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意大利护士在基因诊所工作的经历与角色:一项描述性现象学定性研究

Experience and role of Italian nurses working in genetic clinics: a descriptive phenomenological qualitative study.

作者信息

Godino Lea, Magi Camilla Elena, Bruzzone Carla, Bonora Stefano, Seri Marco, Varesco Liliana, Turchetti Daniela

机构信息

Medical Genetics Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.

出版信息

BMC Nurs. 2025 Jan 20;24(1):65. doi: 10.1186/s12912-024-02659-5.

Abstract

BACKGROUND

In several countries, the role of the genetic nurse has developed over decades, becoming well-recognized and integrated into healthcare systems. In contrast, in Italy, this role is still emerging, with no formal legal recognition and limited awareness among healthcare professionals and hospital administrators. Given this context, it is crucial to assess how the role and activities of nurses in genetic clinics in Italy are perceived.

METHODS

Phenomenological qualitative study was performed. Three focus groups and one individual interview were conducted to collect data between April and November 2022 and transcribed verbatim. Phenomenological analysis was used to provide a comprehensive description of the overall thematic map and to interpret the data.

RESULTS

A purposive sample of 14 Italian nurses with working experience in genetic clinics were recruited for interviews. Three themes were identified: (a) Education, (b) Working in genetic clinics, and (c) Acknowledgement of genetic nurse role. The absence of genetics education in nursing programs has led to on-the-job training in this field. The activities performed were unclear since they were neither standardized nor recognized. The role of the genetic nurse was not acknowledged, and in Italy, nurses trained in genetics did not have the opportunity to choose their recruitment as it was not voluntary.

CONCLUSIONS

This evidence highlights the need for formally recognizing the role of the genetic nurse in Italy. This could be achieved through the definition of standard activities and the implementation of formal education in genetics and genomic fields.

摘要

背景

在一些国家,基因护士的角色在几十年间不断发展,已得到广泛认可并融入医疗体系。相比之下,在意大利,这一角色仍在兴起阶段,尚未获得正式法律认可,医疗专业人员和医院管理人员对其了解有限。在此背景下,评估意大利基因诊所护士的角色和活动的认知情况至关重要。

方法

开展了现象学定性研究。于2022年4月至11月期间进行了三个焦点小组讨论和一次个人访谈以收集数据,并逐字转录。采用现象学分析方法对整体主题图谱进行全面描述并解读数据。

结果

招募了14名在基因诊所工作过的意大利护士作为有目的抽样进行访谈。确定了三个主题:(a)教育,(b)在基因诊所工作,以及(c)对基因护士角色的认可。护理专业课程中缺乏遗传学教育导致了该领域的在职培训。所开展的活动不明确,因为既未标准化也未得到认可。基因护士的角色未得到认可,在意大利,接受过遗传学培训的护士没有机会自主选择入职,因为这并非自愿行为。

结论

这一证据凸显了在意大利正式认可基因护士角色的必要性。这可以通过定义标准活动以及在遗传学和基因组学领域开展正规教育来实现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1f2/11745009/d11ee5a08d9e/12912_2024_2659_Fig1_HTML.jpg

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