护士如何看待自己在医院为老年患者提供的恢复性护理和康复服务中的角色？一项定性系统评价

What Do Nurses Think of Their Role in the Hospital's Restorative Care and Rehabilitation Services for Older Patients?: A Qualitative Systematic Review.

作者信息

Adhikari Ramen, Dafny Hila Ariela, Bellis Anita De, Parry Yvonne Karen, Iyangbe Uyi Gabriel

机构信息

College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.

Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia.

出版信息

J Clin Nurs. 2025 Feb;34(2):345-381. doi: 10.1111/jocn.17585. Epub 2024 Dec 3.

DOI:10.1111/jocn.17585

PMID:39628032

Abstract

AIMS

To examine rehabilitation nurses' perspectives on their roles in caring for older patients in hospitals, emphasising how they fulfil these roles and their significance in geriatric rehabilitation (GR).

BACKGROUND

The need for rehabilitation services was rising with an aging population. Rehabilitation nurses provided evidence-based care to older patients and encouraged them to participate in their rehabilitation goals. Rehabilitation nurses were vital to recovery; their contributions needed to be appreciated and valued.

DESIGN

A qualitative systematic review.

METHODS

A systematic review was conducted using the Joanna Briggs Institute (JBI) methodology for qualitative evidence and a PROSPERO protocol CRD42023435728 published beforehand. From inception to 9 October, 2023, a comprehensive database search was developed using Medline and translated into five databases, including CINAHL, Web of Science, Scopus, ProQuest and Ageline.

RESULTS

Thirty-three studies were reviewed, identifying six key themes, including decision-making, nursing role gaps, care coordination, communication, nursing skills and gender preference.

CONCLUSION

This review examined rehabilitation nurses' experiences working with older patients in rehabilitation services. It highlighted gaps in their recognition and decision-making involvement despite being care coordinators, caregivers and advocates who were undervalued as rehabilitation team members.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The review highlighted the importance of valuing nurses' contributions and re-evaluating the rehabilitation model.

FURTHER IMPLICATIONS OF THIS STUDY

Interviewing rehabilitation nurses can validate the findings, potentially improving rehabilitation nursing practices for older patients.

REPORTING METHOD

Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).

NO PATIENT OR PUBLIC CONTRIBUTION

Not applied since it was a systematic review.

摘要

目的

探讨康复护士对其在医院照顾老年患者过程中角色的看法，重点关注他们如何履行这些角色以及在老年康复（GR）中的重要性。

背景

随着人口老龄化，对康复服务的需求不断增加。康复护士为老年患者提供循证护理，并鼓励他们参与康复目标。康复护士对康复至关重要；他们的贡献需要得到认可和重视。

设计

定性系统评价。

方法

采用乔安娜·布里格斯研究所（JBI）定性证据方法和预先发布的PROSPERO协议CRD42023435728进行系统评价。从开始到2023年10月9日，使用Medline进行全面的数据库检索，并翻译成五个数据库，包括护理学与健康领域数据库（CINAHL）、科学引文索引（Web of Science）、Scopus、ProQuest和老年学数据库（Ageline）。