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Poster Binder The Global Genomics Nursing Alliance Poster Collection January 2017 The G2NA Poster Collection Introduction In January 2017, twenty nine people from across the world gathered at the Wellcome Genome Campus Conference Centre, Cambridge UK, to consider how best to accelerate the integration of genomics into nursing practice. Participants were selected on the basis of their knowledge, expertise and/or global leadership in nursing, healthcare, policy and genomics. Over the course of three days, they discussed issues, challenges and priorities to transform nursing practice, education and policy to be cognisant of the implications of genomic technologies for individuals and societies. In preparation for the meeting and to facilitate understanding of the context for nursing, healthcare and genomics in the different countries and organisations, participants were invited to present posters, to a given template. Posters from nineteen countries and two organisations were presented in total. They are collated in the pages following. G2NA Posters on display at the Wellcome Genome Campus Conference Centre The countries Australia Brazil Canada China (Special Administrative Region of Hong Kong) Colombia Germany Israel Japan Mexico Netherlands Nigeria Norway Pakistan South Africa Switzerland Taiwan Turkey United Kingdom United States of America Global Genomics Nursing Alliance (G2NA) Accelerating the integration of genomics into everyday practice A Country representative Australia Professor John Daly, Dean, Faculty of Health, UTS and Professor Jane Maguire, Professor of Nursing, Faculty of Health, UTS Background I Background II Nursing Genetics and My Country Healthcare in my country The Nursing Role genomics in Australia has a population of ‘The healthcare system is complex. Nurses are regulated by the approx. 24 million. The majority of Public health services are provided Nursing and Midwifery Board of the Australian population is of by State and territory Health Australia (NMBA) which is located healthcare I Specialised European ancestry, and Services (they manage Public in the Australia Health Practitioner Currently Australian healthcare predominantly self- reports as Hospitals), and the Federal Regulation Agency (AHPRA). Caucasian (white) .Aboriginal and Government. The Federal Courses leading to registration as includes specialist genomics Torres Strait Islanders comprise Governments funding contribution a nurse much be approved by the services in urban regions but these about 3% of the national includes Medicare, a universal Australian Nursing and Midwifery are a rarity in rural settings. population. Australia is culturally public health insurance scheme. Accreditation Council and the Services exist for patients and and linguistically diverse. ‘At 30 This includes free treatment for NMBA. Nurses are integral across their families, and offer genetic June 2015, 28.2% of the estimated public patients in public hospitals. all levels of health care services. In testing and genetic counselling for resident population (ERP) was Citizens can be covered by 2015 Australia had 300,524 RN’s cancers and monogenic disease. born overseas (6.7 million Medicare or a combination of and 59,484 EN’s on the national Services may be offered on a persons)(ABS,2016).’ Persons born Medicare and Private Health register. home visit or in a specialised in the United Kingdom continued Insurance. Primary, secondary and centre. These are usually attached to be the largest group of tertiary care services are Education and Training to local area districts and staffed overseas-born residents, provided’. Undergraduate nursing education by a multidisciplinary team, led by accounting for 5.1% of Australia’s is conducted in universities a medical geneticist and may total population at 30 June 2015. Source: (prepares RNs)> Programs are of 3 include specialist nurses, often in This was followed by persons born http://www.aihw.gov.au/australias years duration full time with genetic counselling roles. in New Zealand (2.6%), China -health/2014/health-system/. integrated clinical practica. (2.0%), India (1.8%) and the Graduates are prepared to work in Philippines and Vietnam (1.0%)’ a range of settings except (ABS,2016). midwifery. Genetics and Policy Policy Resources genomics in Initiatives I Initiatives II healthcare II Release of a draft National Health In 2016, over 25 million was Various links to information can Mainstream services Genomics Policy Framework by the allocated to the Murdoch Children’s be found at these websites: Requests for genetic testing are Australian Government is imminent. Research Institute to support this made by specialist medical staff. The In early 2016, the Australian Health endeavour in a single, NHMRC majority of pathology services can Minister’s Advisory Council directed multidisciplinary, nationally focused grant. This led to formation of the collect samples for genetic testing the Commonwealth, in consultation Australian Genomics Health Australian Genomics Health Alliance but processing will be conducted at with states and territories, to Alliance (https://www.australiangenomics.o develop a nationally consistent and specialised central centres. rg.au/news-events/events/?y=2016, strategic approach to integrating Professional organisations including 50 partners with over 100 genomics into the health system. include: investigators from multiple In 2015 NHMRC opened a Targeted academic and research institutions Human Genetics Society of Call for Research into Preparing representing every state and Australasia Australia for the Genomics territory. In 2016, The Garvan Revolution in Health Care (Genomics Institute of Medical Research, The Royal College of Pathologists TCR) with the aims to ‘support Sydney hosted its first Annual of Australasia research directed towards Australian Clinical Genomics Symposium to highlight best demonstrating how the discovery practice and challenges facing the and application of genomic data in implementation of genomics in one or more human diseases clinical practice. impacts the care of patients with that/those disease, and identify the economic and policy impacts of implementation of the application of that genomic data into the health system’. Contact [email protected] for more information or to discuss this poster further. Global Genomics Nursing Alliance (G2NA) Accelerating the integration of genomics into everyday practice A Country representative Australia Professor John Daly, Dean, Faculty of Health, UTS and Professor Jane Maguire, Professor of Nursing, Faculty of Health, UTS Key Areas for Top Priorities Challenges Action • Develop a nationally consistent Rapid advancement of • Education of health approach to integrating information, translation to the professionals. genomics into the health clinic is imminent but there has system not been a corresponding • Identification of current and • education of health professionals. future key professional roles for Capacity and capability Knowledge levels about predictive nurses in genomics development for Genomics in and diagnostic capabilities of tests Nursing is limited. Coupled with this, there • Research to explore cultural • is a gap between consumer uptake differences in consumers and Development of a genomics of testing and health professional health professional regarding and Nursing Research and education as direct to consumer privacy and use of genetic Translational Science agenda advertising for genetic tests to information. Currently in create personalised genetic Australia a medical practitioner profiles via the internet is readily can chose to disclose genetic available. Consumers are advised testing results to other family to “ask their health professional” members without the patients to answer their questions about consent if they deem that the results. Urgent need to raise family member is at high risk. consumer understanding of benefits and limitations of genetic information. Contact [email protected] for more information or to discuss this poster further. Global Genomics Nursing Alliance (G2NA) Accelerating the integration of genomics into everyday practice G2NA Country representative Brazil Erika Santos, Hospital Sírio-Libanês, São Paulo Background Nursing Genetics and Policy My Country The Nursing Role genomics in Nursing is the largest group of the initiatives Brazil is a country of Brazil does not have a specific public health professionals in the country. continental healthcare policy for genetics and genomics. The nursing workforce is divided into dimensions with This issue has been constantly two levels: Registered Nurses Specialist services more than 8 million addressed during the development (453,611) and mid-level technical University hospitals, philanthropic km2, 206 million of public policies in other specialties professionals (1,400,000). Federal institutions and private institutions inhabitants, and 5 The Neonatal Screening Policy has Nursing Council regulates the are the main entities responsible for thousand cities. achieved great advances in the care profession with 27 State Councils. providing specialized genetics Of the total population, 84% live in services. In private health insurance of families and structuring of the urban area. In the last census, system, genetic counseling and services mainly through NGOs 47.1% of the population declared genetic testing are available The National Policy of Care to People themselves white, 7.6% black, 43.1% Education and Training according to guidelines established with Rare
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