1
|
Chow KM, Cheng HY, Leung AWY, Tola YO, Chair SY. Genetic/genomic literacy, attitudes and receptivity of nursing students and practising nurses: A cross-sectional online survey. NURSE EDUCATION TODAY 2023; 125:105773. [PMID: 36921542 DOI: 10.1016/j.nedt.2023.105773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 02/03/2023] [Accepted: 02/26/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The growing demand for personalised nursing care in the genomic era requires nursing students and practising nurses to be better prepared to apply the knowledge of genetics/genomics to nursing practice. Several studies have shown that, despite having positive attitudes/receptivity towards integrating genetics/genomics into nursing practice, nursing students and professionals report a low level of genetic/genomic literacy. However, little is known about the status in Hong Kong. OBJECTIVES We assessed and compared the genetic/genomic literacy and attitudes/receptivity towards integrating genetics/genomics into nursing practice among nursing students and practising nurses in Hong Kong. We also explored the relationships between the students' background characteristics, attitudes/receptivity towards integrating genetics/genomics into nursing practice and genetic/genomic literacy. DESIGN A cross-sectional online survey conducted between March 2020 and January 2022. SETTINGS A government-funded university in Hong Kong. PARTICIPANTS We recruited a convenience sample of 234 nursing students, 145 were final-year undergraduate students (median age = 22 years, 84.1 % female) and 89 were practising registered nurses (postgraduate students studying part-time programme, median age = 28 years, 77.5 % female). METHODS The survey collected the participants' background information, attitudes/receptivity towards integrating genetics/genomics into nursing practice and levels of genetic/genomic literacy. RESULTS Overall, the participants reported positive attitudes/receptivity towards practice integration but had low levels of genetic/genomic literacy. Practising nurses were more likely to have lower genetic/genomic literacy, but more positive attitudes/receptivity towards practice integration, than undergraduate students. Multiple regression analysis suggested that the level of study (postgraduate/undergraduate programme) and perceptions of the disadvantages of 'needing to re-tool professionally' were significant independent factors associated with the level of genetic/genomic literacy. CONCLUSIONS Findings from this study call for the strategic integration of genetics/genomics education into all levels of nursing education in Hong Kong and across the globe. In particular, sustained efforts should be made to ensure that practising nurses receive further education in genetics/genomics.
Collapse
Affiliation(s)
- Ka Ming Chow
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong; Asia-Pacific Genomic and Genetic Nursing Centre, The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
| | - Ho Yu Cheng
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong; Asia-Pacific Genomic and Genetic Nursing Centre, The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.
| | - Alice W Y Leung
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong
| | | | - Sek Ying Chair
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong; Asia-Pacific Genomic and Genetic Nursing Centre, The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
| |
Collapse
|
2
|
Dickerson KJ. Prognostic uncertainty in multiple sclerosis: A concept analysis. J Clin Nurs 2023; 32:633-642. [PMID: 34643008 DOI: 10.1111/jocn.16069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2021] [Indexed: 01/17/2023]
Abstract
AIM To report an analysis of the concept of prognostic uncertainty in patients with multiple sclerosis (MS). BACKGROUND The complexity and ambiguity involved in a diagnosis of MS lead to the occurrence of prognostic uncertainty among patients. A concept analysis is presented that analyses what prognostic uncertainty means to those experiencing the transition between relapsing-remitting multiple sclerosis and secondary progressive multiple sclerosis. DESIGN Concept analysis. DATA SOURCES PubMed, Ovid Medline, Cumulative Index for Nursing and Allied Health Literature databases were searched for literature published within the last 10 years using combinations of the terms prognostic and diagnostic uncertainty, and multiple sclerosis along with archival referencing. METHODS The Walker and Avant method was used to analyse the concept of prognostic uncertainty in patients with MS. RESULTS The defining attributes identified that provide additional context to prognostic uncertainty are illness uncertainty, intolerance of uncertainty and progressive dwindling. Related, contrary, model and borderline cases are presented to further discuss the application of the key attributes to the concept. CONCLUSION There are limited data on prognostic uncertainty and multiple sclerosis; however, patients and physicians express uncertainty in understanding one's disease trajectory and determining when a patient with relapsing-remitting multiple sclerosis has entered the secondary progressive multiple sclerosis disease course leading to ineffective communication and frustration. RELEVANCE TO CLINICAL PRACTICE Genetics and genomics have the potential to provide a prognostic factor for addressing the concept of uncertainty as it relates to persons with multiple sclerosis. Moving beyond the concept analysis, a case is made for nurse involvement in genetic and genomic research to conduct trials, translate, and apply these findings to clinical practice and nursing curricula, addressing the uncertainty experienced by those afflicted with chronic illnesses, such as multiple sclerosis.
