Nurses′ experience and reality dilemma in advance care planning:a qualitative meta-synthesis
10.3760/cma.j.cn211501-20220925-02984
- VernacularTitle:护士进行预立医疗照护计划实践体验质性研究的Meta整合
- Author:
Xin ZHANG
1
;
Yanbo JI
;
Qiuyue ZHANG
;
Xiaomeng MA
;
Xuejing ZHANG
;
Yuchen MENG
;
Guangya WANG
;
Cuiping XU
Author Information
1. 山东第一医科大学第一附属医院（山东省千佛山医院）护理部，济南 250014
- Keywords:
Nurses;
Qualitative research;
Advance care planning;
Experience;
Meta-synthesis
- From:
Chinese Journal of Practical Nursing
2023;39(20):1594-1601
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate and integrate the qualitative research of the practical experience and practical difficulties of advance care planning (ACP), so as to provide a reference for subsequent clinical nurses to better carry out ACP.Methods:PubMed, Web of Science, Embase, Cochrane Library, CINAHL, CNKI, Wanfang, VIP, Chinese Biomedical Literature Database were collected the qualitative research on the practical experience and practical difficulties of nurses′advance care planing, and the search time was the database establishment until August 1, 2022. Literature quality evaluation was conducted by the Joanna Briggs Institute (JBI) (2016), and the results were summarized using Meta integration method.Results:A total of 13 studies were included, and 39 studies were summarized into 11 new categories, forming 4 integrated results: nurses′ cognition of ACP practice, emotional experience of nurses′ ACP practice, personal factors that hinder ACP practice, and external environmental factors that hinder ACP practice.Conclusions:In ACP practice, nurses should be actively guided to have positive cognitive and emotional experience to improve their competence in ACP practice. At the same time, government departments should be united to support, integrate hospitals, society and other forces to formulate coping strategies against obstacles, so as to promote the development and practice of ACP.
