关键词: Nurse Residency Programs meta-synthesis new nurses qualitative systematic review stress

Mesh : Adaptation, Psychological Education, Nursing, Graduate Humans Internship and Residency Qualitative Research

来  源:   DOI:10.3389/fpubh.2022.979626   PDF(Pubmed)

Abstract:
To determine the stress experience and coping styles of new nurses during Nurse Residency Programs (NRPs) by identifying, appraising, and synthesizing data from the qualitative studies.
A systematic review and meta-synthesis of qualitative studies.
Eleven databases were systematically searched for relevant publications in March 2022. All qualitative and mixed-method studies in English and Chinese that explored the stress and coping experience during NRPs of new graduate nurses were included. The qualitative meta-synthesis was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. Two independent reviewers selected the studies and assessed the quality of each study. Meta-synthesis was performed to integrate the results.
A total of 13 studies revealed 13 sub-themes and three descriptive themes: multi-dimensional stressors, somatic and emotional responses, coping resources and coping methods.
New nurses faced a lot of physical and emotional stress during NRPs, which had a negative impact on their physical and mental health. NRPs are a critical period for the career growth of new nurses. Effective management strategies must be implemented to improve nurse capacity, meet their needs, improve self-efficacy, and build organizational support, as this can improve the quality of clinical nursing and keep the enthusiasm and stability of the nursing team.
摘要:
通过识别,评估,并综合定性研究的数据。
定性研究的系统综述和荟萃综合。
2022年3月,系统地搜索了11个数据库中的相关出版物。包括所有英文和中文的定性和混合方法研究,这些研究探讨了新研究生护士NRP期间的压力和应对经验。根据系统评价和荟萃分析(PRISMA)建议的首选报告项目进行定性荟萃合成。两名独立的审查人员选择了这些研究并评估了每项研究的质量。进行荟萃合成以整合结果。
共有13项研究揭示了13个子主题和三个描述性主题:多维压力源,躯体和情绪反应,应对资源和应对方法。
新护士在NRP期间面临很多身体和情绪压力,这对他们的身心健康产生了负面影响。NRP是新护士职业成长的关键时期。必须实施有效的管理策略,以提高护士的能力,满足他们的需求,提高自我效能感,并建立组织支持,这样可以提高临床护理质量,保持护理队伍的积极性和稳定性。
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