Genetics/Genomics Nursing: Scope and Standards of Practice
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About this ebook
Genetics/genomics nursing practice and care focuses on the actual and potential impact of genetic and genomic influences on health. These nurses advise and educate clients and families on such influences that might impact their health, identify and manage physiologic responses. The goals of their nursing interventions: to optimize health, reduce health risks, treat disease, and promote wellness. Their research and evidence-based practice also includes interprofessional collegiality and collaboration with other genetics/genomics professionals and other healthcare professionals to provide quality patient care.
A workgroup of genetics/genomics nurse experts, convened by ISONG and ANA, completely updated and expanded the previous edition. With input from nurses nationwide, their revision addressed and incorporated ongoing and anticipated changes in genetics/genomics nursing as well as in nursing and health care in general.
The revised scope of genetics/genomics nursing practice—the who, what, where, when, why, and how of practice—sets the context for understanding and using the standards: the underlying assumptions, characteristics, environments and settings, education and training requirements, key issues and trends, and ethical and conceptual bases of genetics/genomics nursing.
The updated 16 standards frame any evaluation of the outcomes and goals of, and measure the accountabilities for, general, graduate-level prepared, and advanced practice genetics/genomics nurses. By meeting each standard's competencies, these nurses can demonstrate compliance with that standard.
A foundational volume primarily for those directly involved with genetics/genomics nursing practice, education, and research, other nurses and allied healthcare providers, researchers, and scholars will find value in its content.
About ANA's Specialty Nursing Standards
Since the late 1990s, ANA has partnered with other nursing organizations to establish a formal process for recognition of specialty areas of nursing practice. This includes the criteria for approving the specialty itself and the scope statement, and an acknowledgment by ANA of the standards of practice for that specialty. Because of the significant changes in the evolving nursing and healthcare environments, ANA's approval of specialty nursing scope statements and its acknowledgment of specialty standards of practice remain valid for five years, starting from the publication date of the documents.
The standards in this publication are based on language from ANA's Nursing: Scope and Standards of Practice, Second Edition, a helpful supplement to this specialty text, which in turn is of optimal use with two complementary ANA texts: Nursing's Social Policy Statement and Guide to the Code of Ethics for Nurses. Together, these three books help guide nursing practice, thinking, and decision-making. The set is proving useful as a professional reference, classroom textbook, in-service training guide, and credentialing exam resource.
American Nurses Association
The American Nurses Association (ANA) is the premier organization representing the interests of the nation's 4 million registered nurses. ANA is at the forefront of improving the quality of health care for all. Founded in 1896, and with members in all 50 states and U.S. territories, ANA is the strongest voice for the profession
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Genetics/Genomics Nursing - American Nurses Association
The American Nurses Association (ANA) is a national professional association. This ANA publication, Genetics/Genomics Nursing: Scope and Standards of Practice, 2nd Edition, reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Genetics/Genomics Nursing: Scope and Standards of Practice, 2nd Edition guides nurses in the application of their professional knowledge, skills, and responsibilities.
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.4 million registered nurses through its constituent member nurses associations and its organizational affiliates. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.
American Nurses Association
8515 Georgia Avenue, Suite 400
Silver Spring, MD 20910-3492
1-800-274-4ANA
http://www.Nursingworld.org
Library of Congress Cataloging-in-Publication Data
Names: International Society of Nurses in Genetics, author. | American Nurses Association, issuing body.
Title: Genetics/genomics nursing : scope and standards of practice/ International Society of Nurses in Genetics.
Description: 2nd edition. | Silver Spring, Maryland : American Nurses Association, 2016. | Includes bibliographical references and index.
Identifiers: LCCN 2016005870| ISBN 9781558106512 (pbk.) | ISBN 9781558106536 (epub) | ISBN 9781558106543 (prc)
Subjects: | MESH: Genetics, Medical--standards | Nursing Care--standards | Nurse’s Role
Classification: LCC RB155.5 | NLM QZ 50 | DDC 616/.042--dc23 LC record available at http://lccn.loc.gov/2016005870
Copyright ©2016 American Nurses Association and the International Society of Nurses in Genetics. All rights reserved. Reproduction or transmission in any form is not permitted without written permission of the American Nurses Association (ANA). This publication may not be translated without written permission of ANA. For inquiries, or to report unauthorized use, email copyright@ana.org.
