Yang Hanlin, Ji Jianlin, Zeng Chengxi, Yang Liling, Tang Ping, Jiang Yan, Lu Qunfeng
Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Jiao Tong University, School of Nursing, Shanghai, China.
J Adv Nurs. 2025 Apr;81(4):1755-1774. doi: 10.1111/jan.16692. Epub 2024 Dec 27.
Transitions from the intensive care unit (ICU) to the general ward cause great impairment of physical and psychosocial functioning in children and their parents. Better understanding of parental experiences during children's ICU-to-ward transitions is required to inform the development of ICU transitional care.
To examine the parental experiences during their children's ICU-to-ward transitions through the synthesis of original qualitative studies.
This study follows the preferred reporting items for systematic reviews and meta-analyses (PRISMA) and the enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) statements, uses Thomas and Harden's thematic synthesis framework rooted in a critical realist philosophy to present qualitative meta-synthesis.
We conducted a systematic review in June 2024 and searched nine electronic databases including Pubmed, Embase, CINAHL, PsycINFO, Cochrane Library, Sinomed, CNKI, Wanfang and VIP. Eligible studies contained parents quotes about their children's ICU-to-ward transitions and published in either English or Chinese since 2005.
Systematic searches yielded 2825 identified studies. Two reviewers screened titles, abstracts and full text and reached consensus through critical discussion with a third reviewer. Eighteen studies were finally agreed for inclusion. Data were extracted into a Microsoft Excel spreadsheet and synthesised through line-by-line coding of relevant quotes with the help of NVivo.
The qualitative synthesis resulted in four descriptive themes followed later by two analytical themes. Specifically, these were (1) the nature of the parental experience during ICU-to-ward transition (challenging but responded proactively) and (2) factors involved in the ICU-to-ward transition (both facilitators and barriers).
This study indicates the nature of parental experiences and factors involved during the critically ill child's ICU-to-ward transition. Healthcare providers serve as the primary support network for parents and should collaborate closely with them to facilitate a smooth transition by providing tailored support.
This is a meta-synthesis of previously published qualitative studies.
We have registered in the PROSPERO and the number is CRD42023422055.
从重症监护病房（ICU）转到普通病房会对儿童及其父母的身体和心理社会功能造成极大损害。为了为ICU过渡护理的发展提供信息，需要更好地了解儿童从ICU转到普通病房期间父母的经历。
通过综合原始定性研究来考察儿童从ICU转到普通病房期间父母的经历。
本研究遵循系统评价和荟萃分析的首选报告项目（PRISMA）以及定性研究综合报告中的增强透明度（ENTREQ）声明，采用基于批判现实主义哲学的托马斯和哈登主题综合框架来呈现定性元综合。
我们在2024年6月进行了一项系统评价，并检索了九个电子数据库，包括PubMed、Embase、CINAHL、PsycINFO、Cochrane图书馆、中国生物医学文献数据库、中国知网、万方和维普。符合条件的研究包含自2005年以来以英文或中文发表的父母关于其子女从ICU转到普通病房的引述。
系统检索产生了2825项已识别的研究。两名评审员筛选标题、摘要和全文，并通过与第三名评审员进行批判性讨论达成共识。最终有18项研究被同意纳入。数据被提取到Microsoft Excel电子表格中，并在NVivo的帮助下通过对相关引述进行逐行编码进行综合。
定性综合产生了四个描述性主题，随后是两个分析性主题。具体而言，这些主题是：（1）从ICU转到普通病房期间父母经历的性质（具有挑战性但积极应对）以及（2）从ICU转到普通病房所涉及的因素（促进因素和障碍）。
本研究表明了重症患儿从ICU转到普通病房期间父母经历的性质和所涉及的因素。医疗保健提供者是父母的主要支持网络，应与他们密切合作，通过提供量身定制的支持来促进顺利过渡。
这是对先前发表的定性研究的元综合。
我们已在PROSPERO注册，注册号为CRD42023422055。
