Translating Genomic Competencies Into Cancer Nursing Practice: A Scoping Review

Area of Science:

• Genomics in Oncology
• Precision Medicine
• Healthcare Workforce Development

Background:

• Genomics-informed cancer care is crucial for precision oncology.
• Integrating genomic competencies into routine practice presents significant challenges.
• Existing competency frameworks lack clarity on operationalization in oncology settings.

Purpose of the Study:

• To synthesize and critically examine genomic competency conceptualizations in the literature.
• To identify convergences, gaps, and implications for clinical implementation.
• To inform cancer nursing workforce development in genomics.

Main Methods:

• A scoping review following Joanna Briggs Institute (JBI) methodology.
• Searches of CINAHL, Embase, PubMed, Google Scholar, and grey literature (2010-2026).
• Inductive thematic analysis of included evidence on genomic competencies for healthcare professionals.

Main Results:

• Forty-one sources yielded one overarching theme, two major themes (genomic knowledge and literacy), and seven competency domains.
• Competencies were consistently described but often at a high level, lacking specificity for oncology workflows.
• A significant gap exists between the conceptualization of genomic competencies and their practical application in cancer care.

Conclusions:

• Genomic competencies are well-defined but require contextualization within oncology workflows and roles for effective implementation.
• Educational initiatives alone are insufficient; sustained workforce and service-level approaches are needed.
• Clinically embedded roles and service models are essential for integrating genomics into routine cancer care.