ICU护士遭受工作场所暴力真实体验质性研究的Meta整合
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男,本科,主管护师

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Meta-synthesis of qualitative research on intensive care unit nurses′ real experiences of workplace violence
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    摘要:

    目的 系统评价ICU护士遭受工作场所暴力的真实体验,为制订针对性防御方案提供参考。 方法 系统检索国内外数据库中有关ICU护士遭受工作场所暴力真实体验的质性研究,检索时限为建库至2025年12月。采用JBI循证卫生保健中心制定的质性研究质量评价标准进行文献质量评价,采用汇集性整合方法对结果进行分析、整合。 结果 共纳入7篇文献,提炼出29个研究结果,归纳成9个类别,综合成4个整合结果:ICU护士对工作场所暴力的认知、工作场所暴力对ICU护士的影响、ICU护士对工作场所暴力的应对方式、ICU护士对工作场所暴力预防与管理的需求及期待。 结论 ICU护士普遍遭受过工作场所暴力,应加大对ICU护士工作场所暴力事件关注度,树立零容忍态度。建立暴力预警机制与报告制度,提供多层次工作场所暴力支持及培训体系,以提高ICU护士积极应对策略,降低工作场所暴力的不良影响。

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    Objective To systematically evaluate the real experiences of ICU nurses exposed to workplace violence, and to provide a reference for developing targeted prevention strategies. Methods A systematic search was conducted in domestic and international databases for qualitative studies on ICU nurses′ real experiences of workplace violence, with the search period from the inception of each database to December 2025.The JBI quality appraisal criteria for qualitative research were adopted for literature evaluation, and convergent meta-integration was used for data analysis and synthesis. Results A total of 7 studies were included.Twenty-nine research findings were extracted, which were further categorized into 9 categories and synthesized into 4 integrated findings:ICU nurses′ perceptions of workplace violence; the impact of workplace violence on ICU nurses; ICU nurses′ coping strategies for workplace violence; and ICU nurses′ needs and expectations regarding the prevention and management of workplace violence. Conclusion Workplace violence is prevalent among ICU nurses.More attention and zero-tolerance policy should be implemented.It is necessary to establish early warning and reporting mechanisms, and construct multi-level support and training systems to enhance nurses′ positive coping capacity and reduce adverse outcomes of workplace violence.

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李雪洋,胡思鸿,胡苏,陈娜,郭艺,张晴. ICU护士遭受工作场所暴力真实体验质性研究的Meta整合[J].护理学杂志,2026,41(11):71-75

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  • 收稿日期:2026-01-10
  • 最后修改日期:2026-03-12
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  • 在线发布日期: 2026-07-02