目的 系统评价医务人员对于儿科预立医疗照护计划（pediatric advance care planning，pACP）的看法，为护理人员更好地开展pACP提供依据。 方法 计算机检索Cochrane Library、PubMed、Web of Science、Science Direct、Embase、CINAHL、CNKI、万方、维普、中国生物医学文献数据库。检索时限为建库至2022年11月，搜集有关医务人员对pACP看法的质性研究，对纳入文献进行评价和整合。 结果 共纳入11篇文献，提炼出32个结果，归纳组合成12个类别，综合形成5个整合结果：pACP的讨论难以发起、儿科与pACP间的文化冲突、pACP管理体系面临巨大挑战、医务人员对pACP持有消极态度、pACP团队合作的重要性。 结论 pACP面临诸多难以实施的问题，通过有效评估患儿及家属预立医疗照护计划需求，健全管理体系，制订实践指南，加强护士安宁疗护教育，有助于推进pACP在儿科环境下的开展。

Objective To explore the healthcare professionals’ views of pediatric advance care planning (pACP),and to provide theoretical basis for nurses to develop pACP. Methods Databases including Cochrane Library,PubMed,Web of Science,ScienceDirect,Embase,CINAHL,CNKI,WanFang database,VIP,and CBM were searched from the inception to November 2022,to collect qualitative studies on the views of healthcare professionals of pACP. Results A total of 11 studies were included,and 32 results were extracted and then summarized into 12 categories,which were synthesized into 5 integrated results: difficulties in initiating pACP discussions,cultural conflicts between pediatric and pACP,management system facing great challenges,healthcare professionals’ negative attitudes towards pACP,and the importance of pACP teamwork. Conclusions Currently,pACP faces problems. The measurement of the needs of pACP,establishment of a comprehensive management system,formation of a guideline,and enhancement of hospice care education can promote the development of ACP in the pediatric setting.

R47

国家自然科学基金青年基金（71704084）