基因體學能力概念分析

Concept Analysis of Genomic Competency

基因體學隨著技術發展，促使精準醫療的成長，護理人員為照護病人的第一線人員，應具備基因體學概念相關能力。本文根據Walker及Avant的概念分析步驟，將「基因體學能力」槪念分析的目的做說明；確認槪念的用法與定義；確認定義性特徵；以典型、邊緣、相反案例說明；此外也同時確立前置因子與後果與呈現實證性相關量表。「基因體學能力」的定義性特徵為：（1）辨別可從基因體學受益的個案、（2）協助個案轉介專業人員、（3）與跨專業團隊合作，依據基因體檢測結果提供個別化的照護。基因體學能力的前置因子包括：（1）遺傳疾病篩檢或生育計畫；（2）疾病復發風險或疾病易感性檢測；（3）癌症診斷及治療以及；（4）藥物基因體學。相關量表有基因體護理概念量表、遺傳學與基因體學調查以及GKnowM基因體知識量表。期許透過本概念分析，護理人員能了解基因體學，並運用於臨床護理及未來研究領域上。

With advancements in technology, genomics has played a vital role in developing precision medicine. As frontline healthcare providers, nurses are expected to possess competencies related to genomics. This article conducts a concept analysis of genomic competencies using Walker and Avant’s methodology, outlines the aims and significance of these competencies in nursing, examines various definitions and uses of the term, and establishes a clear and practical understanding of the concept. Additionally, the concept is clarified by analyzing model, borderline, and contrary cases, identifying antecedents and consequences, and introducing relevant measurement instruments. The key attributes of genomic competencies in nursing practice include: (1) the ability to identify individuals who may benefit from genomic information, (2) the ability to facilitate referrals to appropriate genomic specialists, and (3) the ability to collaborate effectively with interprofessional teams to provide personalized care based on genomic test results. The antecedents of genomic competencies include: (1) genetic disease screening or reproductive planning, (2) testing for disease recurrence risk or genetic susceptibility, (3) cancer diagnosis and treatment, and (4) pharmacogenomics. Relevant assessment tools include the Genomic Nursing Concept Inventory, Genetics and Genomics in Nursing Practice Survey, and GKnowM Genomics Knowledge Scale. Through this concept analysis, it is hoped that nursing professionals will develop a clearer understanding of genomics and be able to apply this knowledge in both clinical practice and future research.