PDF(Pubmed)
Abstract：
BACKGROUND: Change is a very complex and multifaceted phenomenon that is intertwined with the understanding of nursing practice, so, resistance to change in nursing can be considered as an important challenge. Knowing the reasons for this resistance can help in solving it in nursing. Therefore, the present study was conducted with the aim of investigating the reasons for resistance to change in nursing as an integrated review.
METHODS: This integrative review was conducted using the Whittemore & Knafl method in 5 stages, including problem identification, searching the literature, evaluating primary sources, analyzing data, and presenting the results. Databases like SID, Irandoc, Magiran, Google Scholar, Web of Science, PubMed, CINAHL, and Scopus were searched using the keywords; \"Resistance\", \"Change\", \"Nursing\", \"Resistance to Change\" and their Persian equivalents in the time range of 2000 to January 2023. After applying inclusion criteria and assessing the articles using Bowling\'s Quality Assessment Tool, finally, 15 papers were included from 2964.
RESULTS: After reviewing and critically appraisal of the qualified articles, the findings were placed in three main categories including; (1) individual factors, (2) interpersonal factors, and (3) organizational factors and six subcategories.
CONCLUSIONS: Undoubtedly, change is an integral component in nursing care, and resistance to it is the result of a set of individual, interpersonal and organizational factors that change managers should pay special attention to in order to make changes due to the reasons of this resistance, and the development process of developing changes in the clinical field is easily possible.
METHODS: This integrative review was conducted using the Whittemore & Knafl method in 5 stages, including problem identification, searching the literature, evaluating primary sources, analyzing data, and presenting the results. Databases like SID, Irandoc, Magiran, Google Scholar, Web of Science, PubMed, CINAHL, and Scopus were searched using the keywords; \"Resistance\", \"Change\", \"Nursing\", \"Resistance to Change\" and their Persian equivalents in the time range of 2000 to January 2023. After applying inclusion criteria and assessing the articles using Bowling\'s Quality Assessment Tool, finally, 15 papers were included from 2964.
RESULTS: After reviewing and critically appraisal of the qualified articles, the findings were placed in three main categories including; (1) individual factors, (2) interpersonal factors, and (3) organizational factors and six subcategories.
CONCLUSIONS: Undoubtedly, change is an integral component in nursing care, and resistance to it is the result of a set of individual, interpersonal and organizational factors that change managers should pay special attention to in order to make changes due to the reasons of this resistance, and the development process of developing changes in the clinical field is easily possible.
摘要：
背景：变化是一种非常复杂和多方面的现象，与对护理实践的理解交织在一起，所以,对护理变化的抵制可以被认为是一个重要的挑战。了解这种抵抗的原因可以帮助解决护理问题。因此,进行本研究的目的是调查对护理变化的抵抗的原因，作为综合综述。
方法：本综合综述使用Whittemore&Knafl方法分5个阶段进行，包括问题识别，搜索文献，评估主要来源，分析数据,并呈现结果。像SID这样的数据库，伊朗医生,马吉兰,谷歌学者，WebofScience,PubMed,CINAHL,和Scopus使用关键字进行搜索；\“阻力\”，\"更改\",“护理”，“抵抗变革”及其在2000年至2023年1月的时间范围内的波斯等价物。在应用纳入标准并使用保龄球质量评估工具评估文章后，最后,从2964年开始，共有15篇论文。
结果：在对合格文章进行审查和批判性评估之后，调查结果分为三大类，包括：(1)个体因素，(2)人际关系因素,(3)组织因素和六个子类别。
结论：毫无疑问，变化是护理中不可或缺的组成部分，对它的抵制是一组个体的结果，由于这种阻力的原因，改变管理者应该特别注意的人际和组织因素，以便进行改变。在临床领域发展变化的发展过程很容易实现。
方法：本综合综述使用Whittemore&Knafl方法分5个阶段进行，包括问题识别，搜索文献，评估主要来源，分析数据,并呈现结果。像SID这样的数据库，伊朗医生,马吉兰,谷歌学者，WebofScience,PubMed,CINAHL,和Scopus使用关键字进行搜索；\“阻力\”，\"更改\",“护理”，“抵抗变革”及其在2000年至2023年1月的时间范围内的波斯等价物。在应用纳入标准并使用保龄球质量评估工具评估文章后，最后,从2964年开始，共有15篇论文。
结果：在对合格文章进行审查和批判性评估之后，调查结果分为三大类，包括：(1)个体因素，(2)人际关系因素,(3)组织因素和六个子类别。
结论：毫无疑问，变化是护理中不可或缺的组成部分，对它的抵制是一组个体的结果，由于这种阻力的原因，改变管理者应该特别注意的人际和组织因素，以便进行改变。在临床领域发展变化的发展过程很容易实现。
