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Limoges J, Puddester R, Gretchev A, Chiu P, Calzone K, Leslie K, Pike A, Letourneau N. Building a Genomics-Informed Nursing Workforce: Recommendations for Oncology Nursing Practice and Beyond. Curr Oncol 2024; 32:14. [PMID: 39851930 PMCID: PMC11764043 DOI: 10.3390/curroncol32010014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2024] [Revised: 12/23/2024] [Accepted: 12/24/2024] [Indexed: 01/26/2025] Open
Abstract
BACKGROUND Genomics is a foundational element of precision health and can be used to identify inherited cancers, cancer related risks, therapeutic decisions, and to address health disparities. However, there are structural barriers across the cancer care continuum, including an underprepared nursing workforce, long wait times for service, and inadequate policy infrastructure that limit equitable access to the benefits of genomic discoveries. These barriers have persisted for decades, yet they are modifiable. Two distinct waves of efforts to integrate genomics into nursing practice are analyzed. Drawing on research and observations during these waves, this discussion paper explores additional approaches to accelerate workforce development and health system transformation. RESULTS Three recommendations for a third wave of efforts to integrate genomics are explored. (1) Collaborate across the domains of nursing practice, professions, and sectors to reset priorities in response to emerging evidence, (2) Education in leadership, policy and practice for rapid scale-up of workforce and health system transformation, and (3) Create a research framework that generates evidence to guide nursing practice. CONCLUSIONS Preparing nurses to lead and practice at the forefront of innovation requires concerted efforts by nurses in all five domains of practice and can optimize health outcomes. Leveraging nursing as a global profession with new strategies can advance genomics-informed nursing.
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Affiliation(s)
- Jacqueline Limoges
- Faculty of Health Disciplines, Athabasca University, Athabasca, AB T9S 3A3, Canada; (A.G.); (K.L.)
| | - Rebecca Puddester
- Faculty of Nursing, Memorial University Newfoundland, St. John’s, NL A1B3V6, Canada; (R.P.); (A.P.)
| | - Andrea Gretchev
- Faculty of Health Disciplines, Athabasca University, Athabasca, AB T9S 3A3, Canada; (A.G.); (K.L.)
| | - Patrick Chiu
- Faculty of Nursing, University of Alberta, Edmonton, AB T6G 1C9, Canada;
| | - Kathy Calzone
- National Cancer Institute, Genetics Branch, Center for Cancer Research, Bethesda, MD 20892, USA;
| | - Kathleen Leslie
- Faculty of Health Disciplines, Athabasca University, Athabasca, AB T9S 3A3, Canada; (A.G.); (K.L.)
| | - April Pike
- Faculty of Nursing, Memorial University Newfoundland, St. John’s, NL A1B3V6, Canada; (R.P.); (A.P.)
| | - Nicole Letourneau
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4, Canada;
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2
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Wu VX, Mahoney DE. What's this got to do with nursing? The intersection between nursing and basic science. J Adv Nurs 2022. [DOI: 10.1111/jan.15541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Accepted: 12/06/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Vivien Xi Wu
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore Singapore
- NUSMED Healthy Longevity Translational Research Programme National University of Singapore Singapore
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3
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Dreisbach C, Wright ML, Walker RK, Byon HD, Keim-Malpass J. Nursing science as a federally-recognized STEM degree: A call to action for the United States with global implications. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2022; 4:100084. [PMID: 38745631 PMCID: PMC11080356 DOI: 10.1016/j.ijnsa.2022.100084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 06/20/2022] [Accepted: 06/25/2022] [Indexed: 11/22/2022] Open
Abstract
Nursing science contributes to advancements in patient care, public health, and innovation within numerous scientific domains. Despite commonality with United States Department of Education definitions of a science, technology, engineering, and mathematics (STEM) educational programs, nursing continues to be excluded from Department of Homeland Security STEM classification. This exclusion prevents societal recognition of nursing as a science and limits attraction of clinicians and nurse scientists born outside of the United States due to omission from various federal visa provisions the Department of Homeland Security classification provides. We evaluated existing Department of Homeland Security STEM-classified educational programs and identified methodological and content congruency among STEM-classified programs and nursing. We provide clear evidence that nursing contributes impactful STEM research; and argue that inclusion is critical for advancement of the profession and the potential to mitigate the faculty shortage. Beyond evaluation of nursing as a STEM field, we offer a policy-focused solution for development and diversification of the nursing workforce.
