RNSystematic ReviewNursing open2023

Challenges of nurses and family members of burn patients: Integrative review.

Yi Wang, Frances Kam Yuet Wong, Jonathan Bayuo and 3 others

PMID 36840702

WHAT IT FOUND

Burn nurses and family members of burn patients described heavy workload, ethical and religious dilemmas, guilt and anxiety, and gaps in training, counselling and clear information about recovery and discharge.

Key findings

01Nurses described four challenge themes: ethical and religious issues, clinical issues, work-life imbalance and limited support.

02Family members described four challenge themes: different views on prognosis and treatment, work-life imbalance, psychological issues and lack of multifaceted support.

03Family members reported guilt and anxiety, and said clear information about the patient's condition and discharge was important.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This is a review of nurses' and family members' experiences, not a trial or outcome study, so it does not establish that any intervention works. Only English-language articles were included. Most family studies focused on parents, with limited attention to other relatives. The included studies had variable quality, with three meeting only 40% of the appraisal criteria. The review combined qualitative, quantitative and mixed-method studies, which makes synthesis complex.

Declared interests

The authors declared no conflict of interest.

The easy way to misread this

Do not read the reported challenges as proof that a support programme works. This review synthesised nurses' and family members' experiences, not patient outcomes or tested interventions.

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