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Halkoaho A, Smolander N, Caples M, Dante A, Petrucci C, Milavec Kapun M. Genomics-informed nursing. OBZORNIK ZDRAVSTVENE NEGE 2023. [DOI: 10.14528/snr.2023.57.1.3223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/21/2023] Open
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Educational Programme for Cancer Nurses in Genetics, Health Behaviors and Cancer Prevention: A Multidisciplinary Consensus Study. J Pers Med 2022; 12:jpm12071104. [PMID: 35887601 PMCID: PMC9318790 DOI: 10.3390/jpm12071104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 06/26/2022] [Accepted: 07/01/2022] [Indexed: 11/21/2022] Open
Abstract
(1) Background: Most common hereditary cancers in Europe have been associated with lifestyle behaviors, and people affected are lacking follow up care. However, access to education programmes to increase knowledge on cancer and genetics and promote healthy lifestyle behaviors in people at high risk of cancer is scarce. This affects the quality of care of people with a hereditary risk of cancer. This study aimed to reach a multidisciplinary consensus on topics and competencies and competencies that cancer nurses need in relation to cancer, genetics, and health promotion. (2) Methods: A two-round online Delphi study was undertaken. Experts in cancer and genetics were asked to assess the relevance of eighteen items and to suggest additional terms. Consensus was defined as an overall agreement of at least 75%. (3) Results: A total of 74 multiprofessional experts from all around the world participated in this study including healthcare professionals working in genetics (39%), researchers in cancer and genetics (31%) and healthcare professionals with cancer patients (30%). Thirteen additional items were proposed. A total of thirty-one items reached consensus. (4) Conclusions: This multidisciplinary consensus study provide the essential elements to build an educational programme to increase cancer nurses’ skills to support the complex care of people living with a higher risk of cancer including addressing lifestyle behaviors. All professionals highlighted the importance of cancer nurses increasing their skills in cancer and genetics.
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Murakami K, Kutsunugi S, Tsujino K, Stone TE, Ito M, Iida K. Developing competencies in genetics nursing: Education intervention for perinatal and pediatric nurses. Nurs Health Sci 2020; 22:263-272. [PMID: 31912654 DOI: 10.1111/nhs.12680] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Revised: 11/18/2019] [Accepted: 12/01/2019] [Indexed: 12/25/2022]
Abstract
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.
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Affiliation(s)
- Kyoko Murakami
- Faculty of Health Sciences, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan
| | - Saeko Kutsunugi
- Faculty of Health Sciences, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan
| | - Kumiko Tsujino
- Faculty of Health Sciences, The University of Ryukus', Okinawa, Japan
| | - Teresa E Stone
- Faculty of Health Sciences, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.,Visiting Professor, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Misae Ito
- Faculty of Health Sciences, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan
| | - Kazuko Iida
- Faculty of Health Sciences, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan
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Pestoff R, Svensson K, Paneque M, Malmgren CI. Developing a national certification pathway for genetic counselors in Sweden-a short report. J Community Genet 2020; 11:113-117. [PMID: 31154609 PMCID: PMC6962429 DOI: 10.1007/s12687-019-00426-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Accepted: 05/09/2019] [Indexed: 10/26/2022] Open
Abstract
There is no Master's level education for genetic counseling in Sweden, meaning that genetic counselor professionals have very different backgrounds. Hence, there is a need to harmonize the quality of genetic counseling and introduce standards for practice. The Swedish Society for Genetic Counselors and the Swedish Society of Medical Genetics and Genomics collaborated to determine professional requirements and a career pathway, defining three vocational levels within the genetic counselor profession. We report here an individual educational pathway leading up to eligibility for certification as a genetic counselor in Sweden.
