目的:信任是护患关系发展的核心。儿科护士很难与儿童及其照顾者建立信任。这次范围审查的目的是确定,检查,并总结了住院护理单位护士和儿童/护理人员之间信任概念的现有证据。
方法:使用JoannaBriggsInstitute(JBI)方法进行和报告范围审查,CINAHL,MEDLINE,PsycINFO,CochraneDSR,CochraneCentral,和JBIEBP进行了定性搜索,定量,混合方法,并审查以英语发表的没有时间限制的研究。纳入的研究提供了有关儿科护士与18岁以下儿童及其在住院护理单位内的护理人员之间建立信任的经验的发现。
结果:共有12,269个标题和摘要由两名审稿人独立审查。检索到366篇全文,本综述纳入了81项研究的最终结果.
结论:护士和儿童/看护者之间的信任是双向的,在多次互动中随着时间的推移而发展,关系发展的基础。确定了护士与儿童/护理人员之间信任发展的不同促进者和障碍。信任的发展对护士和儿童/护理人员都是有益和丰富的,并且是提供安全和高质量护理的基础。
结论:研究结果为护士提供了关于如何在住院护理单位发展和保持与儿童/看护者信任的方向和策略。需要制定培训计划和干预措施,以使护士具备与儿童/护理人员建立信任的技能。
OBJECTIVE: Trust is central to the development of nurse-patient relationships. Pediatric nurses encounter difficulties developing trust with children and their caregivers. The purpose of this scoping review was to identify, examine, and summarize available evidence on the concept of trust among nurses and children/caregivers when admitted to hospital inpatient care units.
METHODS: Using the Joanna Briggs Institute (JBI) methodology for conducing and reporting scoping reviews, CINAHL, MEDLINE, PsycINFO, Cochrane DSR, Cochrane Central, and JBI EBP were searched for qualitative, quantitative, mixed methods, and review studies with no time limits published in English. Included studies presented findings on the experiences of developing trust between pediatric nurses and children under 18 years of age and their caregivers within inpatient care units.
RESULTS: A total of 12,269 titles and abstracts were reviewed independently by two reviewers. 366 full-text articles were retrieved, a final of 81 studies were included in the review.
CONCLUSIONS: Trust was bi-directional between nurses and children/caregivers, developed over time during multiple interactions, and foundational to the development of relationships. Distinct facilitators and barriers to the development of trust between nurses and children/caregivers were identified. The development of trust was rewarding and enriching for both nurses and children/caregivers and was the fundamental to the provision of safe and high-quality nursing care.
CONCLUSIONS: Findings provide nurses with direction and strategies on how to develop and maintain trust with children/caregivers on inpatient care units. The development of training programs and interventions geared at equipping nurses with the skills to develop trust with children/caregivers is needed.