Ensuring equity in the age of precision health: Pilot results from a novel genomic nursing competency simulation

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-06-14 DOI:10.1016/j.ecns.2025.101760

Andrew A. Dwyer PhD, Isabella R. McDonald DNP, Arlene McGuane EdD, RN, Bethany A. Croke DNP, Anna Klarare PhD

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引用次数: 0

Abstract

Background

Nurse practitioners (NPs) are uniquely positioned to help end disparities in precision/genomic healthcare. We developed a novel genomic nursing competency simulation with a focus on health equity.

Method

The case was mapped to simulation/nursing standards and ‘‘Essentials’’ for graduate nursing education. We employed a hybrid clinical trial type design to evaluate outcomes in three groups (control, simulation, simulation + booster). Validated measures were used to assess learners at baseline, short-term (two-weeks), and long-term follow-up (12-18 months into practice).

Results

Control subjects (n=39) and the pilot cohort (n=9) had similar knowledge, attitudes/beliefs, perceived knowledge/ability, and comfort/confidence relating to genomics-informed care. Pilot intervention group mean scores trended upward across all domains and feedback was overwhelmingly positive.

Conclusion

This innovative project develops NP genomic nursing competency and will elucidate the long-term effects of simulation (and dosing effects) on integrating genomics into practice.

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确保在精确健康的时代公平：试点结果从一个新的基因组护理能力模拟

护士从业人员（NPs）是独特的定位，以帮助结束差距在精确/基因组医疗保健。我们开发了一种新颖的基因组护理能力模拟，重点是健康公平。方法将病例映射到模拟/护理标准和研究生护理教育“要点”。我们采用混合临床试验型设计来评估三组（对照组、模拟组、模拟组+加强组）的结果。在基线、短期（两周）和长期随访（12-18个月）中，采用了经过验证的措施来评估学习者。结果对照受试者（n=39）和先导队列受试者（n=9）对基因组学知情护理具有相似的知识、态度/信念、感知知识/能力和舒适/信心。试点干预组的平均得分在所有领域都呈上升趋势，反馈非常积极。结论：该创新项目发展了NP基因组护理能力，并将阐明模拟（和剂量效应）对将基因组学整合到实践中的长期影响。

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

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.