高级实践护士药物基因组学能力和利用情况.
Cathy R Fulton1, Anna L M Macagno2, Stephanie L Dickinson2
1Health Informatics, Luddy School of Informatics, Computing, and Engineering, Indiana University-Indianapolis, Indianapolis, IN.
Journal of the American Association of Nurse Practitioners
|April 10, 2024
概括
高级实践注册护士 (APRNs) 在药物基因组知识和技能方面表现出缺陷,导致测试订单和指南使用率低. 建议培训和政策变化用于实践整合.
科学领域:
- 护理教育 护理教育
- 药物基因组学 药物基因组学
- 临床实践 临床实践
背景情况:
- 根据临床药物基因组实施联盟 (CPIC) 准则指导的药物基因组 (PGx) 测试优化了药物选择和剂量.
- PGx的实施旨在提高药物的疗效和减少不良事件.
研究的目的:
- 评估药物基因学 (PGx) 课程内容,知识,技能,态度和高级实践注册护士 (APRNs) 的使用情况.
主要方法:
- 分发了一项在线调查,以评估与PGx相关的教育,自我报告的知识,技能,态度和临床使用.
- 分析了266个APRN的数据,以评估现有的PGx集成在实践中.
主要成果:
- 只有48%的APRN在他们的教育中报告了药物遗传学课程内容,这与熟悉程度相关,但与知识信心无关.
- 药基因组测试的订购率很低 (29%),其中84%从未使用CPIC指南.
- 发现的一个重大障碍是不知道要订购哪个PGx测试 (48%的那些不计划未来订单的人).
结论:
- 尽管有学术培训,但APRN药物基因组知识和技能的缺陷仍然存在,阻碍了实践融合.
- 低使用PGx测试和CPIC指南表明教育和临床应用之间存在差距.
- 建议包括课程评估,有针对性的培训,大学护理教育委员会的政策变化,以及为实践APRN提供继续教育.
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