{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:20:55Z","timestamp":1773390055031,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Nursing Review"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study explores the experiences and challenges faced by Spanish nurses involved in genetic counselling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Genetic counselling is a vital component of modern healthcare, yet its regulation and professional recognition vary globally. In Spain, despite growing demand, nurses specializing in genetics lack formal recognition, limiting both patient care quality and professional development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Nurses play a key role in delivering genetic counselling through patient education, emotional support, and care coordination. However, their role remains structurally undefined in Spain, highlighting the need for policy and educational reforms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted an interpretive description study grounded in an interpretivist\u2013constructivist stance. Data were generated through semi\u2010structured individual interviews, one focus group, and field notes. Analysis followed the interpretive description analytic logic (iterative coding, constant comparative analysis, integrative synthesis) to inductively develop practice\u2010relevant interpretive themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four subthemes emerged: professionalism, experience, needs, and team collaboration. Nurses emphasized the value of continuous training, therapeutic relationships, and interdisciplinary teamwork. Structural challenges included limited resources, lack of formal recognition, and insufficient supervision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Nurses are essential in providing patient\u2010centred genetic counselling, yet face barriers such as inadequate training, institutional support, and unclear professional boundaries. Emotional intelligence and teamwork were highlighted as key to effective practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study calls for urgent reforms to enhance training, recognition, and integration of nurses into genetic counselling services in Spain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing and Health Policy<\/jats:title>\n                    <jats:p>This research underscores the importance of recognizing nursing as a valuable and viable option for expanding genetic counselling services. Compared with other healthcare professionals, nurses possess unique strengths such as strong communication skills, long\u2010term patient engagement, and holistic care approaches, essential for effective genetic counselling. Their proximity to patients and ability to provide continuity of care make them ideal candidates for this evolving role. By prioritizing nursing\u2010led genetic counselling, Spain can improve access to services while offering new professional opportunities for nurses. Institutional support, formal recognition, and accredited postgraduate education pathways are needed to ensure high\u2010quality service delivery and career development. Investing in nursing within clinical genetics not only enhances patient outcomes but also strengthens the sustainability and efficiency of genomic healthcare in Spain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/inr.70137","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T06:44:15Z","timestamp":1764139455000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experience of the Evolving Roles of Nurses in Genetic Counselling in Spain: An Interpretive Description Study"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9371-1754","authenticated-orcid":false,"given":"Daniel","family":"Garc\u00eda\u2010Gutierrez","sequence":"first","affiliation":[{"name":"Departamento de Enfermer\u00eda, Facultad de Ciencias de la Salud de Manresa Universitat de Vic\u2010 Universitat Central de Catalunya (UVic\u2010UCC)  Barcelona Espa\u00f1a"},{"name":"Grupo de Investigaci\u00f3n en Simulaci\u00f3n e Innovaci\u00f3n Transformativa (GRIST) Instituto de Investigaci\u00f3n e Innovaci\u00f3n en Ciencias de la Vida y de la Salud de la Catalu\u00f1a Central (Iris\u2010CC)  Vic Espa\u00f1a"},{"name":"Institut de Recerca i Innovaci\u00f3 en Ci\u00e8ncies de la Vida i de la Salut a la Catalunya Central (IRIS\u2010CC)  Vic Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9328-9477","authenticated-orcid":false,"given":"Cristina","family":"Garc\u00eda\u2010Salido","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda, Facultad de Ciencias de la Salud de Manresa Universitat de Vic\u2010 Universitat Central de Catalunya (UVic\u2010UCC)  Barcelona Espa\u00f1a"},{"name":"Grupo de Investigaci\u00f3n en Simulaci\u00f3n e Innovaci\u00f3n Transformativa (GRIST) Instituto de Investigaci\u00f3n e Innovaci\u00f3n en Ciencias de la Vida y de la Salud de la Catalu\u00f1a Central (Iris\u2010CC)  Vic Espa\u00f1a"},{"name":"Institut de Recerca i Innovaci\u00f3 en Ci\u00e8ncies de la Vida i de la Salut a la Catalunya Central (IRIS\u2010CC)  Vic Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8931-2558","authenticated-orcid":false,"given":"Estel","family":"la Ram\u00edrez\u2010Baraldes","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda, Facultad de Ciencias de la Salud de Manresa Universitat de Vic\u2010 Universitat Central de Catalunya (UVic\u2010UCC)  Barcelona Espa\u00f1a"},{"name":"Grupo de Investigaci\u00f3n en Simulaci\u00f3n e Innovaci\u00f3n Transformativa (GRIST) Instituto de Investigaci\u00f3n e Innovaci\u00f3n en Ciencias de la Vida y de la Salud de la Catalu\u00f1a Central (Iris\u2010CC)  Vic Espa\u00f1a"},{"name":"Institut de Recerca i Innovaci\u00f3 en Ci\u00e8ncies de la Vida i de la Salut a la Catalunya Central (IRIS\u2010CC)  Vic Spain"},{"name":"Unitat de Cures Intensives Althaia Xarxa Assistencial Universit\u00e0ria de Manresa  Manresa Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41431\u2010018\u20100252\u2010x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics11122320"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12096"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1043\/1536\u20105026\u2010030.002.0079"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12629"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1346"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1630"},{"key":"e_1_2_11_9_1","volume-title":"Successful Qualitative Research: A Practical Guide for Beginners","author":"Braun V.","year":"2013"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12360"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547\u20105069.2012.01464.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12380"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781452230153"},{"key":"e_1_2_11_14_1","unstructured":"EBMG.2013.Proposed European Curriculum for MSc Genetic Counselling.https:\/\/doi.org\/10.1038\/s41431\u2010018\u20100252\u2010x."},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.edumed.2017.03.029"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nursi.2017.05.001"},{"key":"e_1_2_11_17_1","unstructured":"EBMG.Counselling supervision for genetic counsellors. 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