Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Faculty of Health Disciplines, Athabasca University, Athabasca, Alberta, Canada.
J Adv Nurs. 2024 Nov;80(11):4488-4509. doi: 10.1111/jan.16099. Epub 2024 Mar 21.
To learn from two jurisdictions with mature genomics-informed nursing policy infrastructure-the United States (US) and the United Kingdom (UK)-to inform policy development for genomics-informed oncology nursing practice and education in Canada.
Comparative document and policy analysis drawing on the 3i + E framework.
We drew on the principles of a rapid review and identified academic literature, grey literature and nursing policy documents through a systematic search of two databases, a website search of national genomics nursing and oncology nursing organizations in the US and UK, and recommendations from subject matter experts on an international advisory committee. A total of 94 documents informed our analysis.
We found several types of policy documents guiding genomics-informed nursing practice and education in the US and UK. These included position statements, policy advocacy briefs, competencies, scope and standards of practice and education and curriculum frameworks. Examples of drivers that influenced policy development included nurses' values in aligning with evidence and meeting public expectations, strong nurse leaders, policy networks and shifting healthcare and policy landscapes.
Our analysis of nursing policy infrastructure in the US and UK provides a framework to guide policy recommendations to accelerate the integration of genomics into Canadian oncology nursing practice and education.
Findings can assist Canadian oncology nurses in developing nursing policy infrastructure that supports full participation in safe and equitable genomics-informed oncology nursing practice and education within an interprofessional context.
This study informs Canadian policy development for genomics-informed oncology nursing education and practice. The experiences of other countries demonstrate that change is incremental, and investment from strong advocates and collaborators can accelerate the integration of genomics into nursing. Though this research focuses on oncology nursing, it may also inform other nursing practice contexts influenced by genomics.
借鉴美国（美国）和英国（英国）两个具有成熟基因组学信息护理政策基础的司法管辖区的经验，为加拿大的肿瘤学基因组学信息护理实践和教育的政策制定提供信息。
利用 3i+E 框架进行比较文件和政策分析。
我们借鉴了快速审查的原则，通过对两个数据库的系统搜索、美国和英国国家基因组学护理和肿瘤学护理组织的网站搜索以及国际咨询委员会的主题专家建议，确定了学术文献、灰色文献和护理政策文件。共有 94 份文件为我们的分析提供了信息。
我们在美国和英国发现了几种指导基因组学信息护理实践和教育的政策文件。其中包括立场声明、政策倡导摘要、能力、实践和教育范围和标准以及课程框架。影响政策制定的驱动因素的例子包括护士在与证据保持一致并满足公众期望、强大的护士领导者、政策网络以及不断变化的医疗保健和政策环境方面的价值观。
我们对美国和英国护理政策基础设施的分析为指导政策建议提供了一个框架，以加速将基因组学纳入加拿大肿瘤学护理实践和教育。
研究结果可以帮助加拿大肿瘤学护士制定护理政策基础设施，以支持在跨专业背景下充分参与安全和公平的基因组学信息肿瘤学护理实践和教育。
本研究为加拿大基因组学信息肿瘤护理教育和实践的政策制定提供了信息。其他国家的经验表明，变革是渐进的，来自强大倡导者和合作者的投资可以加速基因组学在护理中的整合。尽管这项研究侧重于肿瘤学护理，但它也可能为受基因组学影响的其他护理实践环境提供信息。
