Integrating genomics and precision health knowledge into practice: A guide for nurse practitioners.

IF 1.2 4区 医学
Trina Walker, Anne L Ersig, Andrew A Dwyer, Rebecca Kronk, Cynthia T Snyder, Karen Whitt, Valerie Willis
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引用次数: 0

Abstract

Abstract: Nurse practitioners (NPs) are the fastest growing group of health care providers, with an increase of 8.5% over the past year and anticipated growth of more than 40% by 2031. Improving NPs' knowledge of how genes influence health enables them to assess, diagnose, and manage patients in all states of health in a safe, efficient, and competent manner. Nurse practitioners may also care for patients who obtain direct-to-consumer (DTC) genetic tests without provider oversight and share their results; improved knowledge of genetics can provide NPs with the information and resources needed to interpret and understand DTC test results. The literature indicates that NPs have limited understanding of basic genetic concepts and guidelines for prescribing drugs affected by genomic variability. As a result, NPs report low confidence in their ability to accurately interpret and apply genetic test results, which inhibits genomics-informed precision health care. This article provides resources and clinical recommendations for using the 2021 American Association of Colleges of Nursing Essentials and the American Nurses Association Essentials of Genomic Nursing to facilitate the integration of genomics into NP curricula and practice. These resources will help future and practicing NPs integrate genomics into practice and improve precision health care.

将基因组学和精准健康知识融入实践:执业护士指南。
摘要:执业护士(NPs)是医疗服务提供者中增长最快的群体,去年增长了 8.5%,预计到 2031 年将增长 40% 以上。提高执业护师对基因如何影响健康的认识,使他们能够以安全、高效和胜任的方式评估、诊断和管理各种健康状况的病人。执业护师还可以护理那些在没有医疗服务提供者监督的情况下接受直接面向消费者(DTC)基因检测并分享检测结果的患者;提高遗传学知识可以为执业护师提供解释和理解 DTC 检测结果所需的信息和资源。文献表明,非专科医生对基本遗传学概念和受基因组变异影响的药物处方指南了解有限。因此,NPs 对自己准确解释和应用基因检测结果的能力信心不足,这阻碍了以基因组学为依据的精准医疗。本文提供了使用 2021 年《美国护理学院协会要点》和《美国护士协会基因组护理要点》的资源和临床建议,以促进将基因组学纳入 NP 课程和实践。这些资源将帮助未来和在职的 NP 将基因组学融入实践,提高精准医疗水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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