Essential Genetic and Genomic Nursing Competencies for the Oncology Nurse

, National HumanGenome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Seminars in Oncology Nursing 02/2011; 27(1):64-71. DOI: 10.1016/j.soncn.2010.11.008
Source: PubMed


To review the opportunities and possibilities for advancing oncology nursing competencies in genetic/genomics through the illustration of case scenarios in clinical care.
Literature; research reports.
Oncology nurses have the potential to influence whether or not cutting edge research discoveries are utilized at the bedside. Clinical integration of genetic/genomic information has the potential to optimize health outcomes and lengthen patient lives.
Oncology nurses need to include genetics/genomics in their practice in order to impact quality patient care today and for the future.

1 Follower
10 Reads
  • Source
    • "In oncology, advances in genomic health care are influencing risk management, treatment options and mark a new chapter in oncology nursing (Jenkins 2011, McCreery 2011). Nurses in this specialty have a role to play in helping patients and their families to understand their condition (Jenkins 2011). The context of primary care places it in a unique position to maximize the benefits of genomic health care, from prevention through to management of those with active disease and initiating health promotion for those identified as being susceptible to specific disease (Cho & Orlando 2012). "
    [Show abstract] [Hide abstract]
    ABSTRACT: To identify the characteristics of nurses who are using genetics in practice and consider the implications of the findings for optimizing its wider uptake. Nurses are crucial in realizing the benefits from advances in genetic and genomic health care. Although many recognize genetics as an important component of disease, most feel unprepared to engage with it in practice. The Diffusion of Innovation theory provides a useful framework to describe different levels of engagement. Identifying the characteristics of nurses who have engaged with genetics (adopters) may provide insights of relevance to promoting wider adoption. A primarily quantitative approach over two phases, using online surveys conducted during 2011. In phase 1, consensus (>75%) was sought from experts in genetics and nursing on four potential Indicators of Genetic Adoption could identify nurses who have adopted genetics. In phase 2, oncology and primary care nurses were surveyed to identify the characteristics and demographic indicators of genetic nurse adopters. A consensus was achieved to include all Indicators of Genetic Adoption (phase 1). In phase 2, 27·3% of respondents (n = 24/88) were categorized as being adopters. Eighteen characteristics were determined to be statistically significant (Mann-Whitney) in defining an adopter and included being open to experience and being more knowledgeable of and confident in using genetics. Nurses can be categorized in terms of their engagement with genetics through several distinguishing characteristics. Further research is needed to test the generalizability of the findings to a larger sample and other areas of nursing practice.
    Journal of Advanced Nursing 09/2013; 70(4). DOI:10.1111/jan.12255 · 1.74 Impact Factor
  • Source
    • "Conversely, knowledge of gene expression through DNA methylation manipulation represents the potential for prevention and treatment of disease (Cleeren, Van der Heyden, Brand, & Van Oyen, 2011), the key approaches that impact nursing science and practice. The dynamic nature of knowledge evolution in epigenetics requires competency development at all levels of nursing education (Kirk, Calzone, Arimori, & Tonkin, 2011) and practice (Howington, Riddlesperger, & Cheek, 2011; Jenkins, 2011; Johnson, Giarelli, Lewis, & Rice, 2012; Powell, Hasegawa, & McWalter, 2010; Prows & Saldana, 2009; Santos et al., 2013; Snyder, 2011; Williams et al., 2011). Nurses are uniquely positioned to serve as key players as epigenetic research advances. "
    [Show abstract] [Hide abstract]
    ABSTRACT: DNA methylation is an epigenomic modification that is essential to normal human development and biological processes. DNA methylation patterns are heritable and dynamic throughout the life span. Environmental exposures can alter DNA methylation patterns, contributing to the development of complex disease. Identification and modulation of environmental factors influencing disease susceptibility through alterations in DNA methylation are amenable to nursing intervention and form the basis for individualized patient care. Here we describe the evidence supporting the translation of DNA methylation analyses as a tool for screening, diagnosis, and treatment of complex disease in nursing research and practice. The ethical, legal, social, and economic considerations of advances in genomics are considered as a model for epigenomic policy. We conclude that contemporary and informed nurse scientists and clinicians are uniquely poised to apply innovations in epigenomic research to clinical populations and develop appropriate policies that guide equitable and ethical use of new strategies to improve patient care.
    Nursing outlook 07/2013; 61(4):235-241.e4. DOI:10.1016/j.outlook.2013.04.010 · 1.59 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: BACKGROUND: Advances in genetics have had a profound impact on health care. Yet, many nurses, as well as other health care providers, have limited genetic knowledge and feel uncomfortable integrating genetics into their practice. Very little is known about perceived genetic knowledge and clinical comfort among Taiwanese nurses enrolled in a Registered Nurse to Bachelor of Science in Nursing program. OBJECTIVES: To examine perceived knowledge and clinical comfort with genetics among Taiwanese nurses enrolled in a Registered Nurse to Bachelor of Science in Nursing program and to assess how genetics has been integrated into their past and current nursing programs. The study also sought to examine correlations among perceived knowledge, integration of genetics into the nursing curriculum, and clinical comfort with genetics. DESIGN: A descriptive, cross-sectional study. SETTINGS: Taiwanese nurses enrolled in a Registered Nurse to Bachelor of Science in Nursing program were recruited. METHODS: A total of 190 of 220 nurses returned the completed survey (86.36% response rate). Descriptive statistics and the Pearson product-moment correlation were used for data analysis. RESULTS: Most nurses indicated limited perceived knowledge and clinical comfort with genetics. Curricular hours focused on genetics in a current nursing program were greater than those in past nursing programs. The use of genetic materials, attendance at genetic workshops and conferences, and clinically relevant genetics in nursing practice significantly related with perceived knowledge and clinical comfort with genetics. However, there were no correlations between prior genetic-based health care, perceived knowledge, and clinical comfort with genetics. CONCLUSIONS: This study demonstrated the need for emphasizing genetic education and practice to ensure health-related professionals become knowledgeable about genetic information. Given the rapidly developing genetic revolution, nurses and other health care providers need to utilize genetic discoveries to optimize health outcomes.
    Nurse education today 03/2012; ???(8). DOI:10.1016/j.nedt.2012.02.020 · 1.36 Impact Factor
Show more


10 Reads
Available from