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Genomic literacy in nursing education: A systematic review of current knowledge, barriers, and integration
Ritambra Dadwal1, Manisha Mehra2, Neetu Priya3
1IOUURC, Shri Goindwal Sahib, Tarn Taran, Punjab, India.
Objectives:
This systematic review aimed to assess the current level of genomic literacy among nursing students and practicing nurses globally, examine the integration of genomic education into nursing curricula, and identify key barriers and facilitators for improvement.
Design:
A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Data Sources:
PubMed, EMBASE, Scopus, and Web of Science databases were searched for studies published between January 2010 and March 2025.
Review Methods:
Descriptive cross-sectional studies focusing on genomic literacy in nursing were included. The Joanna Briggs Institute (JBI) critical appraisal tool was used for the quality assessment. Data extraction and synthesis were performed by two independent reviewers.
Results:
A review of 14 studies (n = 5037 participants) revealed consistently low levels of genomic knowledge among nurses and nursing students worldwide. A meta-analysis of five studies using the Genomic Nursing Concept Inventory confirmed this trend, with a pooled mean score of 11.57 out of 31 (37.3 % correct). A significant discrepancy was found between the high perceived importance of genomics and the actual knowledge. Genomic education has been inadequately and inconsistently integrated into nursing curricula across countries. Key barriers included a lack of faculty expertise, insufficient funding, and inadequate curriculum content. The high perceived importance of genomics and a strong desire for more education were identified as key facilitators for improvement.
Conclusions:
This review identifies a critical genomic literacy gap in the global nursing workforce, underpinned by inconsistent education and systemic barriers. Closing this gap necessitates a multi-faceted strategy, including comprehensive curriculum reform, robust faculty development, and supportive policy initiatives, to prepare nurses to deliver effective, genomically informed patient care in the era of personalized health.
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