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Affiliation(s)
- Caitlin Dreisbach
- Columbia University, Data Science Institute, New York, NY, USA
- Center for Advanced Medical Analytics, School of Medicine, University of Virginia, Charlottesville, VA, USA
| | - Michelle L. Wright
- University of Texas at Austin, School of Nursing, Austin, TX, USA
- Department of Women's Health, University of Texas at Austin, Dell Medical School, Austin, TX, USA
- Center for Advanced Medical Analytics, School of Medicine, University of Virginia, Charlottesville, VA, USA
| | - Rae K. Walker
- University of Massachusetts-Amherst, College of Nursing, Amherst, MA, USA
- IALS Center for Health and Human Performance, University of Massachusetts-Amherst, Amherst, MA, USA
- Center for Advanced Medical Analytics, School of Medicine, University of Virginia, Charlottesville, VA, USA
| | - Ha Do Byon
- University of Virginia, School of Nursing, P.O. Box 800782, Charlottesville, VA 22901, USA
- Center for Advanced Medical Analytics, School of Medicine, University of Virginia, Charlottesville, VA, USA
| | - Jessica Keim-Malpass
- University of Virginia, School of Nursing, P.O. Box 800782, Charlottesville, VA 22901, USA
- School of Medicine, Department of Pediatrics, University of Virginia, Charlottesville, VA, USA
- Center for Advanced Medical Analytics, School of Medicine, University of Virginia, Charlottesville, VA, USA
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4
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Wang C, Shi Y, Lu H, Dong X, Hou L, Wang L, Wan Q, Hu L, Zhang L, Dou D, Shang S. Global nursing research activity from 2009 to 2020: A bibliometric analysis. Int J Nurs Pract 2022; 28:e13063. [DOI: 10.1111/ijn.13063] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Revised: 04/25/2022] [Accepted: 04/27/2022] [Indexed: 01/24/2023]
Affiliation(s)
- Cui Wang
- Peking University School of Nursing Beijing China
| | - Yuexian Shi
- Peking University School of Nursing Beijing China
| | - Han Lu
- Peking University School of Nursing Beijing China
| | - Xu Dong
- Peking University School of Nursing Beijing China
| | - Luoya Hou
- Peking University School of Nursing Beijing China
| | - Limin Wang
- Peking University School of Nursing Beijing China
| | - Qiaoqin Wan
- Peking University School of Nursing Beijing China
| | - Li Hu
- China Academic Journals (CD Edition) Electronic Publishing House Co. Ltd Beijing China
| | - Lei Zhang
- China Academic Journals (CD Edition) Electronic Publishing House Co. Ltd Beijing China
| | - Dou Dou
- Department of Health Sciences National Natural Science Foundation of China Beijing China
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5
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Zhang M, Li X. Focuses and trends of the studies on pediatric palliative care:A bibliometric analysis from 2004 to 2018. Int J Nurs Sci 2021; 8:5-14. [PMID: 33575439 PMCID: PMC7859508 DOI: 10.1016/j.ijnss.2020.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Revised: 11/10/2020] [Accepted: 11/26/2020] [Indexed: 10/25/2022] Open
Abstract
OBJECTIVES To investigate the focuses and trends of the studies on pediatric palliative care (PPC) and provide directions for future research. METHODS Relevant papers about PPC published from 2004 to 2018 were analyzed using bibliometric analysis methods, including co-word analysis, biclustering analysis, and strategic diagram analysis. The included papers were divided into three groups based on the publication time, including 2004-2008, 2009-2013, and 2014-2018. RESULTS A total of 1132 papers were published between 2004 and 2018, and there were 293 papers published between 2004 and 2008, 396 between 2009 and 2013, and 443 between 2014 and 2018. There were 42 high-frequency MeSH terms/MeSH subheadings in papers published between 2004 and 2018, including 12 between 2004 and 2008, 13 between 2009 and 2013, and 17 between 2014 and 2018. CONCLUSION Studies on PPC were making progress, with the increasing number, expanding scope, and uneven global distribution. Integration palliative care into pediatrics, cancer treatments in pediatric oncology, education methods on PPC, and establishment of professional teams were the major themes during 2004-2008, then the themes changed into establishing interventions to enhance the quality of life of the patients and parents, building professional-family relationship, and investigating attitude of health personnel in PPC during 2009-2013 and subsequently turned into communication skills, end-of-life decision making, and guidelines making on PPC during 2014-2018. Underdeveloped and protential themes including effective approaches to deal with the ethical dilemmas, training programs on communication skills, family support and guideline making are worth studying in the future.
