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The resilience of emergency and critical care nurses: a qualitative systematic review and meta-synthesis

BACKGROUND: Due to the unique work environment, emergency and critical care departments nurses face high job pressure, often resulting in burnout and a high turnover rate. Public health emergencies such as the Corona Virus Disease 2019 pandemic tend to exacerbate these problems further. Therefore, i...

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Autores principales: Liu, Shuyang, Zhang, Yu, Liu, Yue, Han, Peng, Zhuang, Yugang, Jiang, Jinxia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578438/
https://www.ncbi.nlm.nih.gov/pubmed/37849479
http://dx.doi.org/10.3389/fpsyg.2023.1226703
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author Liu, Shuyang
Zhang, Yu
Liu, Yue
Han, Peng
Zhuang, Yugang
Jiang, Jinxia
author_facet Liu, Shuyang
Zhang, Yu
Liu, Yue
Han, Peng
Zhuang, Yugang
Jiang, Jinxia
author_sort Liu, Shuyang
collection PubMed
description BACKGROUND: Due to the unique work environment, emergency and critical care departments nurses face high job pressure, often resulting in burnout and a high turnover rate. Public health emergencies such as the Corona Virus Disease 2019 pandemic tend to exacerbate these problems further. Therefore, improving the resilience of nurses is crucial to enhance their retention rates. OBJECTIVE: This systematic review and meta-synthesis of qualitative studies on the resilience of emergency and critical nurses were conducted to provide a reference for clinical managers to develop strategies for improving the resilience of nurses. METHODS: Following databases were searched for relevant studies: CINAHL Plus, Elsevier, Cochrane Library, Embase, Medline, OVID, Pubmed, Science Direct, LWW and Web of Science, China National Knowledge Network (CNKI), Wanfang Database (CECDB), VIP Database, and Sinomed. Google Scholar and Opengrey were used to search for gray literature. The literature search period was from the establishment of the database to April 2023. The systematic review of qualitative studies followed the Joanna Briggs Institute (JBI) approach, including critical appraisal using the JBI Checklist and synthesis through meta-synthesis. Confidence of evidence was assessed with JBI’s ConQual process. RESULTS: A total of 12 articles were identified, with 59 main results and 9 new integrated categories. Also, 3 themes, i.e., risk factors, protective factors, and personal growth, and 9 sub-themes, i.e., working pressure, negative emotion, an organizational issue, active learning, sense of occupational benefit, social support, self-cognition and regulation, learn to adapt, and self-actualization, were formed. CONCLUSION: The resilience of emergency and critical care nurses depends on various factors. Managers should prioritize the mental health of nurses and implement measures to enhance their resilience through social support, team building, and psychological capital development. Additionally, management models can be updated based on domestic and international experience to improve nurses’ job involvement, optimize nursing quality, and promote the advancement of the nursing profession.
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spelling pubmed-105784382023-10-17 The resilience of emergency and critical care nurses: a qualitative systematic review and meta-synthesis Liu, Shuyang Zhang, Yu Liu, Yue Han, Peng Zhuang, Yugang Jiang, Jinxia Front Psychol Psychology BACKGROUND: Due to the unique work environment, emergency and critical care departments nurses face high job pressure, often resulting in burnout and a high turnover rate. Public health emergencies such as the Corona Virus Disease 2019 pandemic tend to exacerbate these problems further. Therefore, improving the resilience of nurses is crucial to enhance their retention rates. OBJECTIVE: This systematic review and meta-synthesis of qualitative studies on the resilience of emergency and critical nurses were conducted to provide a reference for clinical managers to develop strategies for improving the resilience of nurses. METHODS: Following databases were searched for relevant studies: CINAHL Plus, Elsevier, Cochrane Library, Embase, Medline, OVID, Pubmed, Science Direct, LWW and Web of Science, China National Knowledge Network (CNKI), Wanfang Database (CECDB), VIP Database, and Sinomed. Google Scholar and Opengrey were used to search for gray literature. The literature search period was from the establishment of the database to April 2023. The systematic review of qualitative studies followed the Joanna Briggs Institute (JBI) approach, including critical appraisal using the JBI Checklist and synthesis through meta-synthesis. Confidence of evidence was assessed with JBI’s ConQual process. RESULTS: A total of 12 articles were identified, with 59 main results and 9 new integrated categories. Also, 3 themes, i.e., risk factors, protective factors, and personal growth, and 9 sub-themes, i.e., working pressure, negative emotion, an organizational issue, active learning, sense of occupational benefit, social support, self-cognition and regulation, learn to adapt, and self-actualization, were formed. CONCLUSION: The resilience of emergency and critical care nurses depends on various factors. Managers should prioritize the mental health of nurses and implement measures to enhance their resilience through social support, team building, and psychological capital development. Additionally, management models can be updated based on domestic and international experience to improve nurses’ job involvement, optimize nursing quality, and promote the advancement of the nursing profession. Frontiers Media S.A. 2023-10-02 /pmc/articles/PMC10578438/ /pubmed/37849479 http://dx.doi.org/10.3389/fpsyg.2023.1226703 Text en Copyright © 2023 Liu, Zhang, Liu, Han, Zhuang and Jiang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Liu, Shuyang
Zhang, Yu
Liu, Yue
Han, Peng
Zhuang, Yugang
Jiang, Jinxia
The resilience of emergency and critical care nurses: a qualitative systematic review and meta-synthesis
title The resilience of emergency and critical care nurses: a qualitative systematic review and meta-synthesis
title_full The resilience of emergency and critical care nurses: a qualitative systematic review and meta-synthesis
title_fullStr The resilience of emergency and critical care nurses: a qualitative systematic review and meta-synthesis
title_full_unstemmed The resilience of emergency and critical care nurses: a qualitative systematic review and meta-synthesis
title_short The resilience of emergency and critical care nurses: a qualitative systematic review and meta-synthesis
title_sort resilience of emergency and critical care nurses: a qualitative systematic review and meta-synthesis
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578438/
https://www.ncbi.nlm.nih.gov/pubmed/37849479
http://dx.doi.org/10.3389/fpsyg.2023.1226703
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