护士领导者的成熟度矩阵，以促进和基准基因组医疗保健政策、基础设施、教育和提供方面的进展。
A Maturity Matrix for Nurse Leaders to Facilitate and Benchmark Progress in Genomic Healthcare Policy, Infrastructure, Education, and Delivery.
机构信息
Associate Professor of Genomics Healthcare, University of South Wales, Pontypridd, Rhondda Cynon Taff, Wales, UK.
Xi, Research Geneticist, National Institutes of Health, National Cancer Institute, Center for Cancer Research, Genetics Branch, Bethesda, MD, USA.
出版信息
J Nurs Scholarsh. 2020 Sep;52(5):583-592. doi: 10.1111/jnu.12586. Epub 2020 Jun 27.
PURPOSE
Nurse leaders driving strategic integration of genomics across nursing need tools and resources to evaluate their environment, guide strategies to address deficits, and benchmark progress. We describe the development and pilot testing of a self-assessment maturity matrix (MM) that enables users to benchmark the current state of nursing genomic competency and integration for their country or nursing group; guides the development of a strategic course for improvement and implementation; and assesses change over time.
DESIGN
Mixed-methods participatory research and self-assessment.
METHODS
During a 3-day workshop involving nursing experts in health care and genomics, a genomic integration MM grid was built by consensus using iterative participatory methods. Data were analyzed using descriptive techniques. This work built on an online survey involving the same participants to identify the critical elements needed for "effective nursing which promotes health outcomes globally through genomics."
FINDINGS
Experts from 19 countries across six continents and seven organizations participated in item development. The Assessment of Strategic Integration of Genomics across Nursing (ASIGN) MM incorporates 55 outcome-focused items serving as subscales for six critical success factors (CSFs): education and workforce; effective nursing practice; infrastructure and resources; collaboration and communication; public/patient involvement; policy and leadership. Users select their current circumstances for each item against a 5-point ordinal scale (precontemplation to leading). Nurses representing 17 countries undertook matrix pilot testing. Results demonstrate variation across CSFs, with many countries at the earliest stages of implementation.
CONCLUSIONS
The MM has the potential to guide the strategic integration of genomics across nursing and enables additional assessments within and between countries to be made.
CLINICAL RELEVANCE
Nurse leadership and direction are essential to accelerate integration of genomics across nursing practice and education. The MM helps nurse leaders to benchmark progress and guide strategic planning to build global genomic nursing capacity.
目的
推动护理领域基因组学战略整合的护理领导者需要工具和资源来评估环境，指导解决缺陷的策略，并为进展情况设定基准。我们描述了一种自我评估成熟度矩阵（MM）的开发和试点测试，该矩阵使用户能够为其所在国家或护理群体基准化护理基因组学能力和整合的现状；指导改进和实施的战略路线的制定；并评估随时间的变化。
设计
混合方法参与式研究和自我评估。
方法
在涉及医疗保健和基因组学的护理专家为期 3 天的研讨会上，使用迭代参与方法通过共识构建了基因组整合 MM 网格。使用描述性技术分析数据。这项工作是基于一项涉及相同参与者的在线调查，以确定“通过基因组学促进全球健康结果的有效护理”所需的关键要素。
结果
来自六大洲 19 个国家和 7 个组织的专家参与了项目的开发。评估护理中基因组学的战略整合（ASIGN）MM 包含 55 个以结果为导向的项目，作为六个关键成功因素（CSFs）的子量表：教育和劳动力；有效的护理实践；基础设施和资源；协作和沟通；公众/患者参与；政策和领导力。用户针对每个项目从 5 点有序量表（未考虑到领先）中选择他们目前的情况。来自 17 个国家的护士进行了矩阵试点测试。结果表明，CSFs 之间存在差异，许多国家处于实施的最初阶段。
结论
该 MM 有可能指导护理领域基因组学的战略整合，并使各国内部和之间能够进行更多评估。
临床相关性
护士领导和指导对于加速护理实践和教育中基因组学的整合至关重要。MM 帮助护理领导者为进展情况设定基准，并指导战略规划，以建立全球基因组学护理能力。
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