Creighton University College of Nursing, Omaha, Nebraska.
University of Wisconsin-Madison School of Nursing, Madison Wisconsin.
J Am Assoc Nurse Pract. 2024 Oct 1;36(10):554-562. doi: 10.1097/JXX.0000000000001050.
Nurse practitioners (NPs) are the fastest growing group of health care providers, with an increase of 8.5% over the past year and anticipated growth of more than 40% by 2031. Improving NPs' knowledge of how genes influence health enables them to assess, diagnose, and manage patients in all states of health in a safe, efficient, and competent manner. Nurse practitioners may also care for patients who obtain direct-to-consumer (DTC) genetic tests without provider oversight and share their results; improved knowledge of genetics can provide NPs with the information and resources needed to interpret and understand DTC test results. The literature indicates that NPs have limited understanding of basic genetic concepts and guidelines for prescribing drugs affected by genomic variability. As a result, NPs report low confidence in their ability to accurately interpret and apply genetic test results, which inhibits genomics-informed precision health care. This article provides resources and clinical recommendations for using the 2021 American Association of Colleges of Nursing Essentials and the American Nurses Association Essentials of Genomic Nursing to facilitate the integration of genomics into NP curricula and practice. These resources will help future and practicing NPs integrate genomics into practice and improve precision health care.
护士从业者(NPs)是医疗保健提供者中增长最快的群体,过去一年增长了 8.5%,预计到 2031 年将增长超过 40%。提高 NPs 对基因如何影响健康的认识,使他们能够以安全、高效和有能力的方式评估、诊断和管理所有健康状况的患者。护士从业者也可能护理未经提供者监督而获得直接面向消费者(DTC)基因检测并分享其结果的患者;对遗传学的更好了解可以为 NPs 提供解释和理解 DTC 检测结果所需的信息和资源。文献表明,NPs 对基本遗传概念和指导基因组变异影响药物处方的理解有限。因此,NPs 报告说,他们对准确解释和应用遗传检测结果的能力缺乏信心,这抑制了基于基因组学的精准医疗保健。本文提供了使用 2021 年美国护理学院协会基础和美国护士协会基因组护理基础的资源和临床建议,以促进将基因组学纳入 NP 课程和实践。这些资源将帮助未来和现有的 NPs 将基因组学纳入实践并改善精准医疗保健。