■护患关系是以人为中心的姑息治疗的一个组成部分。对患者和护士如何培养和感知护患关系的更多了解可用于指导护理实践。
■为了系统地识别和综合在专科住院姑息治疗环境中如何培养护患关系,以及患者和护士如何感知护患关系。
■综合评论与叙事综合。审查方案已在PROSPERO(CRD4202236148,4月更新,2023年)。
■五个电子数据库(PubMed,CINAHL完成,Medline,WebofScience和PsycINFO)搜索了从成立到2023年12月发表的文章。如果(i)在专科住院姑息治疗中检查了护士和/或患者对护士与患者关系的看法和经验,(ii)以英文发表在(iii)同行评审的期刊上。采用混合方法评价工具对研究质量进行评价。使用叙事合成来合成数据。
■本综述包括31项研究的34篇论文。研究大多是定性的,方法学质量高。确定了四个主题:(a)建立联系;(b)促进有意义的患者参与;(c)谈判选择和(d)建立信任。
■护士和病人都投资于护患关系,当它是积极的时候受益,治疗,双方都是护理中的重要合作伙伴。揭示了姑息治疗中培养护患关系的关键要素,然而,护士的主导观点表明,这些关系的性质和影响可能没有得到很好的理解。
UNASSIGNED: Nurse-patient relationships are an integral component of person-centred palliative care. Greater understanding of how nurse-patient relationships are fostered and perceived by patients and nurses can be used to inform nursing practice.
UNASSIGNED: To systematically identify and synthesise how nurse-patient relationships are fostered in specialist inpatient palliative care settings, and how nurse-patient relationships were perceived by patients and nurses.
UNASSIGNED: Integrative review with narrative synthesis. The review protocol was registered with PROSPERO (CRD42022336148, updated April, 2023).
UNASSIGNED: Five electronic databases (PubMed, CINAHL Complete, Medline, Web of Science and PsycINFO) were searched for articles published from their inception to December 2023. Studies were included if they (i) examined nurse and/or patient perspectives and experiences of nurse-patient relationships in specialist inpatient palliative care, (ii) were published in English in a (iii) peer-reviewed journal. The Mixed Methods Appraisal Tool was used to evaluate study quality. Data were synthesised using narrative synthesis.
UNASSIGNED: Thirty-four papers from 31 studies were included in this review. Studies were mostly qualitative and were of high methodological quality. Four themes were identified: (a) creating connections; (b) fostering meaningful patient engagement; (c) negotiating choices and (d) building trust.
UNASSIGNED: Nurses and patients are invested in the nurse-patient relationship, benefitting when it is positive, therapeutic and both parties are valued partners in the care. Key elements of fostering the nurse-patient relationship in palliative care were revealed, however, the dominance of the nurses\' perspectives signifies that the nature and impact of these relationships may not be well understood.