Collapse
Affiliation(s)
- Kelly Jean Dickerson
- University of Missouri - Kansas City, Kansas City, MO, USA.,Children's Mercy, Kansas City, MO, USA
| |
Collapse
|
3
|
Dewell S, Benzies K, Ginn C. Precision Health and Nursing: Seeing the Familiar in the Foreign. Can J Nurs Res 2020; 52:199-208. [DOI: 10.1177/0844562120945159] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Precision health is the integration of personal genomic data with biological, environmental, behavioral, and other information relevant to the care of a patient. Genetics and genomics are essential components of precision health. Genetics is the study of the effects of individual genes, and genomics is the study of all the components of the genome and interactions between genes, environmental factors, and other psychosocial and cultural factors. Knowledge about the role of genetics and genomics on health outcomes has increased substantially since the completion of the human genome project in 2003. Insights about genetics and genomics obtained from bench science are now having positive clinical implications on patient health outcomes. Nurses have the potential to make distinct contributions to precision health due to their unique role in the health care system. In this article, we discuss gaps in the development of precision health in nursing and how nursing can expand the definition of precision health to actualize its potential. Precision health plays a role in nursing practice. Understanding this connection positions nurses to incorporate genetic and genomic knowledge into their nursing practice.
Collapse
Affiliation(s)
- Sarah Dewell
- Faculty of Nursing, University of Calgary, Canada
| | | | - Carla Ginn
- Faculty of Nursing, University of Calgary, Canada
| |
Collapse
|
4
|
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: 4] [Impact Index Per Article: 1.0] [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.
Collapse
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
| |
Collapse
|
5
|
Hu J, Yu L, Modanloo S, Zhou Y, Yang Y. A theoretical framework for interaction of nursing discipline with genetics and genomics. Int J Nurs Sci 2018; 5:336-342. [PMID: 31406845 PMCID: PMC6626281 DOI: 10.1016/j.ijnss.2018.08.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Revised: 08/25/2018] [Accepted: 08/31/2018] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Since the completion of the Human Genome Project, health science has been strongly influenced by the advances in genetics and genomics. However, the progress of embracing genetics and genomics into nursing discipline is limited. One of the main barriers is lack of understanding on the relevancy of genetics and genomics to nursing discipline. OBJECTIVES This paper aims to synthesize and develop a theoretical framework for the interaction of nursing discipline with genetics and genomics. METHODS Through content analysis and constant comparative method, a theoretical framework was developed from synthesis of the studies regarding nursing and genetics/genomics indexed in multiple English and Chinese databases. RESULTS Four main theoretical statements were constructed in the framework: 1) There are three ways to show how genetics and genomics can influence nursing discipline: a new specialty, new technologies and a new lens; 2) The significant contribution of nursing discipline to genetics and genomics lies in how nurses could focus on the association between human responses and genes and how nurses could advocate for their clients in the genetic and genomic era; 3) A paradigm shift occurs after a constant interaction of nursing discipline with genetics and genomics; 4) Implementation strategies could be used to facilitate the integration of genetics and genomics to nursing discipline and advance the paradigm shift. CONCLUSIONS The framework will help to understand the relationship between nursing discipline and genetics and genomics and implicate the future studies integrating genetics and genomic science into nursing discipline.
Collapse
Affiliation(s)
- Jiale Hu
- Department of Nursing, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
- School of Nursing, University of Ottawa, Ontario, Canada
| | - Leilei Yu
- Department of Orthognathic Surgery, Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
| | | | - Yiyan Zhou
- School of Nursing, University of Ottawa, Ontario, Canada
| | - Yan Yang
- Department of Nursing, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
- School of Nursing, Second Military Medical University, Shanghai, China
| |
Collapse
|
6
|
Abstract
In addition to the need for basic education about genetics/genomics, other approaches are suggested to include awareness campaigns, continuing education courses, policy review, and onsite clinical development. These alternative learning strategies encourage oncology nurses across the continuum of care, from the bedside/seatside to oncology nurse research, to integrate genomics into all levels of practice and research in the specialty of oncology nursing. All nurses are warriors in the fight against cancer. The goal of this article is to identify genomic information that oncology nurses, at all levels of care, need to know and use as tools in the war against cancer.
