Abstract:

Objective To systematically evaluate the experiences and needs of nurses involved in rescue care for mass casualty incidents. Methods The qualitative studies on the experiences and needs of nurses involved in mass casualty incidents care were searched from domestic and international relevant databases. The retrieval time was from the inception to April 30，2024. The JBI Center for Evidence-Based Health Care qualitative research critical appraisal tool was used to evaluate the included articles，and the pooled integration method was applied to integrate the results. Results This study encompassed 15 articles，which were analyzed to generate 13 categories，integrated into 3 synthesized findings：the impact of mass casualty events on nurses（enhancement of professional value and identity，psychological stress and negative emotions，and increased role load）；difficulties and challenges faced by nurses during mass casualty rescues（lack of knowledge and skills of rescuing，lack of communication and cooperation，insufficient supply of human resources，lack of training and drills，and complexity of on-site treatment environment）；and the needs of nurses in mass casualty rescue（mental health support，effective team communication and cooperation，human resources and material support，training programs and drills，and support for hospital management and leadership）. Conclusion Hospital administrators need to pay attention to the physical and mental health of nurses，improve teamwork and cohesion，standardize the mass casualty rescue process，conduct regular training exercises，and improve the quality of treatment by using high-tech means.

Key words: Nurses, Mass Casualty Incidents, Qualitative Research, Meta-Integration