Survey of Nursing Integration of Genomics Into Nursing Practice

Survey of Nursing Integration of Genomics Into Nursing Practice
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DOI:
10.1111/j.1547-5069.2012.01475.x
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发表时间:
2012-12-01
影响因子:
3.4
通讯作者:
McBride, Colleen
McBride, Colleen
中科院分区:
医学2区
文献类型:
--
作者:
Calzone, Kathleen A.;Jenkins, Jean;McBride, Colleen

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目的:将临床有效的基因组发现转化为实践不仅取决于技术进步,而且还取决于护士-全球最大的健康提供者队伍-获得将这些发现应用于临床护理的必要能力。本研究的目的是评估执业护士的态度,做法,接受性,信心和能力,整合基因组学到护理practice.Design:执业护士的方便样本被招募完成一项在线调查,评估领域从罗杰的创新扩散理论和使用家族史利用能力评估的基础。结果制成表格,并使用描述性统计techniques.Findings进行分析:二百三十九个持牌注册护士,22至72岁,中位数为20年的实践中,回应,为28%的总体响应率。大多数是白色(83%),女性(92%),拥有学士学位(56%)。71%的人认为遗传学对护理实践非常重要;然而,81%的人认为他们对常见疾病遗传学的理解很差或一般。每个问题的答复率差别很大。仪器评估表明,修改是必要的,以减少respondentburn.Conclusions:受访者认为基因组的能力是不够的,家族史是不是经常利用在护理交付,和家族史的程度变化很大。然而,大多数护士表示有兴趣继续基因组教育。
Purpose: Translating clinically valid genomic discoveries into practice is hinged not only on technologic advances, but also on nursesthe largest global contingent of health providersacquiring requisite competencies to apply these discoveries in clinical care. The study aim was to assess practicing nurse attitudes, practices, receptivity, confidence, and competency of integrating genomics into nursing practice.Design: A convenience sample of practicing nurses was recruited to complete an online survey that assessed domains from Roger's Diffusion of Innovations Theory and used family history utilization as the basis for competency assessment.Methods: Results were tabulated and analyzed using descriptive statistical techniques.Findings: Two-hundred-thirty-nine licensed registered nurses, 22 to 72 years of age, with a median of 20 years in practice, responded, for an overall response rate of 28%. Most were White (83%), female (92%), and held baccalaureate degrees (56%). Seventy-one percent considered genetics to be very important to nursing practice; however, 81% rated their understanding of the genetics of common diseases as poor or fair. Per-question response rates varied widely. Instrument assessment indicated that modifications were necessary to decrease respondent burden.Conclusions: Respondents perceived genomic competency was inadequate, family history was not routinely utilized in care delivery, and the extent of family history varied widely. However, most nurses indicated interest in pursuing continuing genomic education.