Simple Coaching Clinic to Improve Nurse's Knowledge of Genetic Counseling among Thalassemia Patients of Genetic Counseling among Thalassemia Patients
DOI:
https://doi.org/10.56359/gj.v5i2.281Keywords:
coaching clinic, genetic counseling, knowledge, nurses, thalassemiaAbstract
Introduction: The coaching clinic is one of the strategies designed to increase nurses' knowledge in conducting genetic counseling for patients and families of thalassemia patients. Nurses will not only be given information, but they will also be taught how to communicate and how to use genetic counseling to make sure the coaching clinic's goals are met.
Objective: This study aims to describes the effect of a simple coaching clinic on nurses' knowledge of genetic counseling implementation in thalassemia care.
Methods: This research used a quantitative approach and was conducted on August 20th–21st , 2022. The design of this study was quasi-experimental without a control group. This study obtained a total sample of 29 nurses using a proportional sampling technique and inclusion criteria. The inclusion criteria in this study were nurses with a diploma degree, an undergraduate education background, and registered nurses. The data collection instrument was a 30-questions genetic counseling questionnaire. IBM SPSS version 25.0 was used to analyze the data using the Wilcoxon test.
Results: Simple coaching clinic proved to have a significant effect in improving the knowledge level of nurses in general with p-value = 0.004. Knowledge level improvement can be seen from Mean (+SD) 53.67 (+13.64) to 69.67 (+8.26). Likewise with nurses' knowledge about thalassemia, genetic counseling and bio-informatics, the majority of respondents experienced positive changes. In contrast to the genetic topic, the majority of respondents did not experience a change in their level of knowledge so that a p-value >0.05 was obtained.
Conclusions: Changes in level of knowledge indicated that the coaching clinic's effects on level of knowledge are significant and have an impact on health services across a variety of health institutions, including clinics and hospitals. As a result, it is critical to have a health strategy that promotes the accessibility of genetic counseling services for patients with thalassemia and other genetic illnesses.
Downloads
References
Aghbabak Maheri, et al. (2018). Depression, Anxiety, and Perceived Social Support among Adults with Beta-Thalassemia Major: Cross-Sectional Study. PubMade, 1, 101–107. https://doi.org/10.4082/kjfm.2018.39.2.101
Agustin, R., & Zuraida, R. (2020). Penatalaksanaan Holistik pada Pasien Anak Usia 8 Tahun dengan Diagnosis Talasemia Melalui Pendekatan Kedokteran Keluarga. MAJORITY, 9(1), 157–166.
Al-Ashwal, F. Y., Kubas, M., Zawiah, M., Bitar, A. N., Saeed, R. M., Sulaiman, S. A. S., … Ghadzi, S. M. S. (2020). Healthcare workers’ knowledge, preparedness, counselling practices, and perceived barriers to confront COVID-19: A cross-sectional study from a war-torn country, Yemen. PLoS ONE, 15(12 December), 1–16. https://doi.org/10.1371/journal.pone.0243962
Alnaami, A., & Wazqar, D. (2019). Disease knowledge and treatment adherence among adult patients with thalassemia: a cross-sectional correlational study. Pielegniarstwo XXI Wieku/Nursing in the 21st Century, 18(2), 95–101.
Amberger, J., Bocchini, C., & Hamosh, A. (2011). A new face and new challenges for Online Mendelian Inheritance in Man (OMIM®). Human Mutation, 32(5), 564–567.
Amberger, J. S., & Hamosh, A. (2017). Searching online mendelian inheritance in man (OMIM): a knowledgebase of human genes and genetic phenotypes. Current Protocols in Bioinformatics, 58(1), 1–2.
Andrews, V., Tonkin, E., Lancastle, D., & Kirk, M. (2014). Using the Diffusion of Innovations theory to understand the uptake of genetics in nursing practice: identifying the characteristics of genetic nurse adopters. Journal of Advanced Nursing, 70(4), 878–893.
Biswas, B., Naskar, N. N., Basu, K., Dasgupta, A., Basu, R., & Paul, B. (2017). Health seeking behavior of β-thalassemia major children and its attributes: An epidemiological study in Eastern India. Journal of Family Medicine and Primary Care, 6(2), 169–170. https://doi.org/10.4103/jfmpc.jfmpc
Blencowe, H., Moorthie, S., Darlison, M. W., Gibbons, S., & Modell, B. (2018). Methods to estimate access to care and the effect of interventions on the outcomes of congenital disorders. Journal of Community Genetics, 9(4), 363–376.
