Journals / Turkish Journal of Family Medicine and Primary Care / 2021 / Cilt: 15 Sayı: 4

Genetics / Genomic in Pediatric Nursing

Pediatri Hemşireliğinde Genetik/Genomik

Emine Bayrak Aykan(ANKARA MEDİPOL ÜNİVERSİTESİ)0000-0002-3167-5591
Berna Eren Fidancı(Sağlık Bilimleri Üniversitesi Gülhane Hemşirelik Fakültesi)0000-0003-0157-6100
Pages
895–905
Publication Date
2021-12-20
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this context, it will be useful to evaluate the genetics / genomic concepts in pediatric nursing by considering the duties and responsibilities, education, clinical practice and neonatal screening.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Genetics is a branch of science that studies the structure and functions of genes and investigates the inheritance of genetic traits.
📊
Key Findings & Data:In recent years, it has been observed that genomic information and technologies are used more frequently in the stages of disease prevention, screening, diagnosis, treatment and evaluation of treatment efficiency, and that genomics science is more integrated into health services.
💡
Conclusion & Impact:In this context, it will be useful to evaluate the genetics / genomic concepts in pediatric nursing by considering the duties and responsibilities, education, clinical practice and neonatal screening.
🔬Design:Derleme
📍Scope:Comprehensive Sample
⚙️Variables:Pediatri · Hemşire · genetik/genomik

Abstract

Genetics is a branch of science that studies the structure and functions of genes and investigates the inheritance of genetic traits. Genomics is a new discipline that describes how all genes work together, interact with each other, and their environmental impact. Genomic science has emerged as an extremely important science for all healthcare professionals, with the completion of the human genome project. In recent years, it has been observed that genomic information and technologies are used more frequently in the stages of disease prevention, screening, diagnosis, treatment and evaluation of treatment efficiency, and that genomics science is more integrated into health services. This situation is explained by the concept of genomic health care, which is defined as a care developed to use genomic information and technologies to provide early intervention, rapid and accurate diagnosis and risk assessment for genetic diseases. Pediatric nurses are key members of the healthcare team that often caring for children with genetic diseases that may require hospitalization. They must be prepared to assist asymptomatic children and families who are increasingly seeking information about genetic disease and its risks. In this context, it is expected that they should gain genetic and genomic literacy in order to provide effective care. Because they take on the child's protective, advocacy and counseling roles. They can fulfill these roles within the context of genomic healthcare only by being aware of their genetic / genomic knowledge, competencies and integrating them into health care. In this context, it will be useful to evaluate the genetics / genomic concepts in pediatric nursing by considering the duties and responsibilities, education, clinical practice and neonatal screening.

Özet

Genetik, genlerin yapı ve işlevlerini inceleyen, genetik özelliklerin kalıtımını araştıran bilim dalıdır. Genomik, tüm genlerin birlikte çalışmasını, birbirleriyle etkileşimlerini ve çevresel etkilerini tanımlayan yeni bir disiplindir. Genomik bilim, insan genom projesinin tamamlanmasıyla, tüm sağlık profesyonelleri için son derece önemli bir bilim olarak ortaya çıkmıştır. Son yıllarda hastalıkların önlenmesi, tarama, tanı, tedavi ve tedavi etkinliğinin değerlendirilmesi aşamasında genomik bilgi ve teknolojilerin daha sık kullanıldığı ve genomik biliminin sağlık hizmetlerine daha fazla entegre olduğu görülmektedir. Bu durum bazi hastalıklarda daha erken tanı ve risk değerlendirmesinin saglanmasi, tedavi seçenekleri sunmak gibi için genomik bilgi ve teknolojiler temelinde geliştirilmiş bir bakım olarak belirtilen genomik sağlık bakım kavramı ortaya çıkarmıştır. Pediatri hemşireleri, sıklıkla hastanede yatmayı gerektirebilecek genetik hastalıkları olan çocuklara bakım veren sağlık ekibinin kilit üyesidir. Genetik hastalık ve riskleri hakkında giderek daha fazla bilgi arayan asemptomatik çocuklara ve ailelere yardım etmeye hazırlıklı olmalıdırlar. Bu kapsamda etkin bakım sunabilmeleri için yeterli genetik ve genomik okuryazarlık düzeyine sahip olmalıdırlar. Çünkü onlar çocuğun koruyucu, savunucu ve danışmanlık rollerini üstlenmektedirler. Genomik sağlık bakımı kapsamında bu rolleri ancak genetik/genomik bilgilerinin, yeterliliklerinin farkında olarak ve sağlık bakımına entegre ederek yerine getirebilirler. Bu kapsamda, bu makalede pediatri hemşireliğinde genetik/genomik kavramlarının görev ve sorumluluklar, eğitim, klinik uygulama ve yenidoğan taramaları konulari tartışılmıştır

