering meaningful patient engagement; (c) negotiating choices and (d) building trust.
Nurses and patients are invested in the nurse-patient relationship, benefitting when it is positive, therapeutic and both parties are valued partners in the care. Key elements of fostering the nurse-patient relationship in palliative care were revealed, however, the dominance of the nurses' perspectives signifies that the nature and impact of these relationships may not be well understood.
护患关系是以患者为中心的姑息治疗的一个重要组成部分。深入了解护患关系如何在患者和护士之间建立以及被他们所感知，有助于为护理实践提供信息。
系统地识别和综合在专科住院姑息治疗环境中护患关系是如何建立的，以及患者和护士如何看待护患关系。
采用叙述性综合的整合性综述。该综述方案已在PROSPERO（CRD42022336148，2023年4月更新）注册。
检索了五个电子数据库（PubMed、CINAHL Complete、Medline、Web of Science和PsycINFO）中从建库至2023年12月发表的文章。纳入的研究需满足以下条件：（i）研究专科住院姑息治疗中护士和/或患者对护患关系的看法和经历；（ii）以英文发表在（iii）同行评审期刊上。使用混合方法评估工具来评估研究质量。采用叙述性综合法对数据进行综合分析。
本综述纳入了31项研究中的34篇论文。研究大多为定性研究，方法学质量较高。确定了四个主题：（a）建立联系；（b）促进患者有意义的参与；（c）协商选择；（d）建立信任。
护士和患者都重视护患关系，当这种关系积极、具有治疗作用且双方都是护理中的重要伙伴时，双方都会从中受益。揭示了姑息治疗中建立护患关系的关键要素，然而，护士观点的主导表明这些关系的性质和影响可能并未得到充分理解。
