基于遗传护理实践标准的肿瘤遗传护士培训体系构建

Construction of oncology genetic nurses training system based on genetic nursing practice standard

目的基于国内对遗传护理实践发展的需求,构建基于遗传护理实践标准的科学、实用的肿瘤遗传护士培训体系,为我国肿瘤遗传护理专科人才的培养提供有效依据。方法以国际遗传学护士协会及美国护士协会等发布的遗传及基因组学护理实践标准为基础,通过文献查阅、专家访谈,初步拟订肿瘤遗传护士培训方案体系,采用Delphi专家咨询法及层次分析法,确立肿瘤遗传护士培训体系。结果共纳入全国17个省市及美国的38名咨询专家,两轮函询问卷有效回收率为92.86%和97.44%,专家权威系数为0.788和0.856,两轮函询各级指标的肯德尔和谐系数分别为0.119~0.161和0.106~0.136(P<0.001)。最终构建的肿瘤遗传护士培训体系共包括4个一级指标、23个二级指标、129个三级指标。结论构建的肿瘤遗传护士培训体系可靠、专业、全面,构建过程科学合理,可为我国培养肿瘤遗传护士提供借鉴。

Objective Based on the domestic demand for the development of genetic nursing practice,a scientific and practical training system for oncology genetic nurses based on genetic nursing practice standard is constructed to provide an effective basis for the training of on⁃cology genetic nursing professional in China.Methods Based on the nursing practice standards of genetics and genomics published by the International Association of Genetic Nurses and the American Nurses Association,the training program system of oncology genetic nurses was preliminarily formulated through literature review and expert interviews.Delphi expert consultation method and analytic hierarchy process were used to establish the training system of oncology genetic nurses.Results A total of 38 experts from 17 provinces and cities in China and the United States were included.The effective recovery rates of the two rounds of consultation questionnaires were 92.86%and 97.44%.The ex⁃pert authority coefficients were 0.788 and 0.856.The Kendall's coefficients of concordance of the indicators at all levels in the two rounds of consultation were 0.119~0.161 and 0.106~0.136,respectively(P<0.001).The final training system for oncology genetic nurses included 4 first-level indicators,23 second-level indicators,and 129 third-level indicators.Conclusion The training system of oncology genetic nurses is reliable,professional and comprehensive,and the construction process is scientific and reasonable,which can provide reference for the training of oncology genetic nurses in China.