🔖

Cite This Article

Aykan, E. B., Fidancı, B. E. (2021). Genetics / Genomic in Pediatric Nursing. Turkish Journal of Family Medicine and Primary Care, Cilt: 15 Sayı: 4, 895–905. https://doi.org/10.21763/tjfmpc.900034

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (57)

  1. Ward LD, French BF, Barbosa-Leiker C, Iverson AEF. Application of exploratory factor analysis and ıtem response theory to validate the genomic nursing concept ınventory. Journal of Nursing Education. 2016;55(1):9–17. doi:10.3928/01484834-20151214-05
  2. Ward LD, Purath J, Barbosa-Leiker C. Assessment of genomic literacy among baccalaureate nursing students in the United States. Nurse Educator. 2016;41(6):313–318. doi:10.1097/nne.0000000000000272
  3. Read CY, Ward LD. Misconceptions About genomics among nursing faculty and students. Nurse Educator. 2018;43(4):196–200. doi:10.1097/nne.0000000000000444
  4. Calzone KA, Jenkins J, Nicol N, Skirton H, Feero WG, Green ED. Relevance of genomics to healthcare and nursing practice. Journal of Nursing Scholarship. 2013;45(1):1–2.
  5. Ball J, Binler R, Cowen K, Shaw M. Principles of pediatric nursing caring for children. 7th edition, 2017. Pearson Education, United States.
  6. Rew L, Mackert M, Bonevac D. Cool, but is it credible? Adolescents’ and parents’ approaches to genetic testing. Western Journal of Nursing Research. 2010;32(5):610–627. DOI: 10.1177/0193945909360781.
  7. Aiello L, Calzone K. Precision medicine: preparing nurses in genomics for today’s healthcare. Dean’s Notes-Anthony J. Jannetti, 2018;40(2):1-4.
  8. Consensus panel on genetic/genomic nursing competencies (2006). Essential Nursing Competencies and curricula guidelines for genetics and genomics (1st ed). Silver Spring, MD: American Nurses Association.
  9. Camak DJ. Increasing importance of genetics in nursing. Nurse Education Today. 2016;44:86 91.http://dx.doi.org/10.1016/j.nedt.2016.05.018
  10. Coleman B, Calzone KA, Jenkins J, Paniagua C, Rivera R, Hong OS, et al. Multi-ethnic minority nurses’ knowledge and practice of genetics and genomics. Journal of Nursing Scholarship. 2014;46(4):235–244. doi:10.1111/jnu.12083.
  11. Access to Genomic Healthcare: The Role of the Nurse (ISONG), 2010. Available online: https://www.isong.org/resources/Documents/PS_Access_Genomic_Healthcare.pdf (accessed on 5 January 2021)
  12. Williams JK, Cashion AK. Using clinical genomics in health care: Strategies to create a prepared workforce. Nursing Outlook. 2015;1-3.http://dx.doi.org/10.1016/j.outlook.2015.04.001.
  13. Aiello-Laws LB. Genetics and genomics nursing has arrived. Oncology Nursing Forum, 2013;40(1):20-21.
  14. Khoury MJ, Feero WG, Reyes M, Citrin T, Freedman A, Leonard D, et al. The genomic applications in practice and prevention network. Genetics in Medicine. 2009;11(7):488-494.
  15. Anderson G, Alt-White A, Schaa KL, Boyd AM, Kasper CE. Genomics for nursing education and practice: Measuring competency. Worldviews on Evidence-Based Nursing. 2015;12(3):165–175.
  16. Wright H, Zhao L, Birks M, Mills J. Genomic literacy of registered nurses and midwives in australia: A cross-­sectional­survey. Journal of Nursing Scholarship. 2018;1–10. doi:10.1111/jnu.12440.
  17. Hickey KT, Taylor JY, Barr TL, Hauser NR, Riga TC, Katapodi M. Nursing genetics and genomics: The international society of nurses in genetics (ISONG) survey. Nurse Education Today. 2018;63:12-17. doi:10.1016/j.nedt.2018.01.002.
  18. Mahon MS. Complexities of genetic care: Implications for advanced practice nurses. The Journal for Nurse Practitioners. 2012;8(8):e23-e27.http://dx.doi.org/10.1016/j.nurpra.2012.04.020.
  19. Weng HJ, Niu DM, Turale S, Tsao LI, Shih FJ, Yamamoto-Mitani N, Chang CC, Shih, FJ. Family caregiver distress with children having rare genetic disorders: A qualitative study involving Russell–Silver Syndrome in Taiwan. Journal of Clinical Nursing. 2011;21:160–169 doi: 10.1111/j.1365-2702.2010.03583.x