Chouhan, M. S., & Pujari, J. (2021). Nurses’ Knowledge and Role on Care of Children with Thalassemia. International Journal of Health Sciences and Research, 11(3), 156–161. Retrieved from https://www.ijhsr.org/IJHSR_Vol.11_Issue.3_March2021/IJHSR-Abstract.025.html
Chuang, Y.-H., Lai, F.-C., Chang, C.-C., & Wan, H.-T. (2018). Effects of a skill demonstration video delivered by smartphone on facilitating nursing students’ skill competencies and self-confidence: A randomized controlled trial study. Nurse Education Today, 66, 63–68.
Colah, R., Gorakshakar, A., & Nadkarni, A. (2010). Global burden, distribution and prevention of β-thalassemias and hemoglobin e disorders. Expert Review of Hematology, 3(1), 103–117. https://doi.org/10.1586/ehm.09.74
Cordier, C., Lambert, D., Voelckel, M. A., Hosterey-Ugander, U., & Skirton, H. (2012). A profile of the genetic counsellor and genetic nurse profession in European countries. Journal of Community Genetics, 3(1), 19–24. https://doi.org/10.1007/s12687-011-0073-x
Danjou, F., Anni, F., & Galanello, R. (2011). Beta-thalassemia : from genotype to phenotype. Hematologica, 96(11), 1573–1575. https://doi.org/10.3324/haematol.2011.055962
Delnavaz, S., Hassankhani, H., Roshangar, F., Dadashzadeh, A., Sarbakhsh, P., Ghafourifard, M., & Fathiazar, E. (2018). Comparison of scenario based triage education by lecture and role playing on knowledge and practice of nursing students. Nurse Education Today, 70, 54–59.
Drohan, B., Roche, C. A., Cusack, J. C., & Hughes, K. S. (2012). Hereditary breast and ovarian cancer and other hereditary syndromes: using technology to identify carriers. Annals of Surgical Oncology, 19(6), 1732–1737.
Dumo, A. M., Laing, B., Lim, A. G., Palaganas, E., Abad, P. J., Valdehueza, O., … Mandysova, P. (2020). Randomized controlled trial on the effectiveness of web‐based Genomics Nursing Education Intervention for undergraduate nursing students: a study protocol. Journal of Advanced Nursing, 76(11), 3136–3146.
Dyess, S. M., Sherman, R., Opalinski, A., & Eggenberger, T. (2017). Structured coaching programs to develop staff. Journal of Continuing Education in Nursing, 48(8), 373–378. https://doi.org/10.3928/00220124-20170712-10
El-Hosany, E. A.-E., & Khaton, S. E. (2021). Knowledge and Attitudes among Tanta University Students Regarding to Genetic Disorders and Genetic Counseling. Tanta Scientific Nursing Journal, 21(2), 74–99.
Hayes, E., & Kalmakis, K. A. (2007). From the sidelines: Coaching as a nurse practitioner strategy for improving health outcomes. Journal of the American Academy of Nurse Practitioners, 19(11), 555–562. https://doi.org/10.1111/j.1745-7599.2007.00264.x
Heri Ariyanto, Nurapandi, A., Purwati, A. E., Kusumawaty, J., & Setiawan, H. (2021). Genetic counseling program for patient with hyperglycemic syndrome. Journal of Holistic Nursing Science, 8(2), 2–9.
Huda, C., & Indrayati, A. (2019). Molecular Detection of Exon 3 of Beta Globin Gene from Thalassemia Beta Major Patients in RSUD DR . Soeroto Ngawi using Polymerase Chain Reaction – Single Strand Conformation Polimorfism Method. Farmasi Indonesia, 16(1), 24–33.
Kafl, R. H., & El-Shahat, H. T. M. (2020). Effect of an Educational program on Nursing Care Practices regarding Pediatric Transfusion-Dependent β-Thalassemia Major. International Journal of Novel Research in Healthcare and Nursing, 7(1), 460–470.
Kasper, D., Fauci, A., Hauser, S., Longo, D., Jameson, J., & Loscalzo, J. (2015). Harrison’s Principles of Internal Medicine (19th ed.). New York: McGraw‑Hill Medical Pub. Division.
Olinger, E., Alawi, I. Al, Al Riyami, M. S., Salmi, I. Al, Molinari, E., Faqeih, E. A., … Al‐Hussaini, A. A. (2021). A discarded synonymous variant in NPHP3 explains nephronophthisis and congenital hepatic fibrosis in several families. Human Mutation, 42(10), 1221–1228.
