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老年护理中心护士的临终关怀经验:一项系统综述。

Nurses' Experience With End-of-Life Care in Geriatric Centers: A Systematic Review.

作者信息

Dakka Falah Jamal

机构信息

Arbel Geriatric Center - Moria Group, Petah Tikva, Israel.

The Institute of Education and Technology, Akko, Israel.

出版信息

SAGE Open Nurs. 2025 Jan 27;11:23779608241279107. doi: 10.1177/23779608241279107. eCollection 2025 Jan-Dec.

DOI:10.1177/23779608241279107
PMID:39872374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11770697/
Abstract

BACKGROUND

Geriatric nurses provide end-of-life care based on the five pillars of aging. This systematic review assesses the emotions and feelings of geriatric nurses during end-of-life care. It considers the prevalence, triggers, and intensity of emotional responses among geriatric nurses. It also expounds on the strategies for overcoming the emotional challenges.

METHODS

The study embarked on a systematic review of literature materials on nurses' emotions and feelings. The eligibility criteria involve literature materials published in the past 5 years, peer reviews, English language, geriatric nurses, and nurses in emergency department, primary care, and intensive care unit. Three databases (Cochrane Library, PubMed, and CINAHL) and Google Scholar were used.

RESULTS

Using a PRISMA flow chart, the literature search led to the discovery of nine significant writings on the emotions and feelings of nurses attending to geriatric patients. Sample sizes in these studies varied from 6 to 126 nurses while three articles involved integrated, scoping, and literature review of published studies. The common emotions and feelings among nurses caring for elderly patients in the geriatric center are compassion fatigue, burnout, grief, and moral distress.

CONCLUSION

These emotions and feelings affect the performance of nurses. They also influence their physical and mental wellbeing. This situation calls for developing effective coping strategies to address this challenge.

摘要

背景

老年护理护士基于衰老的五大支柱提供临终关怀。本系统评价评估老年护理护士在临终关怀期间的情绪和感受。它考虑了老年护理护士情绪反应的发生率、触发因素和强度。它还阐述了克服情绪挑战的策略。

方法

该研究着手对有关护士情绪和感受的文献资料进行系统评价。纳入标准包括过去5年发表的文献资料、同行评审、英文文献、老年护理护士以及急诊科、初级保健和重症监护病房的护士。使用了三个数据库(考克兰图书馆、PubMed和CINAHL)以及谷歌学术。

结果

使用PRISMA流程图,文献检索发现了九篇关于照顾老年患者的护士情绪和感受的重要著作。这些研究中的样本量从6名护士到126名护士不等,而三篇文章涉及已发表研究的综合、范围界定和文献综述。在老年护理中心照顾老年患者的护士中,常见的情绪和感受是同情疲劳、职业倦怠、悲伤和道德困扰。

结论

这些情绪和感受会影响护士的工作表现。它们还会影响护士的身心健康。这种情况需要制定有效的应对策略来应对这一挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11770697/6bc63dd1e7d3/10.1177_23779608241279107-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11770697/f46097174817/10.1177_23779608241279107-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11770697/6bc63dd1e7d3/10.1177_23779608241279107-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11770697/f46097174817/10.1177_23779608241279107-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11770697/6bc63dd1e7d3/10.1177_23779608241279107-fig2.jpg

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Gerontologist. 2024 Aug 1;64(8). doi: 10.1093/geront/gnae065.
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J Public Health Afr. 2023 Jun 19;14(8):2685. doi: 10.4081/jphia.2023.2685. eCollection 2023 Aug 7.
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The Process of Accepting Patient Deaths among Korean Nurses: Grieving over Dying.
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Effects of a mindfulness-based interventions on stress, burnout in nurses: a systematic review and meta-analysis.基于正念的干预措施对护士压力和职业倦怠的影响:一项系统评价和荟萃分析。
Front Psychiatry. 2023 Aug 3;14:1218340. doi: 10.3389/fpsyt.2023.1218340. eCollection 2023.
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Understanding the Relationships Between Health Care Providers' Moral Distress and Patients' Quality of Death.理解医疗服务提供者的道德困境与患者死亡质量之间的关系。
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