Update to the essential genomic nursing competencies and outcome indicators

Area of Science:

• Nursing
• Genomics
• Healthcare Education

Background:

• Genomic healthcare applications are crucial for all nurses, impacting healthcare quality and safety.
• Previous nursing genomic competencies (2005, 2009) have seen inconsistent integration into practice, curricula, and continuing education.
• Despite advances in genomic technology and applications, nursing genomic capacity remains low.

Purpose of the Study:

• To update and achieve consensus on essential genomic competencies for all registered nurses.
• To align nursing practice with the rapidly evolving field of genomic healthcare.
• To provide a foundation for integrating genomics into nursing education and practice.

Main Methods:

• A mixed-methods approach was employed, beginning with a literature review to update existing competencies.
• A modified Delphi study involved registered nurse panelists from diverse settings to reach consensus.
• The updated competencies underwent a public comment period via the American Nurses Association for refinement.

Main Results:

• The literature review indicated a shift from genetics to genomics, driven by reduced costs and expanded testing scope.
• Two rounds of the Delphi study were necessary to achieve consensus on the updated competencies.
• Public feedback was systematically reviewed and integrated into the final competency document.

Conclusions:

• The Essentials of Genomic Nursing: Competencies and Outcome Indicators define the minimum genomic competency for all registered nurses.
• These competencies are vital for all nurses, irrespective of their academic background, role, or specialty.
• The competencies will guide registered nurse practice, curricula development, and continuing education across all nursing domains.