Bay Bryan Rui Ze, Chua Joelle Yan Xin, Shorey Shefaly
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Nurs Health Sci. 2025 Mar;27(1):e70044. doi: 10.1111/nhs.70044.
Nurses are susceptible to burnout, making it crucial for them to engage in self-care. This review consolidated the experiences of nurses regarding self-care. Seven electronic databases were searched from inception till October 2024: PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus, and ProQuest Dissertations and Theses Global. The enhancing transparency in reporting the synthesis of qualitative research statements and Sandelowski and Barroso's guidelines guided this review. Quality appraisal of included studies was conducted using the Critical Appraisal Skills Program tool. Data were thematically synthesized. Confidence in review findings was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation-Confidence in the Evidence from Reviews of Qualitative research approach. Three main themes were identified from the 24 included studies: (1) Being a nurse: An occupational hazard towards self-care, (2) Catalyst towards self-care, and (3) Call to action. Nurses' poor engagement in self-care practices were due to work-related challenges (e.g., working hours), poor self-care awareness, and negative influence from their colleagues and leaders. Conversely, nurses were motivated to engage in self-care when they received encouragement from their peers and leaders.
护士容易出现职业倦怠，因此进行自我护理对他们至关重要。本综述整合了护士在自我护理方面的经历。从数据库创建到2024年10月，检索了七个电子数据库：PubMed、Embase、CINAHL、PsycINFO、Web of Science、Scopus和ProQuest Dissertations and Theses Global。本综述以提高定性研究综合报告的透明度声明以及桑德洛斯基和巴罗斯的指南为指导。使用批判性评估技能计划工具对纳入研究进行质量评估。对数据进行了主题综合。使用推荐分级评估、发展和评价——定性研究综述证据的置信度方法评估对综述结果的信心。从24项纳入研究中确定了三个主要主题：（1）作为护士：自我护理的职业危害，（2）自我护理的催化剂，（3）行动呼吁。护士自我护理实践参与度低的原因包括与工作相关的挑战（如工作时间）、自我护理意识差以及同事和领导的负面影响。相反，当护士得到同事和领导的鼓励时，他们就会有动力进行自我护理。
