Using the Diffusion of Innovations theory to understand the uptake of genetics in nursing practice: identifying the characteristics of genetic nurse adopters
Using the Diffusion of Innovations theory to understand the uptake of genetics in nursing practice: identifying the characteristics of genetic nurse adopters
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DOI：
10.1111/jan.12255
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发表时间：
2014-04-01
影响因子：
3.8
通讯作者：
Kirk, Maggie
中科院分区：
文献类型：
--
作者：
Andrews, Verity;Tonkin, Emma;Kirk, Maggie
目的明确在实践中使用遗传学的护士的特点，并考虑这一发现对优化其更广泛的应用的意义。背景护士在实现遗传和基因组保健进步的好处方面至关重要。尽管许多人认识到遗传学是疾病的一个重要组成部分，但大多数人觉得自己还没有准备好在实践中与之接触。创新扩散理论为描述不同层次的参与提供了一个有用的框架。确定从事遗传学工作的护士(领养者)的特征可能会为促进更广泛的采用提供相关的见解。设计采用两个阶段的主要量化方法，使用2011年进行的在线调查。方法在第一阶段，从遗传学和护理专家那里获得关于遗传采用的四个潜在指标的共识(>；75%)，以确定采用遗传学的护士。在第二阶段，对肿瘤科和初级保健护士进行调查，以确定遗传护士收养者的特征和人口统计学指标。结果达成共识，纳入遗传收养的所有指标(阶段1)。在第二阶段，27个中心点3%的受访者(n=24/88)被归类为收养者。18个特征被确定为在定义领养者方面具有统计学意义(Mann-Whitney)，包括对经验的开放以及对使用遗传学更了解和更有信心。结论护士可以通过几个区分特征根据她们对遗传学的接触进行分类。需要进一步的研究来测试这些发现在更大的样本和其他护理实践领域的普适性。
AimTo identify the characteristics of nurses who are using genetics in practice and consider the implications of the findings for optimizing its wider uptake.BackgroundNurses are crucial in realizing the benefits from advances in genetic and genomic health care. Although many recognize genetics as an important component of disease, most feel unprepared to engage with it in practice. The Diffusion of Innovation theory provides a useful framework to describe different levels of engagement. Identifying the characteristics of nurses who have engaged with genetics (adopters) may provide insights of relevance to promoting wider adoption.DesignA primarily quantitative approach over two phases, using online surveys conducted during 2011.MethodIn phase 1, consensus (>75%) was sought from experts in genetics and nursing on four potential Indicators of Genetic Adoption could identify nurses who have adopted genetics. In phase 2, oncology and primary care nurses were surveyed to identify the characteristics and demographic indicators of genetic nurse adopters.ResultsA consensus was achieved to include all Indicators of Genetic Adoption (phase 1). In phase 2, 27 center dot 3% of respondents (n=24/88) were categorized as being adopters. Eighteen characteristics were determined to be statistically significant (Mann-Whitney) in defining an adopter and included being open to experience and being more knowledgeable of and confident in using genetics.ConclusionNurses can be categorized in terms of their engagement with genetics through several distinguishing characteristics. Further research is needed to test the generalizability of the findings to a larger sample and other areas of nursing practice.