Current status and future directions of US genomic nursing health care policy

被引：18

作者：

Kurnat-Thoma, Emma ^{[1
,2
]}

Fu, Mei R. ^{[3
]}

Henderson, Wendy A. ^{[4
]}

Voss, Joachim G. ^{[5
]}

Hammer, Marilyn J. ^{[6
]}

Williams, Janet K. ^{[7
]}

Calzone, Kathleen ^{[8
]}

Conley, Yvette P. ^{[9
]}

Starkweather, Angela ^{[4
]}

Weaver, Michael T. ^{[10
]}

Shiao, S. Pamela K. ^{[11
]}

Coleman, Bernice ^{[12
]}

机构：

[1] NINR, NIH, Bethesda, MD USA

[2] Georgetown Univ, Sch Nursing & Hlth Studies, Washington, DC USA

[3] Boston Coll, William F Connell Sch Nursing, Off 228 Maloney Hall,140 Commonwealth Ave, Chestnut Hill, MA 02467 USA

[4] Univ Connecticut, Sch Nursing, Storrs, CT USA

[5] Case Western Reserve Univ, Frances Payne Bolton Sch Nursing, Cleveland, OH 44106 USA

[6] Dana Farber Canc Inst, Boston, MA 02115 USA

[7] Univ Iowa, Coll Nursing, Iowa City, IA 52242 USA

[8] NCI, Ctr Canc Res, Genet Branch, Bethesda, MD USA

[9] Univ Pittsburgh, Sch Nursing, Pittsburgh, PA 15261 USA

[10] Univ Florida, Gainesville, FL USA

[11] Augusta Univ, Ctr Biotechnol & Genom Med, Med Coll Georgia, Augusta, GA USA

[12] Cedars Sinai Med Ctr, Nursing Res & Performance Improvement, Los Angeles, CA USA

来源：

NURSING OUTLOOK | 2021年 / 69卷 / 03期

基金：

美国国家卫生研究院;

关键词：

Genomics nursing; Health care quality measurement; Performance measures; Precision health; Quality improvement; Genomic nursing health care policy; IMPLEMENTATION SCIENCE; QUALITY; NURSES; GENETICS; KNOWLEDGE; MEDICINE; PANEL; INTEGRATION; COMPETENCES; CHALLENGES;

D O I：

10.1016/j.outlook.2020.12.006

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: As genomic science moves beyond government-academic collaborations into routine healthcare operations, nursing's holistic philosophy and evidence-based practice approach positions nurses as leaders to advance genomics and precision health care in routine patient care. Purpose: To examine the status of and identify gaps for U.S. genomic nursing health care policy and precision health clinical practice implementation. Methods: We conducted a scoping review and policy priorities analysis to clarify key genomic policy concepts and definitions, and to examine trends and utilization of health care quality benchmarking used in precision health. Findings: Genomic nursing health care policy is an emerging area. Educating and training the nursing workforce to achieve full dissemination and integration of precision health into clinical practice remains an ongoing challenge. Use of health care quality measurement principles and federal benchmarking performance evaluation criteria for precision health implementation are not developed. Discussion: Nine recommendations were formed with calls to action across nursing practice workforce and education, nursing research, and health care policy arenas. Conclusions: To advance genomic nursing health care policy, it is imperative to develop genomic performance measurement tools for clinicians, purchasers, regulators and policymakers and to adequately prepare the nursing workforce.

引用

页码：471 / 488

页数：18

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