Genetics/Genomics Role of the Advanced Practice Nurse  Lori Lioce, MSN, FNP-BC, NP-C <ul><li>Hot Topics </li></ul><ul><li>...
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Lioce APN Genetics Poster


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Role of the Advanced practice Nurse in Genetics

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Lioce APN Genetics Poster

  1. 1. Genetics/Genomics Role of the Advanced Practice Nurse Lori Lioce, MSN, FNP-BC, NP-C <ul><li>Hot Topics </li></ul><ul><li>Goals of genetic therapy </li></ul><ul><li>Education for nurses in applying genetic principles and skills into advanced clinical practice </li></ul><ul><li>Ethical, Moral, & Legal Issues </li></ul><ul><li>Privacy & Confidentiality: Ownership and storage of personal genetic data </li></ul><ul><li>Genetic discrimination & misuse of data </li></ul><ul><li>Medical treatment versus enhancement </li></ul><ul><li>Clinical issues: reproductive testing, risks, stigmatism of genetic disorders, informed consent </li></ul>References American Nurses Association. (2008). Code of ethics for nurses with interpretive statements . Kansas City: MO. American Nurses Association. (2007). Genetics/Genomics nursing: scope and standards of practice . Silver Spring: MD. Beery, T. (2008). Genetics for advanced nursing practice. The Nurse Practitioner, 33 (11), 10-18. Retrieved November 1, 2009 from CINHAL database. Finucane, B. (1998). Working with women who have mental retardation: a genetic counselor’s guide. As cited in What is a genetic nurse? Retrieved on November 27, 2009 from International Council of Nurses. (2000). T he ICN code of ethics for nurses . Geneva: Switzerland. International Society of Nurses in Genetics. (n.d.). What is a genetic nurse? Retrieved on November 27, 2009 from Kelly, P. (2008). Understanding genomics: no longer optional for gastroenterology nurses. Gastroenterology Nursing, 31 (1), 45-54. Retrieved November 21, 2009 from CINHAL database. Kirk, M., Lea, D., & Skirton, H. (2008). Genomic health care: is the future now? Nursing & Health Sciences, 10 (2), 85-92. Retrieved November 20, 2009 from CINHAL database. Lashley, F. R. (2007) . Essentials of clinical genetics in nursing practice. New York: Springer. Lea, D., Williams, J., Cooksey, J., Flanagan, P., Forte, G., & Blitzer, M. (2006). U.S. genetics nurses in advanced practice. Journal of Nursing Scholarship, 38 (3), 213-218. Retrieved November 20, 2009 from CINHAL database. Newland, J. (2008). Protecting Americans against genetic discrimination. Nurse Practitioner, 33 (6):5. Abstract retrieved November 26, 2009 from CINHAL database. Conclusion Current technology and nursing practice require a working knowledge of genetics and genomics. The nurse must understand the complexities of counseling and testing necessary to assist the patient in making informed decisions. Accordingly, nurses should be prepared to construct pedigrees, educate patients and their families, facilitate community resources, develop research, and advocate to protect patients rights. Options to improve the nurses knowledge may include attending a genetic conference for review, complete continuing education modules on areas relevant to their practice, review scope and standards for genetic nurses, complete a formal genetics course at a local university, research genetic protocols available at their institution or the resources available on the International Society for Nurses in Genetics (ISONG) website. Summary As the nursing workforce ages and shortages continue to concern the profession, educating advanced practice nurses in genetics and genomics is a priority. Advances in genetics over the past decades have changed health promotion and disease prevention providing new opportunities to predict outcomes, prepare for various mutations, and personalize healthcare, medications and disease treatment. Samford University, Ida V. Moffet School of Nursing, Nursing 742, Emerging Diseases, Genetics, and Health Trends, 2009 Statistical Information Descriptive study of U.S. members of ISONG (N=211) <ul><li>Advanced Practice Nurses Role </li></ul><ul><li>Direct Patient Care </li></ul><ul><li>Professional Organization </li></ul><ul><ul><li>Participate in development of policy, position statements, education, scope and standards of practice, and guidelines </li></ul></ul><ul><ul><li>Review the American Nurses Association and ISONG guidelines, code of ethics, and the scope and standards of practice for genetics </li></ul></ul><ul><ul><li>Provide or attend genetics education presentations or reviews </li></ul></ul><ul><li>Health Systems </li></ul><ul><ul><li>Implement/Promote utilization of practice guidelines for genetics, ethical practice (privacy, consent, collaboration, access) </li></ul></ul><ul><ul><li>Advocate for patients right to self determination and the nurses responsibility to protect vulnerable populations </li></ul></ul><ul><li>Health Policy </li></ul><ul><ul><li>Participate or initiate research in genetic services and studies </li></ul></ul><ul><ul><li>Participate in legislative activity to increase access, services, resources, research, and develop genetic educational tools </li></ul></ul>Introduction/Significance Human genome research has expanded advanced nursing practice roles, responsibility, and increased health information and testing available to patients Nurses are educated in counseling, case management, research, and advanced clinical skills to assist patients in genetic/genomic testing and counseling International Code of Ethics for Nurses states patients and families should receive complete information on which to base consent for care or treatment (ICN, 2000) Intended results of genomic counseling are informed choices and a change in knowledge or behavior for the patient (Finucane, 1998) Historical Development 1960 Nursing practice first documented clinical applications in genetics for care of infants with birth defects (Lea, Williams, Cooksey, Flanagan, Forte, & Blitzer, 2006) 1988 International Society for Nurses in Genetics (ISONG) founded to support genetic nurses 2001 Genetic Nursing Credentialing Commission (GNCC) created to certify genetic nurses 2003 Human Genome Project completed producing a human DNA map that identifies disease causing genes/DNA variations impacting health, disease, and treatment (Kelly, 2008) 2006 American Nurses Association with ISONG introduced Genetics/Genomics Nursing: Scope and Standards of Practice 2007 American Nurses Association introduced consensus document entitled Essential Nursing Competencies and Curricula Guidelines for Genetics and Genomics to identify proficiency and improve genetic education in nursing (Lea, Williams, Cooksey, Flanagan, Forte, & Blitzer, 2006) (Beery, 2008 ) (Lashley, 2007 ) (Lashley, 2007)