Hickey Kathleen T, Katapodi Maria C, Coleman Bernice, Reuter-Rice Karin, Starkweather Angela R
Columbia University School of Nursing, New York, NY, USA.
Professor of Nursing Science, University of Basel Institute of Nursing Science, Basel, Switzerland.
J Nurs Scholarsh. 2017 Jan;49(1):80-86. doi: 10.1111/jnu.12259. Epub 2016 Nov 2.
The purpose of this article is to provide an overview of Family History in the Electronic Health Record and to identify opportunities to advance the contributions of nurses in obtaining, updating and assessing family history in order to improve the health of all individuals and populations.
The article presents an overview of the obstacles to charting Family History within the Electronic Health Record and recommendations for using specific Family History tools and core Family History data sets.
Opportunities to advance nursing contributions in obtaining, updating, and assessing family history in order to improve the health of all individuals were identified. These opportunities are focused within the area of promoting the importance of communication within families and between healthcare providers to obtain, document, and update family histories.
Nurses can increase awareness of existing resources that can guide collection of a comprehensive and accurate family history and facilitate family discussions. In this paper, opportunities to advance nursing contributions in obtaining, updating, and assessing family history in order to improve the health of all individuals were identified.
Aligned with the clinical preparation of nurses, family health should be used routinely by nurses for risk assessment and to help inform patient and family members on screening, health promotion, and disease prevention. The quality of family health information is critical in order to leverage the use of genomic healthcare information and derive new knowledge about disease biology, treatment efficacy, and drug safety. These actionable steps need to be performed in the context of promoting evidence-based applications of family history that will be essential for implementing personalized genomic healthcare approaches and disease prevention efforts.
Family health history is one of the most important tools for identifying the risk of developing rare and chronic conditions, including cardiovascular disease, cancer, and diabetes, and represents an integration of disease risk from genetic, environmental, and behavioral/lifestyle factors. In fact, family history has long been recognized as a strong independent risk factor for disease and is the current best practice used in clinical practice to guide risk assessment.
本文旨在概述电子健康记录中的家族史，并确定推进护士在获取、更新和评估家族史方面的贡献的机会，以改善所有个体和人群的健康状况。
本文概述了在电子健康记录中记录家族史的障碍，以及使用特定家族史工具和核心家族史数据集的建议。
确定了推进护士在获取、更新和评估家族史方面的贡献以改善所有人健康状况的机会。这些机会集中在促进家庭内部以及医疗保健提供者之间的沟通以获取、记录和更新家族史的重要性这一领域。
护士可以提高对现有资源的认识，这些资源可指导全面、准确地收集家族史并促进家庭讨论。本文确定了推进护士在获取、更新和评估家族史方面的贡献以改善所有人健康状况的机会。
与护士的临床准备工作相一致，护士应常规使用家族健康信息进行风险评估，并帮助患者和家庭成员了解筛查、健康促进和疾病预防方面的信息。家族健康信息的质量对于利用基因组医疗信息以及获取有关疾病生物学、治疗效果和药物安全性的新知识至关重要。这些可采取行动的步骤需要在促进家族史的循证应用的背景下进行，这对于实施个性化基因组医疗方法和疾病预防工作至关重要。
家族健康史是识别患罕见病和慢性病风险（包括心血管疾病、癌症和糖尿病）的最重要工具之一，代表了遗传、环境和行为/生活方式因素导致的疾病风险的综合。事实上，家族史长期以来一直被认为是疾病的一个强大独立风险因素，并且是临床实践中用于指导风险评估的当前最佳做法。
