#质性研究可以给我们的选题提供哪些思路？【护理SCI文献解读】

鉴于质性研究的特点，小班长其实很喜欢质性研究。个人认为，质性研究可以提供更多了解研究问题的真实情况。比如，[1]高雅靖,单岩.中青年终末期肾脏病患者决策困境的现象学研究[J].护理学杂志,2021,36(01):34-37.作者的目的就是：采用质性研究的方法探讨中青年终末期肾病患者决策困境的个体主观角度的观点。

但是，其实，决策困境这个主题已经有量表了。这也就是说，决策困境作为一个主题，我们既可以从量表的应用角度去探讨比较客观的一些数据，也可以用质性的方法去了解患者的一些体验。

不过，对于这个问题，我提一个小疑问：决策困境量表本身在编制量表的时候，就是部分采用质性研究的方法，那为啥我们还要倒回去用质性研究的方法去探讨患者的体验呢？<更多的了解可以去知识星球提问哈~>

同样地，今天我们也给老师们分享一篇文献：Chao﹍i Xue, Yu﹕heng Shu, Hayter M , et al. Experiences of nurses involved in natural disaster relief: a meta﹕ynthesis of qualitative literature[J]. Journal of Clinical Nursing, 2020.

护士应对自然灾害的经验：定性元分析

作者是扬州大学护理学院的，文献比较简单，大家可以只看一下摘要部分就可以。当然也可以去下载原文看一下细节。

Abstract摘要

Aim To explore nurses’ experiences in natural disaster response.

研究目的：探讨护士应对自然灾害的经验

Background Nurses are key to disaster response. There is a growing body of qualitative research exploring this emerging nursing issue. However, there is a need to synthesise and summarise this body of knowledge to identify the overarching elements of how nurses experience working in disaster situations to reflect on their experiences so that we may help shape future clinical practice, research and education.

研究背景：有很多研究探讨护士应对自然灾害的经验。因此，有必要对这些文献进行综合分析，通过确定护士在处理自然灾害时工作的经验，以便可以为我们后续的临床实践、教育等提供证据。

Design Qualitative meta‐synthesis.

研究设计：质性研究元分析

Method Following PROSPERO guidelines (Moher et al., 2015), an exhaustive and systematic literature search and quality appraisal was undertaken in December 2019 to reveal nurses’ experiences during natural disaster response. Sandelowski and Barroso's systematic retrieval, analysis and interpretation of findings method was used to produce a meta‐summary of findings from 10 papers evaluating experiences across 9 disasters. A meta‐aggregation was used to synthesise the findings from the studies and was methodically quality assessed with PRISMA and CASP.

研究方法：根据PROSPERO guidelines，于2019年12月进行了详尽和系统的文献检索和质量评估，以揭示护士在自然灾害应对过程中的经验。Sandelowski和Barroso的系统检索、分析和解释研究结果的方法被用于对10篇评估9次灾害经历的论文的研究结果进行meta分析。使用元分析来综合研究结果，并使用PRISMA和CASP进行系统的质量评估。

Results Our findings aggregated data from 42 sub‐themes, into the following four themes to capture nurses’ experiences after responding to disasters. These included agile response; leadership and innovative problem solving; building resilience; positive communication and need for psychological/emotional support.

研究结果：我们的研究结果汇总了42个子主题的数据，分为以下四个主题，以确定护士应对灾难后的经验。其中包括快速响应;领导力和创新问题解决能力;心理复原力的建立;积极的沟通和心理/情感支持的需要。

Discussion This meta‐synthesis provides evidence to illustrate nurses’ resilience and leadership capabilities as means to manage and perceive their disaster relief response. Factors such as emotional intelligence, capacity to react to changing situations, to manage scant resources in extreme situations were highlighted in nurses practising in highly stressful environments. Managers can use these examples to support ways to improve disaster management policies, but also, to engage in support for their staff.

讨论：这一元分析为说明护士的应变能力和领导能力作为管理和感知其救灾反应的手段提供了证据。在高度紧张的环境中，护士们强调了诸如情商、对变化的情况作出反应的能力、在极端情况下管理稀缺资源的能力等因素。管理人员可以利用这些例子支持改进灾害管理政策的方法。

Relevance to clinical practice The role of nursing staff in disaster rescue is receiving significant attention. Understanding nurses’ experiences during disaster rescue can help future leaders to improve capacity to respond and nursing preparedness through education, training and management, but also for continuing emotional support after the event.

与临床实践的相关性：护理人员在灾难救援中的作用正受到极大的关注。了解护士在灾难救援中的经验，不仅可以帮助未来的领导通过教育、培训和管理提高应对能力和护理准备，也可以在事件发生后持续提供情感支持。

希望能给老师们一点提示！

主题图源：pexels