Wang Ligang, Chen Yuan, Yu Haiyan, Wu Linjing, You Aijun, Zheng Xutong, Zhang Yunfei
Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, China.
Xiamen Hospital, Zhongshan Hospital, Fudan University, Xiamen, China.
Front Med (Lausanne). 2024 Oct 30;11:1458845. doi: 10.3389/fmed.2024.1458845. eCollection 2024.
Clinical rotation practicum provides NQNs with more opportunities to learn their professional knowledge and develop basic nursing skills. ICU is often used as one of the clinical practicum departments for NQNs. Nursing shortages have been particularly felt in ICU. Due to the characteristic fast-paced working environments, high acuity of patient care, and technical complexities of an ICU. The experience of NQNs is highly stressful and challenging in these settings, which hinders their professional development and impacts patient care.
The study aimed to systematically review and synthesis the findings of qualitative studies exploring experience of NQNs in ICU rotation, to provide a basis for enhancing the quality of clinical nursing.
Nine databases were systematically searched for relevant publications from inception until February 2024. All qualitative studies in English and Chinese that explored the experience of NQNs in ICU rotation were collected. Two independent reviewers selected the studies and used The Joanna Briggs Institute Critical Appraisal Tool to evaluate the quality of the studies. Meta-synthesis was performed to integrate the results.
A total of 13 studies revealed five descriptive themes and 14 sub-themes: ICU readiness, physical and psychological stress, positive self-perception, developing relationships, and ICU reflections.
Standardized training in ICU, the working ability of NQNs is exercised and their professional quality is improved. However, it is also adversely affected by various stressors. The appropriate guidance and monitoring should be given by hospital managers, so as to promote the development of NQNs and enhance the quality of clinical nursing.
https://www.crd.york.ac.uk/PROSPERO/, CRD42023475257.
临床轮转实习为新入职护士（NQNs）提供了更多学习专业知识和培养基本护理技能的机会。重症监护病房（ICU）常被用作新入职护士的临床实习科室之一。ICU的护理短缺问题尤为突出。由于ICU工作环境节奏快、患者护理 acuity 高以及技术复杂。在这些环境中，新入职护士的经历压力极大且充满挑战，这阻碍了他们的职业发展并影响患者护理。
本研究旨在系统回顾和综合探索新入职护士在ICU轮转经历的定性研究结果，为提高临床护理质量提供依据。
系统检索九个数据库，查找从数据库建立至2024年2月的相关出版物。收集所有探讨新入职护士在ICU轮转经历的英文和中文定性研究。两名独立评审员筛选研究并使用乔安娜·布里格斯研究所批判性评价工具评估研究质量。进行元综合以整合结果。
共13项研究揭示了五个描述性主题和14个子主题：ICU准备情况、身心压力、积极的自我认知、人际关系发展以及对ICU的反思。
通过ICU标准化培训，新入职护士的工作能力得到锻炼，专业素质得到提高。然而，它也受到各种压力源的不利影响。医院管理者应给予适当的指导和监督，以促进新入职护士的发展并提高临床护理质量。