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Affiliation(s)
- Miao Zhang
- School of Nursing, China Medical University, Shenyang, Liaoning, China
| | - Xiaohan Li
- School of Nursing, China Medical University, Shenyang, Liaoning, China
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Dewell S, Benzies K, Ginn C. Precision Health and Nursing: Seeing the Familiar in the Foreign. Can J Nurs Res 2020; 52:199-208. [DOI: 10.1177/0844562120945159] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Precision health is the integration of personal genomic data with biological, environmental, behavioral, and other information relevant to the care of a patient. Genetics and genomics are essential components of precision health. Genetics is the study of the effects of individual genes, and genomics is the study of all the components of the genome and interactions between genes, environmental factors, and other psychosocial and cultural factors. Knowledge about the role of genetics and genomics on health outcomes has increased substantially since the completion of the human genome project in 2003. Insights about genetics and genomics obtained from bench science are now having positive clinical implications on patient health outcomes. Nurses have the potential to make distinct contributions to precision health due to their unique role in the health care system. In this article, we discuss gaps in the development of precision health in nursing and how nursing can expand the definition of precision health to actualize its potential. Precision health plays a role in nursing practice. Understanding this connection positions nurses to incorporate genetic and genomic knowledge into their nursing practice.
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Affiliation(s)
- Sarah Dewell
- Faculty of Nursing, University of Calgary, Canada
| | | | - Carla Ginn
- Faculty of Nursing, University of Calgary, Canada
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7
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Misra BB. The Connection and Disconnection Between Microbiome and Metabolome: A Critical Appraisal in Clinical Research. Biol Res Nurs 2020; 22:561-576. [PMID: 32013533 DOI: 10.1177/1099800420903083] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Big data-driven omics research has led to a steep rise in investigations involving two of the most functional omes, the metabolome and microbiome. The former is touted as the closest to the phenotype, and the latter is implicated in general well-being and a plethora of human diseases. Although some research publications have integrated the concepts of the two domains, most focus their analyses on evidence solely originating from one or the other. With a growing interest in connecting the microbiome and metabolome in the context of disease, researchers must also appreciate the disconnect between the two domains. In the present review, drawing examples from the current literature, tools, and resources, I discuss the connections between the microbiome and metabolome and highlight challenges and opportunities in linking them together for the basic, translational, clinical, and nursing research communities.
