Associate Professor of Genomic Healthcare, University of South Wales, Pontypridd, Wales, UK.
Xi, Research Geneticist, National Institutes of Health, National Cancer Institute, Center for Cancer Research, Genetics Branch, Bethesda, MD, USA.
J Nurs Scholarsh. 2020 May;52(3):329-338. doi: 10.1111/jnu.12552. Epub 2020 Apr 17.
The changes needed to accelerate integration of genomics across nursing are complex, with significant challenges faced globally. Common themes lend themselves to a coordinated and collaborative strategic approach to sustained change. We aim to synthesize the outputs of a research program to present a roadmap for nursing leadership to guide integration of genomics across practice.
Mixed methods involving a purposive sample of global nursing leaders and nursing organizations in a sustained, highly interactive program.
Experts in nursing, health care and healthcare services, policy, and leadership were recruited. Online surveys preceded a 3-day residential meeting utilizing participatory methods and techniques to gain consensus on the essential elements of a roadmap to promote genomics integration.
Twenty-three leaders representing 19 countries and seven organizations participated overall. Data on the scope and status of nursing, genomics health care, and resources have been synthesized. Participants identified 117 facilitators to genomics integration across diverse sources. Barriers and priorities identified were mapped to the constructs of the Consolidated Framework for Implementation Research. The roadmap is underpinned by a maturity matrix created by participants to guide and benchmark progress in genomics integration.
Nurse leaders seeking to accelerate change can access practical guidance with the roadmap, underpinned by support through the Global Genomics Nursing Alliance and its strategic priorities.
Genomics is shaping the future of healthcare, but change is needed for integration across nursing. This practical roadmap, adaptable to local health systems and clinical and educational contexts, is relevant to nurse leaders aiming to accelerate change.
加速护理领域基因组学整合所需要的变革非常复杂，全球都面临着重大挑战。共同的主题使我们能够采用协调和协作的战略方法来实现持续变革。我们旨在综合一个研究计划的成果，为护理领导力提供一个路线图，以指导实践中基因组学的整合。
采用混合方法，包括在一个持续的、高度互动的计划中选择全球护理领导者和护理组织的目的性样本。
招募了护理、医疗保健和医疗服务、政策和领导力方面的专家。在线调查之前，进行了为期 3 天的实地会议，利用参与式方法和技术，就促进基因组学整合的路线图的基本要素达成共识。
共有 23 名代表 19 个国家和 7 个组织的领导者参与了整个过程。已经综合了有关护理、基因组学医疗保健和资源范围和现状的数据。参与者从不同来源确定了 117 个促进基因组学整合的促进因素。障碍和优先事项已被映射到实施研究综合框架的结构上。路线图的基础是由参与者创建的成熟度矩阵，用于指导和衡量基因组学整合的进展。
寻求加速变革的护理领导者可以使用路线图获得实际指导，同时得到全球基因组学护理联盟及其战略重点的支持。
基因组学正在塑造医疗保健的未来，但需要在护理领域进行整合变革。这个实用的路线图，可以适应当地的卫生系统和临床及教育环境，与旨在加速变革的护理领导者相关。
