目的 系统整合关于医护人员对预立医疗照护计划(advance care planning，ACP)认知与体验的质性研究，为ACP的应用和发展提供循证依据。方法 计算机检索Web of Science、PubMed、CINAHL、The Cochrane Library、Embase、中国知网、中国生物医学数据库、万方等数据库中有关医护人员对ACP认知与体验的质性研究，检索时限为建库至2022年11月。对纳入文献进行质量评价，并运用汇集性Meta整合的方法对结果进行整合。结果 共纳入13篇文献，提取43个研究发现，归纳成8个类别，进一步综合得到3个研究整合：医护人员对ACP的认识；医护人员实施ACP过程中的障碍；促进医护人员开展ACP的方法。结论 ACP是一个复杂的过程，受多种因素的影响，需要多方面人员共同努力才能获得高质量的ACP沟通。

Objective To conduct a Meta-synthesis of qualitative research on the perception and experience of medical staff in advance care planning (ACP) from the perspective of healthcare workers,and provide evidence-based evidence for the application and development of ACP.Methods The literatures were retrieved from Web of Science,PubMed,CINAHL,The Cochrane Library,Embase,CNKI,CBM,and Wanfang Data for the qualitative studies on medical staff’s perception and experience on ACP from inception to November 2022.The quality of included studies was evaluated by unified criteria.Meta-aggregation was used to conduct the synthesis.Results A total of 13 literatures were included.Forty-three research findings were extracted and then summarized into eight categories,which were further integrated into three studies,i.e.,ACP awareness among medical staff,barriers to medical staff implementing ACP,and methods to promote medical staff implementing ACP.Conclusions ACP is a complex process,which is influenced by multiple factors.Thus,it requires the joint efforts of various personnel to achieve high-quality communications of ACP.

R47