Original Article
A Meta-integration of qualitative studies on ICU nurses' real experience of palliative care
Ma Yan, Zhang Yuhan, Liang Yidan, Sha Liyan
Published 2021-04-26
Cite as Chin J Mod Nurs, 2021, 27(12): 1563-1570. DOI: 10.3760/cma.j.cn115682-20201006-05623
Abstract
ObjectiveTo carry out the Meta-integration of Intensive Care Unit (ICU) nurses' real experience of palliative care.
MethodsThe qualitative study that met the criteria in the Cochrane Library, PubMed, EMbase, Web of Science, China Biology Medicine Literature Service System, China National Knowledge Infrastructure (CNKI) , VIP and Wanfang Data were searched by computer from the establishment of the database to June 30, 2020. The quality of the included literature was evaluated using the critical appraisal checklist for qualitative researches of the Australia Joanna Briggs Institute (JBI) Evidence-based Health Center (2017 edition) . The collective integration method was used to integrate the results.
ResultsA total of 17 articles were included, involving 16 in English and 1 in Chinese. Finally, it was summarized into 11 categories, and 4 integrated results were collected, which were the complex palliative care (multiple roles of ICU nurses in palliative care, patient care, and family care) ; insufficient preparation for palliative care (lack of professional skills, communication skills and psychological preparation) ; insufficient support from palliative care organizations (inadequate psychological support, multidisciplinary team cooperation, and lack of professional palliative care service systems) ; insufficient legal support for palliative care (lack of decision-making power for palliative care, ethics and legal issues in palliative care) .
ConclusionsICU nurses lack the ability to palliative care and lack a reliable support system. Managers should pay attention to the negative experience and needs of ICU nurses for palliative care, and gradually carry out education and training to improve the level of care and the quality of life of dying patients.
Key words:
Intensive Care Units; Nurses; Palliative care; Real experience; Meta-integration
Contributor Information
Ma Yan
Nursing Department, the Second Hospital of Dalian Medical University, Dalian 116023, China
Zhang Yuhan
Nursing Department, the Second Hospital of Dalian Medical University, Dalian 116023, China
Liang Yidan
Nursing Department, the Second Hospital of Dalian Medical University, Dalian 116023, China
Sha Liyan
Nursing Department, the Second Hospital of Dalian Medical University, Dalian 116023, China
