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护理交接班对护士心理健康的影响:一项范围综述。

The influence of nursing handover on nurses' mental health: A scoping review.

作者信息

Tomás Margarida A R, Soares Marisa R, Oliveira-Lopes Joaquim M, Sousa Luís M M, Martins Vânia L D

机构信息

Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Lisboa, Portugal.

Mental Health Nursing Department, Nursing School of Lisbon (ESEL), Lisboa, Portugal.

出版信息

AIMS Public Health. 2025 Jan 15;12(1):106-123. doi: 10.3934/publichealth.2025008. eCollection 2025.

Abstract

Nursing handover is essential in clinical practice across various healthcare settings and can significantly impact nurses' mental health. This scoping review aimed to explore and map these implications using the JBI methodology and PRISMA ScR Checklist. It included 11 studies published between 1988 and 2022 from the UK, Australia, USA, South Korea, and Hong Kong, involving over 122 nurses in acute care settings. The findings reveal three major themes: source of psychological discomfort, coping resource, and peer support and cohesion. Negative emotions such as stress, anxiety, dissatisfaction, and tension are linked to handovers, particularly bedside handovers, which raise confidentiality issues and induce scrutiny among nurses. The lack of standardized training and consistent procedures also contributes to stress, especially for newly graduated and less experienced nurses. Conversely, handovers function as structured rituals providing peer support and a sense of control, helping nurses manage psychological demands. To mitigate negative impacts, implementing standardized handover procedures and comprehensive training programs for new nurses is essential. Encouraging open communication and fostering a supportive environment can enhance team cohesion and reduce stress. Future research should measure the impact of different handover practices on nurses' mental health and explore their supportive, social, protective, and restorative functions. This review highlights the critical role of nursing handovers in supporting nurses' mental health and underscores the need for standardized practices to improve the well-being of nursing professionals and the quality of patient care.

摘要

护理交接班在各类医疗环境的临床实践中至关重要,且会对护士的心理健康产生重大影响。本范围综述旨在运用JBI方法和PRISMA ScR清单来探究并梳理这些影响。该综述纳入了1988年至2022年间在英国、澳大利亚、美国、韩国和中国香港发表的11项研究,涉及122名以上在急症护理环境中的护士。研究结果揭示了三个主要主题:心理不适的来源、应对资源以及同伴支持与凝聚力。压力、焦虑、不满和紧张等负面情绪与交接班有关,尤其是床边交接班,这会引发保密问题并导致护士之间相互审视。缺乏标准化培训和一致的流程也会造成压力,对新毕业和经验不足的护士影响尤甚。相反,交接班起到结构化仪式的作用,提供同伴支持和掌控感,帮助护士应对心理需求。为减轻负面影响,为新护士实施标准化交接班流程和全面培训计划至关重要。鼓励开放沟通并营造支持性环境可增强团队凝聚力并减轻压力。未来研究应衡量不同交接班方式对护士心理健康的影响,并探究其支持、社交、保护和恢复功能。本综述强调了护理交接班在支持护士心理健康方面的关键作用,并强调了采用标准化做法以改善护理专业人员的福祉和患者护理质量的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/584f/11999807/c24d1ac3fe73/publichealth-12-01-008-g001.jpg

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