  20. Roberts DF, Foehr UG. Trends in media use. The Future of Children. 2008;18(1):11-37
  21. Gaff CL, Clarke AJ, Atkinson P, Sivell S, Elwyn G, Iredale R, et al. Process and outcome in communication of genetic information within families: A systematic review. European Journal of Human Genetics. 2007;15(10):999–1011.doi:10.1038/sj.ejhg.5201883
  22. Metcalfe A, Coad J, Plumridge GM, Gill P, Farndon P. Family communication between children and their parents about inherited genetic conditions: A meta-synthesis of the research. European Journal of Human Genetics. 2008;16(10):1193–1200. doi:10.1038/ejhg.2008.84
  23. Driessnack M, Gallo AM. Children ‘Draw-and-Tell’ their knowledge of genetics. Continuing Nursing Education Pedıatric Nursing.2013;39(4):173-180.
  24. Medin DL, Atran S. The native mind: Biological Categorization and reasoning in development and across cultures. Psychological Review. 2004;111(4):960-983.
  25. Tsui CY, Treagust DF. Understanding genetics: Analysis of secondary students’ conceptual status. Journal of Research in Science Teaching. 2007;44(2):205–235.doi:10.1002/tea.20116
  26. Ross LF, Saal HM., Anderson RR, David KL. Ethical and policy ıssues in genetic testing and screening of children. Pediatrics. 2013;131:620–622. Doi:10.1542/Peds.2012-3680
  27. Impact of expanded newborn screening—United Status, 2006. Available online: www. cdc.gov/mmwr/preview/mmwrhtml/mm5737a2.htm, (acccessed on 5 January 2021)
  28. The ICN Code of Ethics for Nurses, Revised 2021. Available online: https://www.nzno.org.nz/Portals/0/Files/Documents/Consultation/Sue%20Gasquoine%20Feedback%202020-08-11/2020-11-11%20CoE_Version%20for%20Consultation_October%202020_EN.pdf?ver=IgEV1G-xTMg4UIaBMDf5Cw%3D%3D (accessed on 23 April 2021).
  29. Godino L, Turchetti D, Skirton H. Knowledge of genetics and the role of the nurse in genetic healthcare: A survey of Italian nurses. Journal of Advanced Nursing. 2012;00(0):000–000. doi: 10.1111/j.1365-2648.2012.06103.x
  30. Monsen RB, Anderson G, New F, Ledbetter S, Frazier LG, Smith M.E, Wilson M. Nursing education and genetics: Miles to go before we sleep. Nursing and Health Care Perspectives. 2000;21(1):34-37.
  31. Lessick M, Anderson L. Genetic discoveries: Challenges for nurses who care for children and their families. Journal of Specialists in Pediatric Nursing. 2000;5 (1):47-51. doi:10.1111/j.1744-6155.2000.tb00085.x
  32. Hemşirelik Yönetmeliği (Ek.R.G-19/4/2011-27910-Ek2) Çalışılan Birim/Servis/Ünite/Alanlara Göre Hemşirelerin Görev, Yetki Ve Sorumlulukları, Available online: https://www.mevzuat.gov.tr/mevzuatmetin/yonetmelik/7.5.13830-ek-2%20ve%203.htm. (accessed on 13 November 2020).
  33. Connors L, Schorn M. Genetics and genomics content in nursing education: A national ımperative. Journal of Professional Nursing. 2018;34:235–237. https://doi.org/10.1016/j.profnurs.2018.06.003
  34. Erdemir F, Uysal G. Genetic, Genomic Science in Nursing Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2010;3(2):96-101.
  35. Position Statement: Direct-to-Consumer Genetic/Genomic Testing (DTC-GT) ISONG, 2017. Available online: https://www.isong.org/resources/Documents/PS_DTC%20GT%20Position%20Statement_Approved%20October%202017.pdf (accessed on 5 January 2021)
  36. Ward LD. Using biology education research and qualitative ınquiry to ınform genomic nursing education. Nurse Educator. 2017;42(6): 303–307.doi:10.1097/nne.0000000000000378
  37. Cragun DL, Couch SC, Prows CA, Warren NS, Christianson CA. Success of a genetics educational intervention for nursing and dietetic students: A model for incorporating genetics into nursing allied health curricula. Journal of Allied Health. 2005;34(2):90-96