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Affiliation(s)
- Rebecka Pestoff
- Department of Clinical Genetics, and Department of Clinical and Experimental Medicine, University Hospital, Linköping University, Universitetssjukhuset, 58185 Linköping, Sweden
| | - Karin Svensson
- Division of Laboratory Medicine, Department of Clinical Genetics and Pathology, Region Skåne, Office for Medical services , SE-221 85, Lund, Sweden
| | - Milena Paneque
- i3S – Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal
- IBMC – Institute for Molecular and Cell Biology, Universidade do Porto, Porto, Portugal
- Centre for Predictive and Preventive Genetics (CGPP), Universidade do Porto, Porto, Portugal
| | - Charlotta Ingvoldstad Malmgren
- Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden
- Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden
- Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden
- Center for Fetal Medicine, Karolinska University Hospital, 17176 Stockholm, Sweden
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Lopes-Júnior LC, Carvalho Júnior PM, de Faria Ferraz VE, Nascimento LC, Van Riper M, Flória-Santos M. Genetic education, knowledge and experiences between nurses and physicians in primary care in Brazil: A cross-sectional study. Nurs Health Sci 2016; 19:66-74. [PMID: 27510609 DOI: 10.1111/nhs.12304] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Revised: 06/23/2016] [Accepted: 07/04/2016] [Indexed: 12/28/2022]
Abstract
Recent advances in genomics and related technologies have the potential to improve health care throughout the world. In this cross-sectional study, we examine genetics education, knowledge, and genetics-related experiences among the nurses and physicians who provide primary care in a Brazilian city. Fifty-four healthcare professionals from family health units participated in the study (response rate: 90%). Data were collected using a structured 36-item questionnaire divided into five axes: sociodemographic data and academic background; genetics education; genetics knowledge; genetics-related experiences in family practice; and knowledge regarding the National Policy for Comprehensive Care in Clinical Genetics in the Unified Health System. Although most participants (85.2%) acknowledged receiving some genetic content during their undergraduate education, the majority (77.8%) advised that they did not feel prepared to deliver genomics-based health care in primary care. The results suggest that nurses and physicians often lack the knowledge to provide genomics-based health care in primary care. Therefore, continuing education in genetics/genomics should be provided to primary healthcare professionals in order to enhance family practice and compliance with national policies.
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Affiliation(s)
- Luís Carlos Lopes-Júnior
- Who Collaborating Centre for Nursing Research Development, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | | | - Lucila Castanheira Nascimento
- Who Collaborating Centre for Nursing Research Development, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Marcia Van Riper
- Chapel Hill School of Nursing, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Milena Flória-Santos
- Who Collaborating Centre for Nursing Research Development, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
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Pelentsov LJ, Fielder AL, Laws TA, Esterman AJ. The supportive care needs of parents with a child with a rare disease: results of an online survey. BMC FAMILY PRACTICE 2016; 17:88. [PMID: 27439905 PMCID: PMC4955113 DOI: 10.1186/s12875-016-0488-x] [Citation(s) in RCA: 73] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/06/2015] [Accepted: 07/13/2016] [Indexed: 11/18/2022]
Abstract
Background Parents caring for a child affected by a rare disease have unmet needs, the origins of which are complex and varied. Our aim was to determine the supportive care needs of parents caring for a child with a rare disease. Methods An online survey was developed consisting of 45 questions (108 items) and separated into six domains. The survey included questions about perceived level of satisfaction with receiving care, experiences and needs of providing daily care, the impacts of disease on relationships, the emotional and psychological burdens of disease, and parents overall satisfaction with the support received. Results Three-hundred and one parents from Australia and New Zealand completed the survey; 91 % (n = 275/301) were mothers, with 132 distinct rare diseases being reported. Fifty-four percent (n = 140/259) of parents were dissatisfied with health professionals’ level of knowledge and awareness of disease; 71 % (n = 130/183) of parents felt they received less support compared to other parents. Information regarding present (60 %, n = 146/240) and future services (72 %, n = 174/240) available for their child were considered important. Almost half of parents (45 %, n = 106/236) struggled financially, 38 % (n = 99/236) reduced their working hours and 34 % (n = 79/236) ceased paid employment. Forty-two percent (n = 99/223) of parents had no access to a disease specific support group, and 58 % (n = 134/230) stated that their number of friends had reduced since the birth of their child; 75 % (n = 173/230) had no contact with other parents with a child with a similar disease, and 46 % (n = 106/230) reported feeling socially isolated and desperately lonely. Most frequent emotions expressed by parents in the week prior to completing the survey were anxiety and fear (53 %, n = 119/223), anger and frustration (46 %, n = 103/223) and uncertainty (39 %, n = 88/223). Conclusion This study is the first to develop an online survey specifically for use with parents to investigate their supportive care needs across a large and diverse group of rare diseases. The findings highlight that parents with a child with a rare disease have common unmet needs regardless of what disease their child has. Such information may allow health providers to improve child outcomes through improving parental supportive care.
