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医疗保健专业人员在遗传性癌症护理中对基本信息的学习需求和观点:一项系统综述

Healthcare Professionals' Learning Needs and Perspectives on Essential Information in Genetic Cancer Care: A Systematic Review.

作者信息

Park Sun-Young, Kim Youlim, Katapodi Maria C, Kim Yeon-Joo, Chae Heejung, Choi Yoon-Jung, Ryu Kum Hei, Lee Eun-Gyeong, Kong Sun-Young, Jung So-Youn

机构信息

College of Nursing, Daegu Catholic University, Daegu 42472, Republic of Korea.

College of Nursing, Kosin University, Busan 49104, Republic of Korea.

出版信息

Cancers (Basel). 2024 May 22;16(11):1963. doi: 10.3390/cancers16111963.

Abstract

BACKGROUND

The increased demand for genetic testing and counseling necessitates healthcare professionals (HCPs) to improve their genetic competency through training programs. This systematic review identified HCPs' learning needs and their perspectives on essential information for families with hereditary cancer.

METHODS

This review covered studies published from 2013 to 2024 across five databases. Data were analyzed using a content analysis.

RESULTS

Thirteen studies involving 332 HCPs were analyzed. Most studies focused on the learning needs of physicians caring for families affected by Hereditary Breast and Ovarian Cancer in North America and Europe. HCPs required training emphasizing practical counseling skills over the basics of genetics. Learning needs varied by profession: physicians needed training in assessing cancer risk and supporting decision-making in risk management; nurses required information on resources and the genetic care system; genetic counselors sought guidance on family communication and planning. Essential information identified for families included risk-reducing strategies, personalized cancer risk assessment, family implications, psychological issues, (cascade) genetic testing, and social concerns.

CONCLUSIONS

The findings have implications for the development of training programs for HCPs, emphasizing the need for tailored training based on professions. Future research should explore the needs of HCPs caring for families with diverse hereditary cancers and cultural backgrounds.

摘要

背景

对基因检测和咨询的需求不断增加,这就要求医疗保健专业人员(HCPs)通过培训计划提高其基因能力。本系统评价确定了HCPs的学习需求以及他们对遗传性癌症家庭基本信息的看法。

方法

本评价涵盖了2013年至2024年在五个数据库中发表的研究。使用内容分析法对数据进行分析。

结果

分析了涉及332名HCPs的13项研究。大多数研究聚焦于北美和欧洲照顾遗传性乳腺癌和卵巢癌家庭的医生的学习需求。HCPs需要的培训更强调实用的咨询技能而非遗传学基础知识。学习需求因专业而异:医生需要在评估癌症风险和支持风险管理决策方面的培训;护士需要有关资源和基因护理系统的信息;基因咨询师寻求有关家庭沟通和规划的指导。为家庭确定的基本信息包括降低风险策略、个性化癌症风险评估、家庭影响、心理问题、(级联)基因检测和社会关注。

结论

研究结果对HCPs培训计划的制定具有启示意义,强调了基于专业进行量身定制培训的必要性。未来的研究应探索照顾具有不同遗传性癌症和文化背景家庭的HCPs的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979c/11171145/42a31f283329/cancers-16-01963-g001.jpg

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