实习护生压力与应对策略质性研究的meta整合分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (24): 3426-3431.

实习护生压力与应对策略质性研究的meta整合分析

刘月^1,2, 姚淳³, 王玲敏¹, 姜金霞¹

1.同济大学附属第十人民医院急诊科,上海 200072;
2.同济大学医学院护理系,上海 200092;
3.上海济光职业技术学院护理学院,上海 201901

收稿日期:2023-05-05 修回日期:2023-05-29 出版日期:2023-12-15 发布日期:2026-03-26
通信作者: 王玲敏,主管护师,E-mail：jzwlm2@126.com
作者简介:刘月,女,在读硕士研究生,研究方向为护理教育。
基金资助:
2021同济大学研究生教育研究与改革研究生课程思政项目（2021YXSZ01）; 2021院部专科护理人培养项目A类（SYZKHLRC-A03）; 2021上海市第十人民医院教学课题A类（2021-A-5）

A qualitative meta-synthesis of qualitative research on stress and coping strategies of intern nursing students

LIU Yue^1,2, YAO Chun³, WANG Lingmin¹, JIANG Jinxia¹

1. Department of Emergency,Tenth People's Hospital Affiliated to Tongji University,Shanghai 200072,China;
2. Department of Nursing,School of Medicine,Tongji University,Shanghai 200092,China;
3. Department of Nursing,Shanghai Jiguang Polytechnic College,Shanghai 201901,China

Received:2023-05-05 Revised:2023-05-29 Online:2023-12-15 Published:2026-03-26
Contact: WANG Lingmin,Nurse in charge,E-mail：jzwlm2@126.com

摘要/Abstract

摘要： 目的系统评价实习护生压力与应对策略的质性研究,为护理教育和护理管理提供参考依据。方法以中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of Science、The Cochrane Library、CINAHL、Embase为文献来源,全面检索有关实习护生压力与应对策略的质性研究文献,检索时限为建库至2022年7月。根据澳大利亚Joanna Briggs Institute（JBI）循证卫生保健中心质性研究质量评价标准（2016）评价文献质量,采用meta整合方法对结果进行整合分析。结果共纳入13项研究,提炼31个研究结果,归纳成11个新的类别,综合成3个整合结果：（1）压力来源,包括缺乏专业知识和技能、患者和家属、学习和就业、陌生环境以及临床教师和团队;（2）身心体验,包括身心的应激、对压力的认知、内心的需求;（3）应对策略,包括以问题为中心的应对、以情绪为中心的应对、以逃避为中心的应对。结论护理管理者和教育者了解护生在实习期间的真实体验,深入开发有效的教学环境,多途径、全方位帮助护生适应压力,增强其留职意愿,稳定护理队伍。

关键词: 实习护生, 压力, 应对策略, 质性研究, Meta整合

Abstract: Objective Systematically review the qualitative research on stress and coping strategies of practice nursing students,provide a reference for nursing education and nursing management. Methods From inception to July 2022,qualitative studies on practice nursing students' stress and coping strategies were retrieved from CNKI,Wan Fang Database,VIP Database,Chinese Biomedical Literature Database,PubMed,Web of Science,The Cochrane Library,CINAHL,and Embase. Used the Joanna Briggs Institute Critical Appraisal Tool（2016） to evaluate the quality of the included studies,and the results were interpreted and integrated using meta-synthesis. Results Totally 13 studies were included. This study extracted 31 clear findings,11 new categories,and 3 integrated results：（1）sources of stress,including lack of professional knowledge and skills,patients and their family members,studies and employment,unfamiliar environments,and clinical faculty and teams.（2）Physical and psychological experiences,including physical and psychological stress,perceptions of stress,and internal demands.（3）Coping strategies,including problem-focused coping,emotion-focused coping,and avoidance-focused coping. Conclusions Nursing managers and educators should pay attation to understand the real experiences of practice nursing students,and develop effective teaching environments. Moreover,multiple and comprehensive measures should be taken to help nursing students deal with stress,enhance their willingness to stay in the profession,and stabilize the nursing team

Key words: Practice nursing students, Stress, Coping strategy, Qualitative research, Meta synthesis

中图分类号:

R181.2

刘月, 姚淳, 王玲敏, 姜金霞. 实习护生压力与应对策略质性研究的meta整合分析. [J]职业与健康, 2023, 39(24): 3426-3431.

LIU Yue, YAO Chun, WANG Lingmin, JIANG Jinxia. A qualitative meta-synthesis of qualitative research on stress and coping strategies of intern nursing students. [J]OCCUPATION AND HEALTH, 2023, 39(24): 3426-3431.

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