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Affiliation(s)
- Biswapriya B Misra
- Center for Precision Medicine, Department of Internal Medicine, Section of Molecular Medicine, 12279Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, USA
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8
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Fu MR, Kurnat-Thoma E, Starkweather A, Henderson WA, Cashion AK, Williams JK, Katapodi MC, Reuter-Rice K, Hickey KT, Barcelona de Mendoza V, Calzone K, Conley YP, Anderson CM, Lyon DE, Weaver MT, Shiao PK, Constantino RE, Wung SF, Hammer MJ, Voss JG, Coleman B. Precision health: A nursing perspective. Int J Nurs Sci 2020; 7:5-12. [PMID: 32099853 PMCID: PMC7031154 DOI: 10.1016/j.ijnss.2019.12.008] [Citation(s) in RCA: 49] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Revised: 12/03/2019] [Accepted: 12/16/2019] [Indexed: 12/12/2022] Open
Abstract
Precision health refers to personalized healthcare based on a person's unique genetic, genomic, or omic composition within the context of lifestyle, social, economic, cultural and environmental influences to help individuals achieve well-being and optimal health. Precision health utilizes big data sets that combine omics (i.e. genomic sequence, protein, metabolite, and microbiome information) with clinical information and health outcomes to optimize disease diagnosis, treatment and prevention specific to each patient. Successful implementation of precision health requires interprofessional collaboration, community outreach efforts, and coordination of care, a mission that nurses are well-positioned to lead. Despite the surge of interest and attention to precision health, most nurses are not well-versed in precision health or its implications for the nursing profession. Based on a critical analysis of literature and expert opinions, this paper provides an overview of precision health and the importance of engaging the nursing profession for its implementation. Other topics reviewed in this paper include big data and omics, information science, integration of family health history in precision health, and nursing omics research in symptom science. The paper concludes with recommendations for nurse leaders in research, education, clinical practice, nursing administration and policy settings for which to develop strategic plans to implement precision health.
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Affiliation(s)
- Mei R. Fu
- William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, USA
| | - Emma Kurnat-Thoma
- National Institute of Nursing Research, National Institutes of Health, Bethesda, MD, USA
- School of Nursing and Health Studies, Georgetown University, Washington, DC, USA
| | | | | | - Ann K. Cashion
- National Institute of Nursing Research, National Institutes of Health, Bethesda, MD, USA
| | | | | | | | | | | | - Kathleen Calzone
- National Cancer Institute, Center for Cancer Research, Genetic Branch, Bethesda, MD, USA
| | - Yvette P. Conley
- School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA
| | | | | | | | - Pamela K. Shiao
- Center for Biotechnology and Genomic Medicine, Medical College of Georgia, Augusta University, Augusta, GA, USA
| | | | - Shu-Fen Wung
- College of Nursing The University of Arizona, Tucson, AZ, USA
| | - Marilyn J. Hammer
- Dana-Farber Cancer Institute, 450 Brookline Avenue, LW523, Boston, MA, USA
| | - Joachim G. Voss
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
| | - Bernice Coleman
- Nursing Research and Development, Cedars-Sinai Medical Center, Los Angeles, USA
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9
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Lebet R, Joseph PV, Aroke EN. CE: Knowledge of Precision Medicine and Health Care: An Essential Nursing Competency. Am J Nurs 2019; 119:34-42. [PMID: 31567251 DOI: 10.1097/01.naj.0000586168.93088.3c] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Advances in genetic and genomic research, combined with the rapid development of new technologies, have reshaped our understanding of health and disease processes, generating what have collectively become known as "omics" sciences. These sciences are now an integral part of health care delivery, with nurses and nurse scientists at the forefront, implementing and adapting genomic technologies in the clinical setting while advancing knowledge in these areas. With the increasing focus on precision medicine and health care, integrating genetic and genomic knowledge has become an essential competency in nursing care, research, and education, as it enables nurses to collaborate effectively with patients in improving their health and well-being.
