A Qualitative Meta-Synthesis of the Challenges Perceived by Nurses in Home Health Nursing.

IF 0.9 4区 医学 Q4 NURSING Journal of Community Health Nursing Pub Date : 2023-07-01 Epub Date: 2023-03-31 DOI:10.1080/07370016.2023.2181084
Lingli Wang, Yi Qin, Chenhui Wang, Tianxi Chen, Yuhui Gu, Yunlan Ji
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Abstract

Purpose: To aggregate and synthesize the findings of qualitative studies exploring the challenges perceived by nurses in home health nursing.

Design: A qualitative meta-synthesis.

Method: A comprehensive search of multiple databases was conducted in December 2020 and updated in October 2022. Data were analyzed using the meta-aggregation method, and the analytical process used to derive themes was inductive.

Findings: Eleven qualitative studies were included, and four major challenges perceived by nurses were identified: (1) challenges in the performance of duties, (2) struggles with specific and restricted factors related to practice, (3) underestimation of the value of emotion, and (4) a difficult-to-surmount relationship gap.

Conclusions and clinical evidence: Home health nursing is associated with numerous challenges due to its complexity and high demand. The findings of this study are beneficial with respect to obtaining a deeper understanding of the challenges associated with home nursing. After considering the existing problems, it is necessary to take measures to overcome these challenges, and individuals, families and society should make efforts to develop this profession further.

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家庭健康护理中护士感知挑战的质性综合研究。
目的:汇总和综合定性研究的结果,探讨护士在家庭健康护理中感受到的挑战。设计:定性综合。方法:于2020年12月综合检索多个数据库,并于2022年10月更新。数据分析采用元聚合法,分析过程采用归纳法推导主题。结果:纳入了11项定性研究,并确定了护士面临的四大挑战:(1)履行职责的挑战,(2)与实践相关的特定和限制性因素的斗争,(3)低估情感价值,(4)难以克服的关系差距。结论与临床证据:家庭健康护理因其复杂性和高需求而面临诸多挑战。本研究的结果对获得与家庭护理相关的挑战的更深层次的理解是有益的。在考虑到存在的问题之后,有必要采取措施克服这些挑战,个人、家庭和社会都应该为进一步发展这一职业而努力。
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来源期刊
CiteScore
1.40
自引率
10.00%
发文量
21
审稿时长
3 months
期刊介绍: This innovative publication focuses on health care issues relevant to all aspects of community practice -- home health care, visiting nursing services, clinics, hospices, education, and public health administration. Well-researched articles provide practical and up-to-date information to aid the nurse who must frequently make decisions and solve problems without the back-up support systems available in the hospital. The journal is a forum for community health professionals to share their experience and expertise with others in the field.
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