Cao Yucheng, Gao Yu, Chappell Kathy, Zhou Wentao
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
School of Informatics, Computing, and Cyber Systems, Northern Arizona University, Flagstaff, AZ 86011, USA.
Nurse Educ Pract. 2025 Mar;84:104304. doi: 10.1016/j.nepr.2025.104304. Epub 2025 Feb 27.
This study systematically analyzes key factors influencing nurses' genetic nursing competency to inform future genetic nursing education, research and practical interventions.
The advancements in genomic technology, genetic nursing has emerged as a critical component of personalized and precision medicine. However, existing research suggests that many nurses lack adequate preparation to address genetic nursing competency effectively.
This systematic review was registered in the International Prospective Register of Systematic Reviews (CRD42024577323) and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol.
This systematic review retrieved quantitative studies published between January 2009 and June 2024 from seven databases. The inclusion process involved initial screening, full-text assessment for inclusion criteria and methodological assessment. Two researchers independently conducted literature screening and quality assessment using Zotero software, with discrepancies resolved through discussion or consultation with a third researcher. Thirteen studies included, encompassing 6816 registered nurses from multiple countries. The Joanna Briggs Institute risk of bias criteria was used for quality assessment and traditional content analysis was used to summarize quantitative findings.
Thirteen factors influencing genetic nursing competency were identified across three levels: individual (education, gender, work experience, basic knowledge, professional attitude, clinical skills, self-confidence, genetic awareness), environmental (unit differences, cultural and ethical cognition) and organizational (professional roles, professional development, leadership support).
This study highlights individual, environmental and organizational factors affecting nurses' genetic nursing competencies. It emphasizes the need for targeted training, leadership support, policy development and international collaboration to achieve these competencies globally.
本研究系统分析影响护士基因护理能力的关键因素，为未来的基因护理教育、研究和实践干预提供参考。
随着基因组技术的进步，基因护理已成为个性化和精准医学的重要组成部分。然而，现有研究表明，许多护士缺乏有效应对基因护理能力的充分准备。
本系统评价在国际系统评价前瞻性注册库（CRD42024577323）中注册，并遵循系统评价和Meta分析的首选报告项目（PRISMA）方案。
本系统评价从七个数据库中检索了2009年1月至2024年6月发表的定量研究。纳入过程包括初步筛选、根据纳入标准进行全文评估和方法学评估。两名研究人员使用Zotero软件独立进行文献筛选和质量评估，分歧通过讨论或与第三名研究人员协商解决。共纳入13项研究，涵盖来自多个国家的6816名注册护士。采用乔安娜·布里格斯研究所偏倚风险标准进行质量评估，并采用传统内容分析法总结定量研究结果。
在三个层面确定了13个影响基因护理能力的因素：个人层面（教育程度、性别、工作经验、基础知识、职业态度、临床技能、自信心、基因意识）、环境层面（科室差异、文化和伦理认知）和组织层面（专业角色、专业发展、领导支持）。
本研究突出了影响护士基因护理能力的个人、环境和组织因素。强调需要有针对性的培训、领导支持、政策制定和国际合作，以在全球范围内实现这些能力。