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Affiliation(s)
- Ruth Lebet
- Ruth Lebet is a nurse scientist at the Children's Hospital of Philadelphia and program director of the Pediatric and Neonatal Clinical Nurse Specialist Programs at the University of Pennsylvania School of Nursing, Philadelphia. Paule V. Joseph is a Lasker Clinical Research Scholar, tenure-track investigator, and National Institutes of Health (NIH) Distinguished Scholar in the Division of Intramural Research, National Institute of Nursing Research (NINR), NIH, U.S. Department of Health and Human Services, Bethesda, MD. Edwin N. Aroke is an assistant professor in the Nurse Anesthesia Program, University of Alabama at Birmingham School of Nursing. The authors acknowledge Joan Austin, PhD, RN, FAAN, distinguished professor emerita, Indiana University School of Nursing, Indianapolis, and Ann Cashion, PhD, RN, FAAN, NINR scientific director, for their helpful feedback on this manuscript. Contact author: Ruth Lebet, . The authors and planners have disclosed no potential conflicts of interest, financial or otherwise. The opinions expressed in this article are those of the authors, who are solely responsible for the interpretation and reporting of the data herein. No statements in this article should be construed as an official recommendation, interpretation, or policy of the NIH, the U.S. government, the University of Pennsylvania, or the University of Alabama at Birmingham
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10
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Regan M, Engler MB, Coleman B, Daack-Hirsch S, Calzone KA. Establishing the Genomic Knowledge Matrix for Nursing Science. J Nurs Scholarsh 2019; 51:50-57. [PMID: 30272391 PMCID: PMC6329656 DOI: 10.1111/jnu.12427] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/27/2018] [Indexed: 01/22/2023]
Abstract
PURPOSE To establish the knowledge needed to integrate the multiple branches of omics into nursing research to accelerate achieving the research recommendations of the Genomic Nursing Science Blueprint. METHODS The creation of the Genomic Knowledge Matrix occurred in three phases. In phase 1, the Omics Nursing Science and Education Network (ONSEN) Education Workgroup completed an evidence, bioinformatics, and technology review to inform the components of the Matrix. The ONSEN Advisory Panel then reviewed and integrated revisions. Phase 3 solicited targeted public comment focused on education and research experts, and applicable revisions were made. FINDINGS The Genomic Knowledge Matrix establishes the following content areas: cellular and molecular biology, system physiology, microbiology, and translational bioinformatics as the minimum required preparation for nurse scientists to understand omics and to integrate this knowledge into research. The Matrix also establishes levels of understanding needed to function based on the role of the nurse scientist. CONCLUSIONS The Genomic Knowledge Matrix addresses knowledge important for nurse scientists to integrate genomics into their research. Building on prior recommendations and existing genomic competencies, the Matrix was designed to present key knowledge elements critical to understand omics that underpin health and disease. Knowledge depth varies based on the research role. CLINICAL RELEVANCE The Genomic Knowledge Matrix provides the vital guidance for training nurse scientists in the integration of genomics. The flexibility of the Matrix also provides guidance to inform fundamental genomic content needed in core science content in undergraduate and graduate level nursing curricula.
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Affiliation(s)
- Mary Regan
- Chi, Associate Professor, University of Maryland School of Nursing, Baltimore, MD, USA
| | - Mary B. Engler
- Professor, Uniformed Sciences University of the Health Sciences, Daniel K. Inouye Graduate School of Nursing, Bethesda, MD, USA; Former Chief, Vascular Biology Unit, Training Director, National Institutes of Health, NINR, Division of Intramural Research, Bethesda, MD, USA; Professor Emeritus, Director of Cardiovascular and Genomics Graduate Programs, University of California, San Francisco, School of Nursing, Department of Physiological Nursing, San Francisco, CA, USA
| | - Bernice Coleman
- Delta Mu, Assistant Professor, Biomedical Sciences, Nurse Researcher, Nurse Practitioner, Associate Director, Nursing Research Department, Cedars Sinai Medical Center, Los Angeles, CA, USA
| | - Sandra Daack-Hirsch
- Gamma, Associate Professor, PhD Program Director, The University of Iowa College of Nursing, Iowa City, IA, USA
| | - Kathleen A. Calzone
- Xi, Research Geneticist, National Institutes of Health, National Cancer Institute, Center for Cancer Research, Genetics Branch, Bethesda, MD, USA
