Experience of terminal care of nurses in Neonatal and Pediatric Intensive Care Units: a Meta-synthesis
10.3760/cma.j.cn115682-20220508-02230
- VernacularTitle:新生儿和儿童重症监护室护士临终照护体验的Meta整合
- Author:
Mengfei MA
1
;
Weixiao LIU
;
Ranran DING
;
Xin LI
;
Yongle ZHAO
;
Zhaoxia YANG
Author Information
1. 山东第一医科大学第二附属医院重症医学科，泰安 271000
- Keywords:
Nurses;
Intensive Care Units, Neonatal;
Intensive Care Units, Pediatric;
Terminal care;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2023;29(12):1634-1639
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To integrate the experience of terminal care of nurses in Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU) .Methods:Qualitative and mixed studies related to the terminal care by neonatal and pediatric nurses were systematically searched on the Cochrane Library, the Australia Joanna Briggs Institute Evidence-based Health Care Center Database, PubMed, EBSCO, Web of Science, CINAHL, China National Knowledge Infrastructure, WanFang Data, VIP and the China Biomedical Medicine Database. The search time limit was from the establishment of the database to May 2022. The article quality was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center (2016). Meta-synthesis was performed using the aggregation integration method.Results:A total of 9 articles were included. A total of 32 research results were extracted and summarized into 7 categories, forming 3 integrated results, including the ethical dilemmas and complex care experiences of nurses in NICU and PICU during the implementation of palliative care, the attitudes and coping strategies of neonatal and pediatric nurses in responding to death events, the realistic dilemmas and needs of nurses in NICU and PICU during terminal care.Conclusions:Terminal care in NICU and PICU requires multiple efforts. Hospital managers should pay attention to the emotional burden of nurses during terminal care, and enhance their positive coping ability, and focus on improving the terminal care environment and resources in NICU and PICU to provide high-quality terminal care services for children.
