Essential Genetic and Genomic Competencies for Nurses with Graduate Degrees
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Essential Genetic and Genomic Competencies Established by Consensus Panel September 2011 for Nurses with Graduate Degrees for Nurses ESSENTIAL GENETIC AND GENOMIC COMPETENCIES FOR NURSES WITH GRADUATE DEGREES Karen E. Greco, PhD, RN, ANP-BC, FAAN Susan Tinley, PhD, RN, CGC Diane Seibert, PhD, CRNP, FAANP Established by Consensus Panel September 2011 Library of Congress Cataloging-in-Publication Data Greco, Karen E. Essential genetic and genomic competencies for nurses with graduate degrees / Karen E. Greco, Susan Tinley, Diane Seibert. p. ; cm. Includes bibliographical references. Summary: “Describes and delineates the thirty-eight essential genetic and genomic competencies that inform the practice of all nurses functioning at the graduate level in nursing, summarizes the key documents and processes used to identify these competencies, and identifies the members of the Steering, Advisory, and Consensus Panel committees involved”--Provided by publisher. ISBN 978-1-55810-437-2 -- ISBN 1-55810-437-2 I. Tinley, Susan. II. Seibert, Diane. III. American Nurses Association. IV. International Society of Nurses in Genetics. V. Title. [DNLM: 1. Genetics, Medical--standards--United States. 2. Clinical Competence- -United States. 3. Education, Nursing, Graduate--standards--United States. 4. Genomics--standards--United States. QZ 50] 616’.042--dc23 2011049764 This publication — Essential Genetic and Genomic Competencies for Nurses with Graduate Degrees — 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 Essential Genetic and Genomic Competencies for Nurses with Graduate Degrees guides nurses in the application of their professional skills and responsibilities. The opinions in this book reflect those of the authors and do not necessarily reflect positions or policies of the American Nurses Association or the International Society of Nurses in the Genetics and Genomics. Furthermore, the information in this book should not be construed as legal or other professional advice. The PDF of this publication is available on the ANA website at http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Genetics-1 and also on the ISONG website at http://www.isong.org/ ©2012 American Nurses Association and International Society of Nurses in Genetics. All rights reserved. Any part of this book may be reproduced or utilized in any form or any means without permission in writing from the publisher. Please, however, cite this publication as the source: Greco, K. E., Tinley, S. & Seibert, D. (2012) Essential Genetic and Genomic Com- petencies for Nurses with Graduate Degrees. Silver Spring, MD: American Nurses Association and International Society of Nurses in Genetics. ISBN-13: 978-1-55810-437-2 Published: March 2012 Table of Contents Steering Committee, Advisory Panel, and Consensus Panel ........ iv Executive Summary ........................................................................ 1 Introduction and Background ....................................................... 2 Purpose and Applicability .............................................................. 3 Definitions ...................................................................................... 3 Development of the Competencies and Process of Consensus ..... 5 Resource/Reference Documents Competency Development and Process of Consensus Endorsement Process ..................................................................... 8 Development of Performance Indicators and Educational Resources ................................................................................. 8 Summary ........................................................................................ 9 Essential Competencies in Genetics and Genomics for Nurses with Graduate Degrees .................................................................. 10 Professional Practice ................................................................ 10 Risk Assessment and Interpretation Genetic Education, Counseling, Testing, and Results Interpretation Clinical Management Ethical, Legal, and Social Implications (ELSI) Professional Responsibilities ..................................................... 12 Professional Role Leadership Research References .................................................................................... 14 Endorsing Organizations .............................................................. 18 Genetic/Genomic Online Resources ............................................ 