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11
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Hu J, Yu L, Modanloo S, Zhou Y, Yang Y. A theoretical framework for interaction of nursing discipline with genetics and genomics. Int J Nurs Sci 2018; 5:336-342. [PMID: 31406845 PMCID: PMC6626281 DOI: 10.1016/j.ijnss.2018.08.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Revised: 08/25/2018] [Accepted: 08/31/2018] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Since the completion of the Human Genome Project, health science has been strongly influenced by the advances in genetics and genomics. However, the progress of embracing genetics and genomics into nursing discipline is limited. One of the main barriers is lack of understanding on the relevancy of genetics and genomics to nursing discipline. OBJECTIVES This paper aims to synthesize and develop a theoretical framework for the interaction of nursing discipline with genetics and genomics. METHODS Through content analysis and constant comparative method, a theoretical framework was developed from synthesis of the studies regarding nursing and genetics/genomics indexed in multiple English and Chinese databases. RESULTS Four main theoretical statements were constructed in the framework: 1) There are three ways to show how genetics and genomics can influence nursing discipline: a new specialty, new technologies and a new lens; 2) The significant contribution of nursing discipline to genetics and genomics lies in how nurses could focus on the association between human responses and genes and how nurses could advocate for their clients in the genetic and genomic era; 3) A paradigm shift occurs after a constant interaction of nursing discipline with genetics and genomics; 4) Implementation strategies could be used to facilitate the integration of genetics and genomics to nursing discipline and advance the paradigm shift. CONCLUSIONS The framework will help to understand the relationship between nursing discipline and genetics and genomics and implicate the future studies integrating genetics and genomic science into nursing discipline.
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Affiliation(s)
- Jiale Hu
- Department of Nursing, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
- School of Nursing, University of Ottawa, Ontario, Canada
| | - Leilei Yu
- Department of Orthognathic Surgery, Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
| | | | - Yiyan Zhou
- School of Nursing, University of Ottawa, Ontario, Canada
| | - Yan Yang
- Department of Nursing, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
- School of Nursing, Second Military Medical University, Shanghai, China
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12
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Taylor JY, Barcelona de Mendoza V. Improving -Omics-Based Research and Precision Health in Minority Populations: Recommendations for Nurse Scientists. J Nurs Scholarsh 2017; 50:11-19. [PMID: 29140597 DOI: 10.1111/jnu.12358] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2017] [Indexed: 12/22/2022]
Abstract
PURPOSE The purpose of this article is to provide an overview of the role of nurse scientists in -omics-based research and to promote discussion around the conduct of -omics-based nursing research in minority communities. Nurses are advocates, educators, practitioners, scientists, and researchers, and are crucial to the design and successful implementation of -omics studies, particularly including minority communities. The contribution of nursing in this area of research is crucial to reducing health disparities. METHODS In this article, challenges in the conduct of -omics-based research in minority communities are discussed, and recommendations for improving diversity among nurse scientists, study participants, and utilization of training and continuing education programs in -omics are provided. FINDINGS AND CONCLUSIONS Many opportunities exist for nurses to increase their knowledge in -omics and to continue to build the ranks of nurse scientists as leaders in -omics-based research. In order to work successfully with communities of color, nurse scientists must advocate for participation in the Precision Medicine Initiative, improve representation of nurse faculty of color, and increase utilization of training programs in -omics and lead such initiatives. CLINICAL RELEVANCE All nursing care has the potential to be affected by the era of -omics and precision health. By taking an inclusive approach to diversity in nursing and -omics research, nurses will be well placed to be leaders in reducing health disparities through research, practice, and education.
