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Development and Evaluation of Precision Health Competencies
Mary Anne Schultz1, Evangeline Fangonil-Gagalang2, Laurie A Huryk3
1Department of Nursing, California State University, San Bernardino, San Bernardino, California, USA.
Journal of Clinical Nursing
|October 17, 2025
Summary
Precision health (PH) competencies were developed for nursing practice. These competencies are essential for integrating PH into healthcare and improving patient outcomes.
Area of Science:
- Nursing Practice
- Precision Health
- Competency Development
Background:
- Precision health (PH) aims to tailor healthcare to individual variability.
- Integrating PH into nursing requires defined competencies.
- The American Nurses Association (ANA) formed a workgroup to address this need.
Purpose of the Study:
- To develop precision health (PH) competencies for nursing.
- To evaluate the comprehensiveness and applicability of these competencies in nursing practice.
Main Methods:
- A multi-year workgroup process, including literature review, developed initial PH competencies.
- A modified e-Delphi technique with expert review was used for consensus building.
- A four-point Likert scale survey assessed agreement on competency statements, with an 80% concordance threshold.
Main Results:
- Consensus was reached on six PH domains, six competency statements, and 43 sub-competency statements.
- Forty experts reviewed and revised the competencies, with a majority achieving favorable agreement.
- Two rounds of evaluation showed a typical pattern of convergence for the competency statements.
Conclusions:
- Developing PH competencies is a critical initial step for integrating PH into nursing.
- These competencies will guide nursing curricula, clinical guidelines, and role expectations.
- This work facilitates future interprofessional initiatives and research on PH's impact on patient outcomes and technology integration.
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