The experience of medical staff participating in remote home palliative care:a qualitative Meta-synthesis
10.3761/j.issn.0254-1769.2024.15.016
- VernacularTitle:医护人员参与远程居家安宁疗护体验质性研究的Meta整合
- Author:
Yanan XU
1
;
Ling YUAN
;
Ligui WU
;
Yahui LIU
;
Yubiao KANG
Author Information
1. 210008 南京市 南京大学医学院附属鼓楼医院肿瘤科
- Keywords:
Palliative Care;
Telenursing;
Qualitative Research;
Meta-Synthesis;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2024;59(15):1900-1907
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically integrate the experience of medical staff participating in remote home palliative care,and to provide a reference for further promoting the development of remote home palliative care and improving the service quality in China.Methods PubMed,Web of Science,CINAHL,Cochrane Library,Embase,CNKI,Wanfang Database,VIP Database,and Chinese Biomedical Literature Database were searched to collect qualitative studies on the experience of medical staff participating in remote home palliative care,and the search time was from inception to November 2023.The quality of the included literature was evaluated according to the 2016 edition of the Qualitative Research Quality Evaluation Criteria of the Joanna Briggs Institute for Evidence-Based Health Care in Australia,and the results were summarized by meta-synthesis method.Results A total of 11 studies were included,and 40 research results were extracted,and 11 categories were formed,which were summarized into 3 integrated results.① Medical staff perceived the benefits of participating in remote home palliative care:improving the efficiency of medical services,breaking through the limitations of time and space,enhancing job satisfaction,and improving the continuity of palliative care.②Medical staff recognized the challenges of participating in remote home palliative care:poor stability of remote working environment,complex equipment operation,insufficient theoretical knowledge and professional skills,inability to meet the special care needs of patients,and difficulty in defining service time.③Medical staff believe that remote home palliative care services need to be improved:pay attention to the importance of family participation,use remote palliative care as an auxiliary method,and pay attention to establishing a doctor-patient trust relationship.Conclusion There are many benefits and challenges for medical staff to participate in remote home palliative care,and hospital managers should provide multi-faceted support for medical staff,strengthen the construction of remote home palliative care team,establish an online and offline linkage mechanism,and continuously improve the quality of remote home palliative care in China.
