Developing competencies in genetics nursing: Education intervention for perinatal and pediatric nurses

Developing competencies in genetics nursing: Education intervention for perinatal and pediatric nurses
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DOI:
10.1111/nhs.12680
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发表时间:
2020-01-08
影响因子:
2.7
通讯作者:
Iida, Kazuko
Iida, Kazuko
中科院分区:
医学4区
文献类型:
--
作者:
Murakami, Kyoko;Kutsunugi, Saeko;Iida, Kazuko

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护士需要接受适当的遗传学培训,以便根据最佳实践为患者和家属提供临床护理。本探索性研究描述了一种教育干预,使用真实的刺激材料,集中在一个有唐氏综合症婴儿的家庭的临床病例研究中。从日本三所大学的15名护士和27名学生样本中收集了定量和定性数据,这些样本在完成基于能力的遗传学护理入门级讲习班之前和之后。参与者报告增加了感知到的遗传学知识和临床信心。尽管超过90%的参与者报告说他们了解潜在的遗传学知识,但在研讨会之后,他们的信心和遗传学护理的伦理方面并没有得到提升。相比之下,这些反思分为三类,表明他们认识到家庭对心理支持、家庭决策、保护和隐私的需求,并表明护士对这些问题的理解发生了深刻的转变。虽然表明单次研讨会是不够的,但研究结果将有助于为学生和护士开发遗传学教育材料。
Nurses need to be appropriately trained in genetics to provide clinical care based on best practice for patients and families. This exploratory study describes an educational intervention using authentic stimulus material centered on a clinical case study of a family with a baby with Down syndrome. Quantitative and qualitative data were collected from a sample of 15 nurses and 27 students from three universities in Japan before and after completing an entry-level workshop on competency-based genetics nursing. Participants reported increased perceived genetics knowledge and clinical confidence. Despite more than 90% of the participants reporting that they understood the underlying genetics knowledge, their confidence and the ethical aspects of genetics nursing had not been promoted after the seminar. In contrast, the reflections, coded into three categories, showed they recognized families' needs for psychological support, family decision making, and protection and privacy and suggested that nurses had undergone a profound shift in understanding about these issues. Although indicating that a single seminar was insufficient, the study findings will be useful to develop educational materials on genetics for both students and nurses.