  38. Hetteberg CG, Prows CA, Deets C, Monsen RB, Kenner CA. National survey of genetics content in basic nursing preparatory programs in the United States. Nursing Outlook. 1999;47(4):168-174.
  39. St-Martin G, Bedard A, Nelmes J, Bedard JEJ. Preparing nurses for genetic medicine: ıntegration of a brief education session in an undergraduate nursing curriculum. Journal of Nurse Education. 2017;56(3):170-173. doi:10.3928/01484834-20170222-09
  40. Tomatir AG, Sorkun HC, Demirhan HA, Akbag B. Nurses’ professed knowledge of genetics and genetic counseling. Tohuku Journal Exp. Med. 2006;210(4):321-332.
  41. Skirton H, O’Connor A, Humphreys A. Nurses’ competence in genetics: A mixed method systematic review. Journal of Advanced Nursing. 2012;00(0):000–000. doi: 10.1111/j.1365-2648.2012.06034.x
  42. Godino L, Skirton H. A systematic review of nurses’ knowledge of genetics. Journal of Nursing Education and Practice. 2012; 2(3):173-184. 10.5430/jnep.v2n3p173
  43. Seven M, Akyüz A, Elbüken B, Skirton H, Öztürk H. Nurses’ knowledge and educational needs regarding genetics. Nurse Education Today. 2015;35(3):444–449. doi:10.1016/j.nedt.2014.11.008
  44. Terzioğlu F. Nurses’ views on their role in genetics. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2003;33(6):756-764.
  45. Vural BK, Tomatir AG, Kurban NK, Taşpınar A. Nursing students’ self-reported knowledge of genetics and genetic education. Public Health Genomics. 2009;12:225-232
  46. Collins C, Stiles A. Predictors of student outcomes on perceived knowledge and competence of genetic family history risk assessment. Journal of Professional Nursing. 2011;27:101-107. doi:10.1016/j.profnurs.2010.09.007
  47. Sharoff L. Perceived genetic knowledge among pre-licensure undergraduate nursing students. Journal of Nursing Education and Practice.2017a;7 (2):10-17. DOI: 10.5430/jnep.v7n2p10
  48. Sharoff L. Comparison of perceived genetic-genomic knowledge of nurse educators and graduate degree nursing students. Journal of Nursing Education and Practice. 2017b;7(9):67-77. doi.org/10.5430/jnep.v7n9p67
  49. Aydın Acar Ç, Demet D. Genetics in Nursing Education Process Göller Bölgesi Aylık Hakemli Ekonomi ve Kültür Dergisi 2017; Ayrıntı Sayı 55: 11-15.
  50. Gallo AM, Angst DB, Knafl KA. Disclosure of genetic ınformation within families: How nurses can facilitate family communication. American Journal of Nursing. 2009;109(4):65–69. doi:10.1097/01.NAJ.0000348607.31983.6e.
  51. Privacy and Confidentiality of Genetic Information: The Role of the Nurse, ISONG, 2018. Available online: https://www.isong.org/resources/Documents/ISONG%20Position%20Statement_Privacy%20and%20Confidentiality%20of%20Genetic%20Information%20approved%20May%201%202018.pdf (accessed on 5 January 2021)
  52. DeLuca J, Zanni KL, Bonhomme N, Kemper AR. Implications of newborn screening for nurses. Journal of Nursing Scholarship. 2013;45(1);25–33. doi: 10.1111/jnu.12005
  53. İçke S, Genç RE.  National Newborn Screening Tests Carried Out with Heel Lance and Their Importance The Journal of Pediatric Research. 2017;4(4);186-90. DOI:10.4274/jpr.22932
  54. Yenidoğan Metabolik ve Endokrin Hastalık Tarama Programı (NTP), Available online: https://hsgm.saglik.gov.tr/tr/cocukergen-tp-liste/yenidogan_tarama_programi.html (accessed on 5 January 2021).
  55. Newborn Screening: The Role of the Nurse, ISONG, 2020. Available online: https://www.isong.org/resources/Documents/Newborn%20ScreeningThe%20Role%20of%20the%20Nurse%20Updated%20Nov%202020.pdf (accessed on 5 January 2021).
  56. Impact of expanded newborn screening—United Status, 2006. Available online: www. cdc.gov/mmwr/preview/mmwrhtml/mm5737a2.htm, (acccessed on 5 January 2021)
  57. Sharoff L. Perceived genetic knowledge among pre-licensure undergraduate nursing students. Journal of Nursing Education and Practice.2017a;7 (2):10-17. DOI: 10.5430/jnep.v7n2p10