19 iii Steering Committee, Advisory Committee, and Consensus Panel Steering Committee Members Affiliations Karen E. Greco, PhD, RN, ANP-BC, National Cancer Institute, Center for FAAN Cancer Research, Genetics Branch Susan Tinley, PhD, RN, CGC Creighton University Diane Seibert, PhD, CRNP, FAANP Uniformed Services University Advisory Committee Members Affiliations Kathleen Calzone, PhD, RN, APNG, National Cancer Institute, Center for FAAN Cancer Research, Genetics Branch Jean F. Jenkins, PhD, RN, FAAN National Human Genome Research Institute Carol J. Bickford, PhD, RN-BC, American Nurses Association CPHIMS Quannetta Edwards, PhD, FNP, American Academy of Nurse WHCNP, FAANP Practitioners Suzanne Feetham, PhD, RN, FAAN Children’s National Medical Center & University of Wisconsin, Milwaukee Tracy Klein, PhD, RN, FNP-BC, Oregon State Board of Nursing FAANP Kathy McGuinn, MSN, RN, CPHQ American Association of Colleges of Nursing Karen Pehrson, MS, PMHCNS-BC Sigma Theta Tau International Cynthia A. Prows, MSN, CNS, FAAN Cincinnati Children’s Hospital Medical Center Jo Ellen Rust, MSN, RN, CNS National Association of Clinical Nurse Specialists Elizabeth Thomson, DNSc, MSN, National Human Genome Research RN, CGC, FAAN Institute Janet K. Williams, PhD, RN, PNP, University of Iowa FAAN iv *Consensus Panel Members Affiliations Michelle Beauchesne, DNSc, RN, National Association of Pediatric CPNP, FNAP, FAANP Nurse Practitioners Linda Callahan, PhD, CRNA, American Association of Nurse PMHNP Anesthetists Duck-Hee Kang, PhD, RN, FAAN Asian American/Pacific Islander Nurses Association Carole Kenner, PhD, NNP, RNC- Council of International Neonatal NIC, FAAN Nurses Elizabeth A. Kostas-Polston, PhD, National Association of Nurse APRN, WHNP-BC Practitioners in Women’s Health Ann Maradiegue, PhD, FNP-BC, National Organization of Nurse FAANP Practitioner Faculties Carrie Merkle, PhD, RN, FAAN American Academy of Nursing, Genetic Health Care Expert Panel Carmen T. Paniagua, EdD, RN, CPC, National Association of Hispanic ACNP-BC, APNG, FAANP Nurses Nancy Roehnelt, PhD, NP-BC Oncology Nursing Society Barbara M. Raudonis, PhD, RN, National Gerontological Nursing FNGNA, FPCN Association Lynneece Rooney, MSN, CNM, American College of Nurse- RNC-OB Midwives Catherine Ruhl, MS, CNM Association of Women’s Health, Obstetric and Neonatal Nurses Kathleen Sparbel, PhD, RN, FNP-BC International Society of Nurses in Genetics Ida Johnson-Spruill, PhD, RN, LISW, National Black Nurses Association FAAN Lois A. Tully, PhD National Institute of Nursing Research Mary Weber, PhD, APRN, PMHNP- International Society of Psychiatric- BC Mental Health Nurses *The Consensus Panel also includes the Steering Committee and Advisory Board members v vi Executive Summary Genetic and genomic scientific advances are redefining our understand- ing of health and illness, necessitating a concomitant shift in graduate nursing education and practice. The primary purpose of this document is to identify essential genetic and genomic competencies for individu- als prepared at the graduate level in nursing. These competencies ap- ply to anyone functioning at the graduate level in nursing, including but not limited to advanced practice registered nurses (APRNs), clinical nurse leaders, nurse educators, nurse administrators, and nurse scien- tists. These competencies complement existing nursing competencies and standards of practice and are intended to incorporate genetics and genomics into all clinical and non-clinical nursing roles. They build on the Essentials of Genetic and Genomic Nursing: Competencies, Curri- cula Guidelines and Outcome Indicators (Consensus Panel, 2009) and assume that nurses with graduate degrees have already achieved those core competencies. Because the APRN role has a different legal scope of practice than that of other nurses with graduate degrees, some com- petencies have been identified as unique to APRNs. The 38 competencies are organized under the following major catego- ries: 1. Risk Assessment and Interpretation 2. Genetic Education, Counseling, Testing, and Results Interpretation 3. Clinical Management 4. Ethical, Legal, and Social Implications (ELSI) 5. Professional Role 6. Leadership 7. Research 1 Introduction and Background Genetic and genomic scientific advances are redefining our under- standing of health and illness. Many common health conditions have been identified as having a genetic and/or genomic component, and mounting evidence supports that these multifactorial conditions result from the interactions of multiple genes and environmental, lifestyle, and other factors (Guttmacher, Collins, & Drazen, 2004). Hundreds of genetic tests are now available which can identify individu- als who carry one or more gene mutations associated with an increased risk of developing common health conditions. Increased availability of genetic testing and consumer access to this testing over the