Limoges Jacqueline, Puddester Rebecca, Gretchev Andrea, Chiu Patrick, Calzone Kathy, Leslie Kathleen, Pike April, Letourneau Nicole
Faculty of Health Disciplines, Athabasca University, Athabasca, AB T9S 3A3, Canada.
Faculty of Nursing, Memorial University Newfoundland, St. John's, NL A1B3V6, Canada.
Curr Oncol. 2024 Dec 27;32(1):14. doi: 10.3390/curroncol32010014.
Genomics is a foundational element of precision health and can be used to identify inherited cancers, cancer related risks, therapeutic decisions, and to address health disparities. However, there are structural barriers across the cancer care continuum, including an underprepared nursing workforce, long wait times for service, and inadequate policy infrastructure that limit equitable access to the benefits of genomic discoveries. These barriers have persisted for decades, yet they are modifiable. Two distinct waves of efforts to integrate genomics into nursing practice are analyzed. Drawing on research and observations during these waves, this discussion paper explores additional approaches to accelerate workforce development and health system transformation.
Three recommendations for a third wave of efforts to integrate genomics are explored. (1) Collaborate across the domains of nursing practice, professions, and sectors to reset priorities in response to emerging evidence, (2) Education in leadership, policy and practice for rapid scale-up of workforce and health system transformation, and (3) Create a research framework that generates evidence to guide nursing practice.
Preparing nurses to lead and practice at the forefront of innovation requires concerted efforts by nurses in all five domains of practice and can optimize health outcomes. Leveraging nursing as a global profession with new strategies can advance genomics-informed nursing.
基因组学是精准医疗的基础要素，可用于识别遗传性癌症、癌症相关风险、指导治疗决策以及解决健康差异问题。然而，癌症护理连续过程中存在结构性障碍，包括护理人员准备不足、服务等待时间长以及政策基础设施不完善等，这些都限制了人们公平获取基因组学发现所带来的益处。这些障碍已存在数十年，但它们是可以改变的。本文分析了将基因组学融入护理实践的两波不同努力。基于这些努力过程中的研究和观察，本讨论文件探讨了加速劳动力发展和卫生系统转型的其他方法。
探讨了基因组学融入护理实践第三波努力的三项建议。（1）跨护理实践、专业和部门领域开展合作，根据新出现的证据重新确定优先事项；（2）开展领导力、政策和实践方面的教育，以迅速扩大劳动力规模并推动卫生系统转型；（3）创建一个研究框架，以生成指导护理实践的证据。
让护士做好准备，在创新前沿发挥领导作用并开展实践，需要所有五个实践领域的护士共同努力，这样才能优化健康结果。利用护理作为一门全球性专业，采用新策略可以推动基于基因组学的护理发展。
