Shen Yuting, Xu Hui, Zou Yinghui, He Lin
School of Nursing, China Medical University, Shenyang, China.
School of Nursing, China Medical University, Cancer Hospital of China Medical University, Shenyang, China
BMJ Open. 2025 Jul 3;15(7):e094013. doi: 10.1136/bmjopen-2024-094013.
In the intensive care unit (ICU), palliative care encounters obstacles such as decision conflicts, psychological stress and cultural differences among patients, families and healthcare providers. The well-being and the care quality of patients are influenced by these factors. The highly technical and curative-focused environment of the ICU presents a challenge for palliative care without appropriate integration. Certainly, it is imperative to comprehend these issues and devise strategies to reconcile curative and palliative needs. This paper employs qualitative metaintegration to appraise the experiences and perspectives of palliative care in the ICU, emphasising its outcomes, barriers and the necessity of balanced care and treatment.
This study conducted a comprehensive search of both the published and unpublished literature (such as grey literature) from a variety of databases, concerning PubMed, Google Scholar, Cochrane Library, CINAHL, Web of Science, Embase, Scopus, PsycINFO, CNKI, Wanfang, CBM and VIP, up to 10 July 2024. The articles will be retrieved and incorporated into EndNote X9 to facilitate organisation. Two independent researchers will evaluate the studies using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research, and a third researcher will resolve all discrepancies. Data extraction and results synthesis will be performed independently based on the JBI qualitative data extraction tool. Finally, the ConQual method will be employed to estimate the calibre of the compiled results.
The systematic review was conducted without the necessity of obtaining ethical clearance from a research committee, as it analysed previously published studies that did not contain any personal identifying information of participants. The review's findings were presented to key stakeholders and submitted for consideration in peer-reviewed journals.
CRD42024571594.
在重症监护病房（ICU），姑息治疗面临着诸多障碍，如决策冲突、心理压力以及患者、家属和医护人员之间的文化差异。这些因素会影响患者的福祉和护理质量。ICU高度技术化且以治疗为重点的环境，若没有适当整合，会给姑息治疗带来挑战。当然，理解这些问题并制定策略来协调治疗和姑息需求至关重要。本文采用定性元整合方法来评估ICU中姑息治疗的经验和观点，强调其结果、障碍以及平衡护理和治疗的必要性。
本研究对各种数据库（包括PubMed、谷歌学术、考科蓝图书馆、CINAHL、科学网、Embase、Scopus、PsycINFO、中国知网、万方、中国生物医学文献数据库和维普）截至2024年7月10日的已发表和未发表文献（如灰色文献）进行了全面检索。文章将被检索并纳入EndNote X9以便整理。两名独立研究人员将使用乔安娜·布里格斯研究所（JBI）定性研究批判性评价清单对研究进行评估，第三名研究人员将解决所有分歧。数据提取和结果综合将基于JBI定性数据提取工具独立进行。最后，将采用ConQual方法评估综合结果的质量。
由于本系统评价分析的是先前发表的不包含任何参与者个人身份信息的研究，因此无需获得研究委员会的伦理批准。该评价的结果已提交给关键利益相关者，并提交至同行评审期刊供审议。
PROSPERO注册号：CRD42024571594。