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Affiliation(s)
- Jacquelyn Y Taylor
- Delta Mu, Associate Professor and Associate Dean of Diversity and Inclusion, Yale School of Nursing, Orange, CT, USA
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13
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Ferranti EP, Grossmann R, Starkweather A, Heitkemper M. Biological determinants of health: Genes, microbes, and metabolism exemplars of nursing science. Nurs Outlook 2017; 65:506-514. [PMID: 28576296 PMCID: PMC5657318 DOI: 10.1016/j.outlook.2017.03.013] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2017] [Revised: 03/13/2017] [Accepted: 03/31/2017] [Indexed: 02/06/2023]
Abstract
BACKGROUND Increasingly, nurse scientists are incorporating "omics" measures (e.g., genomics, transcriptomics, proteomics, and metabolomics) in studies of biologic determinants of health and behavior. The role of omics in nursing science can be conceptualized in several ways: (a) as a portfolio of biological measures (biomarkers) to monitor individual risk, (b) as a set of combined data elements that can generate new knowledge based on large and complex patient data sets, (c) as baseline information that promotes health education and potentially personalized interventions, and (d) as a platform to understand how environmental parameters (e.g., diet) interact with the individual's physiology. PURPOSE In this article, we provide exemplars of nursing scientists who use omics to better understand specific health conditions. METHODS We highlight various ongoing nursing research investigations incorporating omics technologies to study chronic pain vulnerability, risk for a pain-related condition, cardiometabolic complications associated with pregnancy, and as biomarkers of response to a dietary intervention. DISCUSSION Omics technologies add an important dimension to nursing science across many foci of investigation. However, there are also challenges and opportunities for nurse scientists who consider using omics in their research. CONCLUSION The integration of omics holds promise for increasing the impact of nursing research and practice on population health outcomes.
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Affiliation(s)
- Erin P Ferranti
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA
| | | | - Angela Starkweather
- Center for Advancement in Managing Pain and P20 Center for Accelerating Precision Pain Self-Management, University of Connecticut School of Nursing, Storrs, CT
| | - Margaret Heitkemper
- Department of Biobehavioral Nursing and Health Informatics, University of Washington School of Nursing, Seattle, WA.
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14
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Abstract
In addition to the need for basic education about genetics/genomics, other approaches are suggested to include awareness campaigns, continuing education courses, policy review, and onsite clinical development. These alternative learning strategies encourage oncology nurses across the continuum of care, from the bedside/seatside to oncology nurse research, to integrate genomics into all levels of practice and research in the specialty of oncology nursing. All nurses are warriors in the fight against cancer. The goal of this article is to identify genomic information that oncology nurses, at all levels of care, need to know and use as tools in the war against cancer.
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Affiliation(s)
- Julie Eggert
- School of Nursing, College of Behavioral, Social and Health Sciences, Clemson University, Clemson, SC 29634, USA; Inherited Cancer Clinic, Bon Secours St. Francis Cancer Center, 104 Innovation Drive, Greenville, SC 29607, USA.
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15
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Lee H, Gill J, Barr T, Yun S, Kim H. Primer in Genetics and Genomics, Article 2-Advancing Nursing Research With Genomic Approaches. Biol Res Nurs 2017; 19:229-239. [PMID: 28135824 PMCID: PMC6343213 DOI: 10.1177/1099800416689822] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
PURPOSE Nurses investigate reasons for variable patient symptoms and responses to treatments to inform how best to improve outcomes. Genomics has the potential to guide nursing research exploring contributions to individual variability. This article is meant to serve as an introduction to the novel methods available through genomics for addressing this critical issue and includes a review of methodological considerations for selected genomic approaches. APPROACH This review presents essential concepts in genetics and genomics that will allow readers to identify upcoming trends in genomics nursing research and improve research practice. It introduces general principles of genomic research and provides an overview of the research process. It also highlights selected nursing studies that serve as clinical examples of the use of genomic technologies. Finally, the authors provide suggestions about how to apply genomic technology in nursing research along with directions for future research. CONCLUSIONS Using genomic approaches in nursing research can advance the understanding of the complex pathophysiology of disease susceptibility and different patient responses to interventions. Nurses should be incorporating genomics into education, clinical practice, and research as the influence of genomics in health-care research and practice continues to grow. Nurses are also well placed to translate genomic discoveries into improved methods for patient assessment and intervention.
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Affiliation(s)
- Hyunhwa Lee
- School of Nursing, University of Nevada, Las Vegas, Las Vegas, NV, USA
| | - Jessica Gill
- National Institute of Nursing Research, National Institutes of Health,
Bethesda, MD, USA
| | | | | | - Hyungsuk Kim
- National Institute of Nursing Research, National Institutes of Health,
Bethesda, MD, USA
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