2022 Volume 1 Issue 2 Pages 136-159
Objective: This study aimed to develop a concept that satisfies the element of “principles that are true to the clinical situation, up-to-date, and with a simple structure” in genetic and genomic nursing competencies.
Methods: Phase 1 involved a literature review and qualitative interviews with a focus group of nurses practicing genetic nursing. In Phase 2, nurses from randomly selected facilities in Japan answered a questionnaire based on the Phase 1 results. The integration of the results involved comparing the structure and content, and restructuring the concept.
Results: Nursing practices, consisting of seven structures, were extracted from 41 documents and interviews with 21 nurses. Ultimately, 88 items were used to develop the questionnaire. A survey of 137 participants revealed that 54 items had a practice rate of < 80%. Fourteen cluster structures were identified through factor analysis. Using meta-inference, the structural incongruity obtained from these qualitative and quantitative data may be due to a mixture of noise attributes resulting from infrequent practice. In total, 54 items with <80% clinical practice and 22 items whose similarity was confirmed by IT correlation were deleted. The remaining 12 items had a one-factor structure (Cronbach’s α = 0.903), and seven structures in Phase 1 were covered. Finally, factor loadings of 0.47–0.79 were determined as attribute weights, specified as an attribute of the concept, in line with clinical practice.
Conclusion: Mixed methods have helped in developing the concept of “clinical competency in oncological genetics and genomics nursing,” which combines the characteristics of intensity.
