Masterson Kate, Connolly Michael, Alexander Denise, Brenner Maria
School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
Paediatric Intensive Care Unit, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
BMJ Open. 2024 Dec 20;14(12):e082175. doi: 10.1136/bmjopen-2023-082175.
The objective was to explore how the voice of the nurse in paediatric intensive care units (PICU) is portrayed in the literature.
Scoping review using the six-step scoping review framework outlined by Arksey and O'Malley.
PubMed, Nursing (OVID), Medline (OVID), CINHAL (EBSCO), SCOPUS and Web of Science online databases. The initial search was conducted in June 2020 and was repeated in January 2023.
The review included publications in English; published since 2010 in peer-reviewed journals; papers identified nurses in the population studied and conducted in PICU.
The papers were screened by abstract and subsequently by reading the full text by two independent reviewers. The literature was imported into the software program NVivo V.12 for thematic analysis.
The scoping review identified 53 articles for inclusion. While the value of seeking the voice of the nurse has been identified explicitly in other healthcare contexts, it has only been identified indirectly in PICU. Four main themes emerged from the data: the voice of the nurse in the organisation of PICU, caring for children in PICU, as a healthcare professional, and communication in PICU.
While this literature suggests many facets of the complex role of the nurse, including partnership with families and advocating for patients, the limited literature on care delivery reduces the capacity to fully understand the voice of the nurse at key junctions of care. Further research is needed on the voice of the nurse in PICU to illuminate the barriers and enablers for nurses using their voices during decision-making.
本研究旨在探讨儿科重症监护病房（PICU）护士的声音在文献中的呈现方式。
采用Arksey和O'Malley概述的六步范围综述框架进行范围综述。
PubMed、护理学（OVID）、医学索引（OVID）、护理及健康领域数据库（CINHAL，EBSCO）、Scopus和科学引文索引在线数据库。初始检索于2020年6月进行，并于2023年1月重复进行。
综述纳入英文出版物；2010年以来发表在同行评审期刊上；论文研究对象为PICU护士且研究在PICU开展。
由两名独立评审员先通过摘要筛选论文，随后阅读全文。将文献导入NVivo V.12软件程序进行主题分析。
范围综述确定了53篇纳入文章。虽然在其他医疗环境中已明确认识到寻求护士声音的价值，但在PICU中仅间接得到确认。数据中出现了四个主要主题：PICU组织架构中护士的声音、PICU中对儿童的护理、作为医疗保健专业人员的护士以及PICU中的沟通。
虽然这些文献揭示了护士复杂角色的多个方面，包括与家庭的合作以及为患者发声，但关于护理服务的文献有限，降低了在护理关键环节充分理解护士声音的能力。需要进一步研究PICU护士的声音，以阐明护士在决策过程中发声的障碍和促进因素。
