Aims and objectives To systematically identify, appraise and synthesise existing qualitative studies exploring nurses' lived experiences of workplace violence by patients, families and hospital visitors, identifying their support needs following workplace violence. Background Workplace violence against nurses is a significant concern globally, as it leads to serious negative consequences for nurses, patients and organisations as a whole. Having adequate support is considered significant. While numerous studies have been conducted on workplace violence, few qualitative reviews have focused on identifying nurses' support needs following episodes of workplace violence. Methods Four databases (MEDLINE, CINAHL, PsychINFO and Scopus) were systematically searched. Additionally, hand searching of prominent journals, grey literature and reference lists of included studies was also performed to identify additional research. The Critical Appraisal Skills Programme checklist for qualitative studies was used to assess all included articles. Thomas and Harden's three‐stage approach to thematic analysis was followed, using the ENTREQ statement for reporting. Results Ten studies published in English, conducted across eight countries, met the inclusion criteria. Four analytical themes relating to nurses' experiences were identified: “inevitable and unpredictable trauma in the career” “higher tolerance and understanding of unintentional violence,” “positive learning or passive adjustment” and “struggle with the role and behaviour conflict.” In terms of nurses' support needs, the analysis yielded two themes: “informal support needs” and “formal support needs.” Conclusion Nurses experience significant and lasting psychological trauma due to workplace violence; however, the support for nurses remains seriously inadequate. Establishing an effective and robust support system based on nurses' needs must be viewed as a priority for organisations, as well as researchers. Relevance to clinical practice Institutions and managers have a duty to maintain an awareness of nurses' experiences and support needs regarding workplace violence. There is a need for further policymaking and research, based on clinical practice, in order to develop effective preventive and interventive strategies regarding workplace violence.
AimsTo evaluate the effects of self‐management interventions targeting individuals with cancer‐related pain on pain intensity, self‐efficacy, quality of life (QoL), pain medication adherence, and pain‐related knowledge and provide recommendations for the content and format of self‐management interventions based on the existing evidence.DesignA systematic review of randomised controlled trials (RCTs) and narrative synthesis.Data SourcesA search of six electronic databases, including Medline, PsycINFO, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science and Scopus.Review MethodsThis systematic review followed the Preferred Reporting for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Studies published from January 2011 to March 2022 in English were retrieved. The Cochrane Risk of Bias Tool was used to assess quality. Data were summarised using narrative synthesis.ResultsThis systematic review included six RCTs involving 748 patients with cancer‐related pain. The results support the effectiveness of the intervention on QoL and pain‐related knowledge. Mixed results were observed in the effectiveness on pain intensity, self‐efficacy and medication adherence. Overall, the quality of the evidence was low. The content of self‐management interventions varied across studies but with similar formats (face‐to‐face coaching and telephone follow‐up).ConclusionThe existing evidence supports the effectiveness of self‐management interventions on pain‐related knowledge and QoL. Further high‐quality RCTs are needed to determine the most effective interventions.Relevance to Clinical PracticeSelf‐management is recommended to improve cancer patients' pain awareness, self‐management behaviour and adaptability. Components for self‐management of cancer pain, including patient attitude and knowledge assessment, nurse coaching and counselling, reinforcement during follow‐up period, and provision of supplementary materials on pain management and medication adherence, could be covered in the intervention. In the future, it is worthwhile exploring an effective intervention using Internet‐based information technology, for example WeChat, to aid the delivery of self‐management intervention.No Patient or Public ContributionThis systematic review does not necessarily involve patients or public members in this work.
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