Patrick Chiu, Jacqueline Limoges, Rebecca Puddester, Andrea Gretchev, Lindsay Carlsson, Kathleen Leslie, Don Flaming, Ann Meyer, April Pike
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引用次数: 0
摘要
背景:基因检测和精准治疗等基因组学技术正迅速成为肿瘤治疗的常规方法,护士在支持基因组学医疗保健日益增长的需求方面发挥着越来越重要的作用。目的:本研究是加拿大肿瘤科护士协会(Canadian Association of Nurses in Oncology)和加拿大护理学校协会(Canadian Association of Schools of Nursing)一个更大的三阶段项目的一部分,该项目旨在为基因组学知情肿瘤护理教育和实践提出建议并促进行动。本阶段旨在通过加拿大肿瘤科护士和患者伙伴的视角,加深对基因组学知情肿瘤护理教育和实践的政策需求和行动驱动力的理解:方法:本研究采用解释性描述方法。研究人员进行了 20 次半结构化虚拟访谈,其中 17 次访谈的对象是不同实践领域的肿瘤科护士,3 次访谈的对象是患者合作伙伴代表。数据收集和分析同时进行:我们的分析确定了三个主题:1)护士和患者认识到现在是采取行动的时候了;2)护士和患者看到了执行有意、战略性和合作性政策制定的优势;3)需要领导和宣传来推动行动:结论:需要建立护理政策基础设施,以提高基因组知识水平,支持护士为患者提供安全护理,并在跨学科团队中确立明确的角色、职责和责任。在实践、组织和系统层面进行强有力的领导和宣传对于加快行动至关重要。
Developing Policy Infrastructure to Guide Genomics-Informed Oncology Nursing in Canada: An Interpretive Descriptive Study.
Background: Genomic technologies such as genetic testing and precision treatments are rapidly becoming routine in oncology care, and nurses play an increasingly important role in supporting the growing demands for genomics-informed healthcare. Policy infrastructure such as competencies, standards, scope of practice statements, and education and curriculum frameworks are urgently needed to guide these practice and education changes.
Purpose: This study is part of a larger three-phase project to develop recommendations and catalyze action for genomics-informed oncology nursing education and practice for the Canadian Association of Nurses in Oncology and the Canadian Association of Schools of Nursing. This phase aimed to enhance understanding of policy needs and action drivers for genomics-informed oncology nursing education and practice through the perspectives of Canadian oncology nurses and patient partners.
Methods: Interpretive description methodology guided the study. Twenty semi-structured virtual interviews were conducted; 17 with oncology nurses in various domains of practice, and three with patient partner representatives. Data collection and analysis occurred concurrently.
Results: Our analysis identified three themes: 1) nurses and patients recognize that it is time for action, 2) nurses and patients see advantages to executing intentional, strategic, and collaborative policy development, and 3) leadership and advocacy are required to drive action.
Conclusion: Nursing policy infrastructure is required to increase genomic literacy, support nurses in providing safe patient care, and establish clear roles, responsibilities, and accountabilities within the interdisciplinary team. Strong leadership and advocacy at the practice, organizational, and systems levels are vital to accelerating action.
期刊介绍:
We are pleased to announce the launch of the CJNR digital archive, an online archive available through the McGill University Library, and hosted by the McGill University Library Digital Collections Program in perpetuity. This archive has been made possible through a Richard M. Tomlinson Digital Library Innovation and Access Award to the McGill School of Nursing. The Richard M. Tomlinson award recognizes the ongoing contribution and commitment the CJNR has made to the McGill School of Nursing, and to the development and nursing science in Canada and worldwide. We hope this archive proves to be an invaluable research tool for researchers in Nursing and other faculties.