ISBN-13: 978-1-55810-651-2 SAN: 851-3481 03/2016
First printing: March 2016
Contents
Contributors
Scope of Genetics/Genomics Nursing Practice
Definition of Genetics/Genomics Nursing
Description of Genetics/Genomics Nursing
Essential Attributes of Genetics/Genomics Nursing
Interaction of Genetics/Genomics
Practice Settings in Genetics/Genomics Nurses Practice
The International Evolution of Genetics/Genomics Nursing Practice
United States
Canada
Japan
United Kingdom
Other Countries
Levels of Genetics/Genomics Nursing Practice
Basic Level
Advanced Level
Ethics in Genetics/Genomics Nursing Practice
A Case Study in Genetics/Genomics Nursing Practice at the Advanced Level
Specialty Certification in Genetics/Genomics Nursing
The Future: Genetics/Genomics Knowledge for All Nurses
Summary
Standards of Genetics/Genomics Nursing Practice
Standards of Practice for Genetics/Genomics Nursing
Standard 1. Assessment
Standard 2. Diagnosis
Standard 3. Outcomes Identification
Standard 4. Planning
Standard 5. Implementation
Standard 5A. Coordination of Care
Standard 5B. Health Teaching and Health Promotion
Standard 5C. Consultation
Standard 5D. Prescriptive Authority and Treatment
Standard 6. Evaluation
Standards of Professional Performance for Genetics/Genomics Nursing
Standard 7. Ethics
Standard 8. Education
Standard 9. Evidence-Based Practice and Research
Standard 10. Quality of Practice
Standard 11. Communication
Standard 12. Leadership
Standard 13. Collaboration
Standard 14. Professional Practice Evaluation
Standard 15. Resource Utilization
Standard 16. Environmental Health
Glossary
References and Resources
Appendix A. Genetics/Genomics Nursing: Scope and Standards of Practice (2007)
Index
Contributors
ISONG Workgroup
Karen Greco, PhD, RN, ANP-BC, FAAN
Nancy Ledbetter, RN, CNS, AGN-BC
Alice Kerber, MN, APRN, ACNS-BC, AOCN, AGN-BC
Maggie Kirk, PhD, BSc (Hons), DipNurs, RGN, FRCN
Gia Mudd-Martin, PhD, MPH, RN
Mary Quinn Griffin, PhD, RN
ANA Committee on Nursing Practice Standards
Richard Henker, PhD, RN, CRNA, FAAN – Co-chair (03/2014–12/2015)
Tresha (Terry) L. Lucas, MSN, RN – Co-chair (07/2011–12/2014)
Danette Culver, MSN, APRN, ACNS-BC, CCRN
Deborah Finnell, DNS, PMHNP-BC, CARN-AP, FAAN
Renee Gecsedi, MS, RN
Deedra Harrington, DNP, MSN, APRN, ACNP-BC
Maria Jurlano, MS, BSN, RN, NEA-BC, CCRN
Carla A. B. Lee, PhD, APRN-BC, CNAA, FAAN, FIBA
Verna Sitzer, PhD, RN, CNS
American Nurses Association Staff
Carol J. Bickford, PhD, RN-BC, CPHIMS, FAAN—Content editor
Maureen Cones, JD—Legal counsel
Erin Walpole, BA, PMP—Project editor
Yvonne Humes, MSA—Project coordinator
About the International Society of Nurses in Genetics
The International Society of Nurses in Genetics (ISONG) is a global nursing specialty organization dedicated to genomic health care, education, research, and scholarship.
The vision of ISONG: Caring for people’s genetic/genomic health throughout the lifespan and across the continuum of health and disease. The mission of ISONG is to serve both the nursing profession and the public. ISONG fosters and advocates for the scientific and professional development of its members and the nursing community, in the discovery, interpretation, application, and management of genomic information, for the promotion of the public’s health and well-being. ISONG advocates for public understanding of genomic health and use of genomic information.
About the American Nurses Association
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.4 million registered nurses through its constituent member nurses associations and its organizational affiliates. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.
Scope of Genetics/Genomics Nursing Practice
The International Society of Nurses in Genetics (ISONG) represents genetics/genomics nurses worldwide and is the official professional organization of nurses in genetics/genomics in the United States. ISONG is responsible for defining and establishing the global scope of professional nursing practice in genetics/genomics. In keeping with ISONG’s responsibility, this document broadly describes genetics/genomics nursing practice, and then delineates the scope of genetics/genomics clinical nursing practice in the United States. ISONG and the American Nurses Association (ANA) recognize that this document may be of interest globally and may contribute to standards set in other nations. ISONG and ANA also recognize that this document is United States-centric in its perspective and acknowledge that nurses outside the United States prepared at the master’s level, in particular, may practice under a different framework than graduate-level prepared or advanced practice registered nurses in the United States.
Definition of Genetics/Genomics Nursing
Nursing is the protection, promotion, and optimization of health and abilities,