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Opportunities and challenges of integrating genetics education about human diversity into public health nurses' responsibilities in Japan.
BMC Nursing ( IF 3.1 ) Pub Date : 2019-12-09 , DOI: 10.1186/s12912-019-0391-6
Hiromi Goda 1 , Hiromi Kawasaki 1 , Yuko Masuoka 1 , Natsu Kohama 1 , Md Moshiur Rahman 1
Affiliation  

Background Many genetic tests are now available due to evolution by the Human Genome Project. However, the growing use of genetic testing and screening may not only lead to improvements in public health and health promotion, but also trigger grave ethical, legal, and societal concerns. The involvement of community healthcare providers is expected in the future because they have direct contact with the residents through their health programs. The aims of the current study were to clarify how public health nurses perceive the relationship between genetics and professional duties and to identify opportunities and challenges of integrating genetics education into their professional duties. Methods In 2017, data were collected through a focus group interview. Content related to the 'presence or absence of health consultation related to genetic issues as part of actual job duties' and 'training for handling genetic-related health consultations' was extracted. Entire sentences were coded and categorized based on similar semantic content. Results Public health nurses had difficulties in recognizing genetic issues in public health activities. In some cases, genetic contents were included in conversation and consultation with the general public. Through the professional education and experiences, public health nurses needed specialized education, post-graduation studies and mentoring about genetics. Conclusions Public health nurses whose professional duties do not directly relate to genetics were exposed to genetics-related episodes on a regular basis without their awareness. The provision of accurate information and knowledge related to genetics by public health nurses would also provide an opportunity for clients to be informed about their latent genetic risks. Hence, there is a need for practical resources, the establishment of collaboration networks, and the development of professional organizations for public health nurses.

中文翻译:

将关于人类多样性的遗传学教育纳入日本公共卫生护士职责的机遇和挑战。

背景 由于人类基因组计划的进化,现在可以进行许多基因测试。然而,越来越多地使用基因检测和筛查可能不仅会改善公共卫生和健康促进,还会引发严重的伦理、法律和社会问题。预计未来社区医疗保健提供者的参与是因为他们通过他们的健康计划与居民直接接触。本研究的目的是阐明公共卫生护士如何看待遗传学与专业职责之间的关系,并确定将遗传学教育纳入其专业职责的机遇和挑战。方法 2017年,通过焦点小组访谈收集数据。与'相关的内容 提取了作为实际工作职责的一部分是否存在与遗传问题相关的健康咨询”和“处理遗传相关健康咨询的培训”。根据相似的语义内容对整个句子进行编码和分类。结果公共卫生护士在公共卫生活动中识别遗传问题存在困难。在某些情况下,遗传内容被包括在与公众的对话和咨询中。通过专业教育和经验,公共卫生护士需要专业教育、毕业后学习和遗传学指导。结论 其专业职责与遗传学不直接相关的公共卫生护士经常在不知情的情况下接触到与遗传学相关的事件。公共卫生护士提供与遗传学相关的准确信息和知识也将为客户提供了解其潜在遗传风险的机会。因此,需要实用资源,建立合作网络,并为公共卫生护士发展专业组织。
更新日期:2020-04-22
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