Oliver, J., Goodfellow, J., Smyth, L., Bourne, R., Brennan, P., & Farrer, M. (2011). Using patient experiences to develop a pre genetic service around family needs. British Journal of Cardiac Nursing, 6(6), 291–294. https://doi.org/10.12968/bjca.2011.6.6.291
Rachmilewitz, E. A. (2017). Pathophysiology and treatment of patients with beta-thalassemia – an update [ version 1 ; referees : 2 approved ] Eitan Fibach Referee Status : PubMade, 6(0), 1–12. https://doi.org/10.12688/f1000research.12688.1
Rahn, A. C., Köpke, S., Backhus, I., Kasper, J., Anger, K., Untiedt, B., … Heesen, C. (2018). Nurse-led immunotreatment DEcision Coaching In people with Multiple Sclerosis (DECIMS) – Feasibility testing, pilot randomised controlled trial and mixed methods process evaluation. International Journal of Nursing Studies, 78, 26–36. https://doi.org/10.1016/j.ijnurstu.2017.08.011
Resta, R., Biesecker, B. B., Bennett, R. L., Blum, S., Hahn, S. E., Strecker, M. N., & Williams, J. L. (2006). A new definition of genetic counseling: National Society of Genetic Counselors’ Task Force report. Journal of Genetic Counseling, 15(2), 77–83. https://doi.org/10.1007/s10897-005-9014-3
Rujito, L. (2018). Genetic counseling in Indonesia as a mandatory service. Jurnal Kedokteran Dan Kesehatan Indonesia, 9(1), 1–2. https://doi.org/10.20885/JKKI.Vol9.Iss1.art1
Setiawan, H., Lutfi Sandi, D. Y., Andarini, E., Kurniawan, R., Richard, D. S., & Ariyanto, H. (2021). Vliv genetickeho poradenstvi na depresi, uzkost a uroven znalosti u pacientu s onemocnenim diabetes mellitus. Kontakt. Retrieved from https://kont.zsf.jcu.cz/artkey/knt-000000-0774.php
Setiawan, H., Setiawan, D., & Mustopa, A. H. (2021). Development of Android-based Mobile Application “Cyber Gen” for Genetic Counselling Implementation among Thalassemia Patients. In Journal of Physics: Conference Series (Vol. 2111, p. 12037). IOP Publishing.
Setiawan, H., Suhanda, S., & Setiawan, D. (2021). Coaching Clinic as a Strategy to Improve Knowledge and Competence of Nurses in Providing Genetic Counseling Interventions among Thalassemia Patients. International Journal of Community Based Nursing & Midwifery, 10(1), 84–85. https://doi.org/10.30476/ijcbnm.2021.92764.1883
Sharoff, L. (2015). Genetics and genomics integration into undergraduate nursing education. J Nurs Educ Pract, 5(4), 13–18.
Skirton, H., Cordier, C., Ingvoldstad, C., Taris, N., & Benjamin, C. (2015). The role of the genetic counsellor: A systematic review of research evidence. European Journal of Human Genetics, 23(4), 452–458. https://doi.org/10.1038/ejhg.2014.116
Syobri, M., Mustofa, F. L., & Triswanti, N. (2020). Hubungan Kepatuhan Konsumsi Kelasi Besi Terhadap Pertumbuhan Anak Dengan Thalassemia. Jurnal Ilmiah Kesehatan Sandi Husada, 9(1), 387–391.
Tomatir, A. G., Sorkun, H. C., Demirhan, H., & Akdag, B. (2006). Nurses’ professed knowledge of genetics and genetic counseling. The Tohoku Journal of Experimental Medicine, 210(4), 321–332. https://doi.org/10.1620/tjem.210.321
Tosif, S., Jatobatu, A., Maepioh, A., Gray, A., Sobel, H., Mannava, P., & Duke, T. (2020). Healthcare worker knowledge and skills following coaching in WHO early essential newborn care program in the Solomon Islands: A prospective multi-site cohort study. BMC Pregnancy and Childbirth, 20(1), 1–9. https://doi.org/10.1186/s12884-020-2739-z
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Andan Firmansyah, Hendri Tamara Yuda, Tri Antika Rizki Kusuma Putri, Nur Hidayat, Selvia David Richard, Hidayat Arifin, Henri Setiawan
This work is licensed under a Creative Commons Attribution 4.0 International License.