Collapse
Affiliation(s)
- Julie Eggert
- School of Nursing, College of Behavioral, Social and Health Sciences, Clemson University, Clemson, SC 29634, USA; Inherited Cancer Clinic, Bon Secours St. Francis Cancer Center, 104 Innovation Drive, Greenville, SC 29607, USA.
| |
Collapse
|
7
|
Mahon S. Apply Resources to Practice: Use Current Genetics and Genomics Content in Oncology. Clin J Oncol Nurs 2017; 21:34-38. [DOI: 10.1188/17.cjon.34-38] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
8
|
Leach V, Tonkin E, Lancastle D, Kirk M. A strategy for implementing genomics into nursing practice informed by three behaviour change theories. Int J Nurs Pract 2016; 22:307-15. [DOI: 10.1111/ijn.12431] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Revised: 01/08/2016] [Accepted: 02/28/2016] [Indexed: 12/30/2022]
Affiliation(s)
- Verity Leach
- PhD Student, Genomics Policy Unit; Faculty of Life Sciences and Education, University of South Wales; Pontypridd Wales UK
| | - Emma Tonkin
- Senior Research Fellow, Genomics Policy Unit; Faculty of Life Sciences and Education, University of South Wales; Pontypridd Wales UK
| | - Deborah Lancastle
- Registered Psychologist, Senior Lecturer in Psychology, School of Psychology, Early Years and Therapeutic Studies; University of South Wales; Pontypridd Wales UK
| | - Maggie Kirk
- Upsilon Xi at large, Professor, Genomics Policy Unit, Past President, International Society of Nurses in Genomics, Faculty of Life Sciences and Education; University of South Wales; Pontypridd Wales UK
| |
Collapse
|
9
|
Williams JK, Tripp-Reimer T, Daack-Hirsch S, DeBerg J. Five-Year Bibliometric Review of Genomic Nursing Science Research. J Nurs Scholarsh 2016; 48:179-86. [DOI: 10.1111/jnu.12196] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2016] [Indexed: 12/11/2022]
Affiliation(s)
- Janet K. Williams
- Gamma , Professor of Nursing; The University of Iowa; Iowa City IA USA
| | - Toni Tripp-Reimer
- Gamma , Professor of Nursing; The University of Iowa; Iowa City IA USA
| | - Sandra Daack-Hirsch
- Gamma , Associate Professor of Nursing; The University of Iowa; Iowa City IA USA
| | - Jennifer DeBerg
- Clinical Education Librarian; The University of Iowa; Iowa City IA USA
| |
Collapse
|
10
|
Amaya Rey MCDP. Enfermería Genética y Genómica: una trilogía actual y del futuro. AVANCES EN ENFERMERÍA 2016. [DOI: 10.15446/av.enferm.v33n2.52931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
<p>La Genética y Genómica (GG) como área de investigación se identifica como un cuerpo de conocimiento emergentea lo largo y ancho del mundo,pues presenta un crecimiento exponencial en la literatura científica, al alcanzar un incremento del 70% después del año 2006.Es,por tanto, un acontecimiento prioritario en las agendas de Enfermería y otras disciplinas de la Salud. Se ha dicho en la última década que la Genética y Genómicaes una experiencia nueva para los clínicos y para los académicos y arrastra la integración deaspectos bio-clínicos, moleculares y de probabilidades para portadores y casos.</p>
Collapse
|
11
|
Kawi J, Lukkahatai N, Inouye J, Thomason D, Connelly K. Effects of Exercise on Select Biomarkers and Associated Outcomes in Chronic Pain Conditions. Biol Res Nurs 2015; 18:147-59. [DOI: 10.1177/1099800415599252] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Background: Chronic pain is highly prevalent. Current management is challenged by lack of validated objective measures like biological markers. Clinical pain studies employing exercise interventions have evaluated biomarkers; however, it is unclear how exercise impacts biomarkers involved in pain pathways and whether these markers are associated with relevant pain-related outcomes. This systematic review evaluates data from clinical studies employing exercise interventions in chronic musculoskeletal nonmalignant pain conditions in which biomarkers in pain pathways were measured. Method: Published research studies from several databases were examined using the Jadad Scale for assessing the quality of clinical studies. Results: Twelve research studies were reviewed. Jadad scores ranged from 5 to 11 out of 13 points. Inflammatory markers were most commonly measured followed by neurotransmitter-related genes and metabolite-detecting genes. After exercise interventions, changes in biomarkers involved in neurotransmission and inflammation suggest a hypoalgesic exercise effect. Significant biomarker associations were found with pain intensity, fatigue, depression, anxiety, and quality of life. However, there were varying methodologies in the studies reviewed. Discussion: It remains a question whether biomarkers can be used as objective measures for risk assessment, diagnosis, or evaluation or as surrogate endpoints in chronic pain. Adequate sample sizes, optimal exercise dose determination, study replications, and longitudinal research studies with consistent methodologies are warranted. Regardless, the potential translational value of biomarkers in chronic pain is evident. Advancing nursing research in biomarkers is vital for moving the nursing discipline and clinical chronic pain practice forward. Developing a biobehavioral perspective in chronic pain is also necessary for comprehensive management.
Collapse
Affiliation(s)
- Jennifer Kawi
- School of Nursing, University of Nevada, Las Vegas, NV, USA
| | | | - Jillian Inouye
- School of Nursing, University of Nevada, Las Vegas, NV, USA
| | - Diane Thomason
- School of Nursing, University of Nevada, Las Vegas, NV, USA
| | | |
Collapse
|