护理SCI晨读：将基因组专业技能融入护理实践：以色列护士队列结果
将基因组专业技能融入护理实践：以色列护士队列结果
摘要
目的
探索基因组知识、自我认知权威（SEA；即知识专业知识的主观感知）、基因组学在护理中的重要性的感知以及基因组技能与护理实践的整合之间的关联。
设计
2018 年 2 月至 10 月期间，对在以色列两家医疗中心的儿科、产科和内科病房工作的护士进行横断面研究。
方法
参与者完成了关于基因组知识、SEA、基因组学重要性的感知以及基因组技能在护理实践中的表现的匿名问卷。使用 Pearson 相关性分析变量之间的关联，并使用分层回归模型来确定哪些变量解释了参与者之间基因组实践的表现。
发现
共有 423 名护士参与了这项研究。平均基因组知识低 (55.05 ± 14.82%)。护士报告他们的实践中基因组技能的整合度较低（M = 1.90，SD = 0.71），尽管他们对基因组学的整体感知重要性是积极的（M = 2.88，SD = 0.68）。在 SEA 与基因组技能在护理实践中的整合之间发现了正相关。产科护士有更多的基因组知识，对基因组学的看法更积极，并且在护理实践中表现出更多的基因组技能。
结论
尽管护士们意识到基因组学对其实践的重要性，并且基因组学是以色列护理核心课程的一部分，但我们发现在护理实践中基因组技能的知识和表现水平低得令人失望。
临床相关性
结果呼吁采取行动为护士建立持续的基因组学教育计划，将基因组技能纳入常规护理实践，并为护士提供个性化医疗做好准备。
Abstract
Purpose
To explore the association of genomic knowledge, self-epistemic authority (SEA; i.e., subjective perception of knowledge expertise), perceived importance of genomics in nursing, and the integration of genomic skills into nursing practice.
Design
A cross-sectional study of nurses working in pediatric, obstetric, and internal wards of two medical centers in Israel between February and October 2018.
Methods
Participants completed anonymous questionnaires about genomic knowledge, SEA, perceived importance of genomics, and the performance of genomic skills in nursing practice. Associations between variables were analyzed using Pearson correlations, and a hierarchical regression model was used to determine which variables explained the performance of genomic practices among participants.
Findings
Altogether 423 nurses participated in the study. The mean genomic knowledge was low (55.05 ± 14.82%). Nurses reported a low integration of genomic skills in their practice (M = 1.90, SD = 0.71), although their overall perceived importance of genomics was positive (M = 2.88, SD = 0.68). Positive correlations were found between SEA and the integration of genomic skills in nursing practice. Obstetric nurses had more genomic knowledge, more positive perceptions about genomics, and performed more genomic skills in their nursing practice.
Conclusions
Although nurses realized the importance of genomics to their practice, and genomics is part of the Israeli nursing core curriculum, we found disappointingly low levels of knowledge and performance of genomic skills in nursing practice.
Clinical Relevance
The results call for action to establish ongoing education programs in genomics for nurses, which would lead to the inclusion of genomic skills into routine nursing practice, and prepare nurses for providing personalized medicine.
原文链接：
https://doi.org/10.1111/jnu.12686
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