Sloand Elizabeth, Bourguet Adrienne Nicole, Engle-Pratt Wynnona, Bodurtha Joann
J Nurs Educ. 2018 Nov 1;57(11):690-693. doi: 10.3928/01484834-20181022-12.
Research in genetics and genomics has led to the development of precision medicine, with health care increasingly individually based on one's genetic makeup. Implementation of genetics and genomics in primary care has been challenging given the rapid development of new advances. Clinicians report difficulties incorporating genetics and genomics in practice, citing insufficient knowledge, training, confidence, and resources for genetic diagnoses, testing, and result reporting.
Three pediatric nurse practitioner students participated in elective clinical rotations in pediatric genetics, with the goals of approaching all patients with genetic thinking, gaining competence collecting family health histories, and understanding available genetic resources.
Postrotation, students gained genetic thinking skills, competence collecting a three-generational family health history to assess genetic risk factors and aid in genetic diagnosis, and the ability to navigate genetic resources.
Genetics clinical rotations during primary care nurse practitioner education is an effective strategy to learn genetic and genomic competencies. [J Nurs Educ. 2018;57(11):690-693.].
遗传学和基因组学的研究推动了精准医学的发展，医疗保健越来越多地基于个人的基因构成而个体化。鉴于新进展的迅速发展，在初级保健中实施遗传学和基因组学一直具有挑战性。临床医生报告称，在实践中纳入遗传学和基因组学存在困难，理由是缺乏基因诊断、检测及结果报告方面的知识、培训、信心和资源。
三名儿科执业护士学生参加了儿科遗传学的选修临床轮转，目标是以遗传学思维方式对待所有患者，获得收集家族健康史的能力，并了解可用的遗传资源。
轮转结束后，学生们获得了遗传学思维技能、收集三代家族健康史以评估遗传风险因素并辅助基因诊断的能力，以及利用遗传资源的能力。
在初级保健执业护士教育期间进行遗传学临床轮转是学习遗传和基因组学能力的有效策略。[《护理教育杂志》2018年；57(11):690 - 693。]
