重症监护室护士的基本护理经验：定性系统回顾

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care Pub Date : 2025-06-22 DOI:10.1016/j.aucc.2025.101274

Krystle Waltrovitz RN, MN , Tiffany Conroy RN, PhD, FACN , Rebecca Feo BPsych(Hons), PhD

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引用次数: 0

摘要

目的基础护理是护士以综合方式提供的以关系为基础的护理，以满足患者基本的身体、关系和社会心理需求。对重症监护室（ICU）患者和家属经历的研究报告了基本护理服务的缺陷，导致患者体验不佳和恢复欠佳。了解护士在这种情况下提供基本护理的经验可以阐明这些不良经验。本综述试图回答以下问题：“护士在ICU的基本护理服务经验是什么？”采用JBI方法进行定性系统评价。数据来源系统检索了5个电子数据库：MEDLINE、护理与联合健康累积索引（CINAHL）、APA PsycINFO、Scopus和Emcare。共检索论文5498篇。剔除重复后共筛选3750篇论文，其中25篇符合入选标准。所有这些都由两位作者独立地进行了批判性评价。结果共纳入论文25篇，受试者785人。护患关系的发展对护士提供基本护理至关重要。当护士无法发展这些关系时，他们感到无法最佳地满足患者的基本护理需求，导致护士感到沮丧和失败。护士使用了几种策略来发展关系并提供基本护理：了解患者、移情、安慰、接触、安慰、告知患者和家属并让他们参与。然而，护士也阐述了在发展关系和提供基本护理方面的挑战，包括患者特异性、护士特异性和环境因素。结论：本文综述了ICU护士在基础护理方面的经验。鉴于护士在提供基本护理时遇到挑战时所经历的负面情绪，需要研究探索如何更好地支持护士在ICU提供基本护理。确定的策略可能有助于护士利用；然而，对其可行性和有效性的研究是必要的。系统评价遵循一个先验方案，在国际前瞻性系统评价注册（PROSPERO [CRD42023428325]）中注册。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Nurses’ experiences of fundamental care delivery in the intensive care unit: A qualitative systematic review

Objectives

Fundamental care is relationship-based care delivered by nurses in an integrated manner to meet patients' essential physical, relational, and psychosocial needs. Research on patients' and families' experiences in the intensive care unit (ICU) has reported deficits in fundamental care delivery, leading to poor patient experiences and suboptimal recovery. Understanding nurses' experience of delivering fundamental care in this context can shed light on these poor experiences. This review sought to answer the following question: “What are nurses’ experiences of fundamental care delivery in the ICU?”

Review method used

A qualitative systematic review was conducted following JBI methods.

Data sources

A systematic search of five electronic databases was undertaken on January 31, 2025: MEDLINE, Cumulative Index for Nursing and Allied Health (CINAHL), APA PsycINFO, Scopus, and Emcare. A total of 5498 papers were retrieved.

Review methods

A total of 3750 papers were screened after duplicate removal, with 25 papers meeting eligibility criteria. All were independently critically appraised by two authors.

Results

Twenty-five papers representing 785 participants were included. Relationship development between nurses and patients was important for nurses to deliver fundamental care. When nurses were unable to develop these relationships, they felt unable to optimally meet patients’ fundamental care needs, resulting in nurses experiencing feelings of frustration and failure. Several strategies were utilised by nurses to develop relationships and deliver fundamental care: getting to know patients, empathy, reassurance, touch, comfort, and informing and involving patients and families. However, nurses also articulated challenges in developing relationships and delivering fundamental care, including patient-specific, nurse-specific, and contextual factors.

Conclusions

This review provides insights into nurses’ experiences of fundamental care delivery in the ICU. Given the negative emotions nurses experience when they encounter challenges in delivering fundamental care, research is required to explore ways in which nurses can be better supported to deliver fundamental care in the ICU. The identified strategies might be helpful for nurses to utilise; however, research on their feasibility and effectiveness is warranted.

Registration

The systematic review followed an a priori protocol, registered with in the International Prospective Register of Systematic Reviews (PROSPERO [CRD42023428325]).

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来源期刊

Australian Critical Care NURSING-NURSING

CiteScore

4.90

自引率

9.10%

发文量

148

审稿时长

>12 weeks

期刊介绍： Australian Critical Care is the official journal of the Australian College of Critical Care Nurses (ACCCN). It is a bi-monthly peer-reviewed journal, providing clinically relevant research, reviews and articles of interest to the critical care community. Australian Critical Care publishes peer-reviewed scholarly papers that report research findings, research-based reviews, discussion papers and commentaries which are of interest to an international readership of critical care practitioners, educators, administrators and researchers. Interprofessional articles are welcomed.