Expanding Scope of Practice: Evaluating the Integration of Genomic Competency in Nursing Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/307868
Category:
Abstract
Type:
Presentation
Title:
Expanding Scope of Practice: Evaluating the Integration of Genomic Competency in Nursing Practice
Author(s):
Badzek, Laurie A; Caskey, Sarah; Culp, Stacey; Jenkins, Jean; Calzone, Kathleen A.
Lead Author STTI Affiliation:
Non-member
Author Details:
Laurie A Badzek, LLM, JD, MS, RN, FAAN, lbadzek@hsc.wvu.edu; Sarah Caskey, MS; Stacey Culp, PhD; Jean Jenkins, PhD, RN, FAAN; Kathleen A. Calzone, PhD, MSN, RN, APNG, FAAN
Abstract:

Session presented on: Sunday, November 17, 2013

Background/Significance: Genomics is redefining the healthcare continuum. Nurses are an integral part of the interdisciplinary care team, directly affecting public welfare and safety. Integration of genomic competencies into nursing practice is necessary for the provision of safe, responsible, and accountable care.

Purpose: Evaluate institutional nursing workforce attitudes, practices, receptivity, confidence and competency in genomics of common disease and utilization of family history.

Methods: Roger's Diffusion of Innovation theory guided this study consisting of a baseline online survey utilizing practicing nurses in one of 21 Magnet Hospitals participating in a year-long genomic education initiative.  The survey assessed knowledge, skills, attitudes and utilization related to collecting family history, and beliefs about the usefulness of genomics in nursing practice.  Results were analyzed using descriptive statistical techniques. 

Results: 7306 licensed RNs responded for an overall response rate of 33% (range 17-63%) from all participating institutions.  Respondent’s mean age was 45 (range 20-72), with an average of 17 years in practice and most prepared at the baccalaureate level (59%).  Ninety percent considered genetics very important to nursing practice; however, 65% rarely or never assessed family history.  Seventy-nine percent rated their understanding of the genetics of common diseases as poor or fair. Nurses felt most confident in their skills of protecting confidentiality but were least confident related to genetic testing.  A total knowledge score was calculated from 12 questions revealing a mean 8.09/12 however 72% did not know or incorrectly stated that diabetes and heart disease are caused by a single gene variant, illustrating knowledge gaps.  More than 70% indicated they intend to learn more and are willing to attend on their own time.

Implications: Most respondents felt genomics was important but felt inadequately prepared to incorporate genomics into their practice.  Most were receptive to learning more.  All nurses would benefit from a broad-scale education intervention.

Keywords:
competency; genomics
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleExpanding Scope of Practice: Evaluating the Integration of Genomic Competency in Nursing Practiceen_GB
dc.contributor.authorBadzek, Laurie Aen_GB
dc.contributor.authorCaskey, Sarahen_GB
dc.contributor.authorCulp, Staceyen_GB
dc.contributor.authorJenkins, Jeanen_GB
dc.contributor.authorCalzone, Kathleen A.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsLaurie A Badzek, LLM, JD, MS, RN, FAAN, lbadzek@hsc.wvu.edu; Sarah Caskey, MS; Stacey Culp, PhD; Jean Jenkins, PhD, RN, FAAN; Kathleen A. Calzone, PhD, MSN, RN, APNG, FAANen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307868-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p><b>Background/Significance</b>: Genomics is redefining the healthcare continuum. Nurses are an integral part of the interdisciplinary care team, directly affecting public welfare and safety. Integration of genomic competencies into nursing practice is necessary for the provision of safe, responsible, and accountable care. <p class="Default"><b>Purpose:</b> Evaluate institutional nursing workforce attitudes, practices, receptivity, confidence and competency in genomics of common disease and utilization of family history. <p><b>Methods: </b>Roger's Diffusion of Innovation theory guided this study consisting of a baseline online survey utilizing practicing nurses in one of 21 Magnet Hospitals participating in a year-long genomic education initiative.  The survey assessed knowledge, skills, attitudes and utilization related to collecting family history, and beliefs about the usefulness of genomics in nursing practice.  Results were analyzed using descriptive statistical techniques.  <b></b><p><b>Results: </b>7306 licensed RNs responded for an overall response rate of 33% (range 17-63%) from all participating institutions.  Respondent’s mean age was 45 (range 20-72), with an average of 17 years in practice and most prepared at the baccalaureate level (59%).  Ninety percent considered genetics very important to nursing practice; however, 65% rarely or never assessed family history.  Seventy-nine percent rated their understanding of the genetics of common diseases as poor or fair. Nurses felt most confident in their skills of protecting confidentiality but were least confident related to genetic testing.  A total knowledge score was calculated from 12 questions revealing a mean 8.09/12 however 72% did not know or incorrectly stated that diabetes and heart disease are caused by a single gene variant, illustrating knowledge gaps.  More than 70% indicated they intend to learn more and are willing to attend on their own time.<b></b><p><b>Implications: </b>Most respondents felt genomics was important but felt inadequately prepared to incorporate genomics into their practice.  Most were receptive to learning more.  All nurses would benefit from a broad-scale education intervention.en_GB
dc.subjectcompetencyen_GB
dc.subjectgenomicsen_GB
dc.date.available2013-12-19T17:23:18Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:23:18Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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