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Affiliation(s)
- Lemuel J Pelentsov
- School of Nursing & Midwifery, Division of Health Sciences, University of South Australia, City East Campus, GPO Box 2471, Adelaide, SA, 5001, Australia.
| | - Andrea L Fielder
- Sansom Institute for Health Research and School of Nursing and Midwifery, University of South Australia, City East Campus, GPO Box 2471, Adelaide, SA, 5001, Australia
| | - Thomas A Laws
- School of Nursing and Midwifery, Faculty of Health, Keele University, Staffordshire, ST5 5BG, UK
| | - Adrian J Esterman
- School of Nursing & Midwifery, Division of Health Sciences, University of South Australia, City East Campus, GPO Box 2471, Adelaide, SA, 5001, Australia.,Australian Institute for Health and Tropical Medicine, James Cook University, Cairns, QLD, Australia
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Midwives and information on prenatal testing with focus on Down syndrome. Prenat Diagn 2015; 35:1202-7. [DOI: 10.1002/pd.4676] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2015] [Revised: 07/09/2015] [Accepted: 08/12/2015] [Indexed: 11/07/2022]
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Seven M, Akyüz A, Elbüken B, Skirton H, Öztürk H. Nurses' knowledge and educational needs regarding genetics. NURSE EDUCATION TODAY 2015; 35:444-449. [PMID: 25475926 DOI: 10.1016/j.nedt.2014.11.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2014] [Revised: 10/09/2014] [Accepted: 11/12/2014] [Indexed: 06/04/2023]
Abstract
BACKGROUND Nurses now require a basic knowledge of genetics to provide patient care in a range of settings. OBJECTIVES To determine Turkish registered nurses' current knowledge and educational needs in relation to genetics. DESIGN A descriptive, cross-sectional study. SETTINGS Turkish registered nurses working in a university hospital in Turkey were recruited. PARTICIPANTS All registered nurses were invited to participate and 175 completed the study. METHODS The survey instrument, basic knowledge of health genetics, confidence in knowledge and the nurses' need for genetics education were used to collect data. RESULTS The majority (81.1%, n=142) of participants indicated that genetics was not taught during their degree program, although 53.1% to 96% of respondents felt confident in defining different genetic concepts. The average genetics knowledge score was 6.89±1.99 of a possible 11 (range 0-11). The majority (70.3%) expressed a strong wish to attend a continuing nursing education program in genetics. CONCLUSIONS The study shows that although Turkish nurses are not sufficiently knowledgeable to apply genetics in practice, they are willing to have more education to support their care of patients. Nurses need to have more education related to genetics in accordance with advances in human genetics to optimize health care.
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Affiliation(s)
- Memnun Seven
- Koç University, School of Nursing, Koç Universitesi Hemşirelik Yüksek Okulu, Güzelbahçe sokak no. 20, Nişantaşı, Şişli, İstanbul, Turkey.
| | - Aygül Akyüz
- Koç University, School of Nursing, Istanbul, Turkey.
| | - Burcu Elbüken
- Haydarpasa Gulhane Military Medical Academy Training and Research Hospital, Istanbul, Turkey.
| | - Heather Skirton
- Plymouth University Faculty of Health and Human Sciences, Plymouth, United Kingdom.
| | - Hatice Öztürk
- Haydarpasa Gulhane Military Medical Academy Training and Research Hospital, Istanbul, Turkey.
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