Consumer-oriented (patient and family) outcomes from nursing in genomics: a scoping review of the literature (2012–2022)
IntroductionGenomics is a lifespan competency that is important for improving health outcomes for individuals, families, and communities. Nurses play a key role in genomic healthcare and realizing the potential of the genomic era.MethodsWe aimed to chart the current state of genomics in nursing by c...
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Frontiers Media S.A.
2024-11-01
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| Series: | Frontiers in Genetics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgene.2024.1481948/full |
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| author | Jordan N. Keels Joanne Thomas Kathleen A. Calzone Laurie Badzek Sarah Dewell Vinaya Murthy Rosie O’Shea Emma T. Tonkin Andrew A. Dwyer |
| author_facet | Jordan N. Keels Joanne Thomas Kathleen A. Calzone Laurie Badzek Sarah Dewell Vinaya Murthy Rosie O’Shea Emma T. Tonkin Andrew A. Dwyer |
| author_sort | Jordan N. Keels |
| collection | DOAJ |
| description | IntroductionGenomics is a lifespan competency that is important for improving health outcomes for individuals, families, and communities. Nurses play a key role in genomic healthcare and realizing the potential of the genomic era.MethodsWe aimed to chart the current state of genomics in nursing by conducting a systematic scoping review of the literature in four databases (2012–2022). We categorized included articles using the Cochrane Collaboration outcome domains/sub-domains and identify key topical areas.ResultsOf 8532 retrieved articles, we identified 67 articles on ‘consumer-oriented outcomes’ (patient and family) for analysis. Identified articles primarily centered on themes of genetic testing and screening. Most studies reported non-interventional studies 39/67 (58%) and more than half were from the U.S.A. 34/67 (51%). Six of nine subdomains were reported on. The “patient involvement in care” subdomain was the most commonly reported subdomain (17/67, 25%) while “treatment outcomes” had the fewest reports (5/67, 8%). Overall, consumers (i.e., patients and families) had high satisfaction with nurse-led interventions.DiscussionSynthesizing findings revealed key knowledge gaps and unmet patient informational needs around genetic testing and decision support. There are opportunities for interprofessional collaboration between nursing and genetic counseling to meet the mounting demand for genomic healthcare and develop more person-centered approaches to genetic counseling and decisional support. Findings support the need for interventional studies and enhanced focus on implementation for nurses to improve consumer-oriented outcomes. |
| format | Article |
| id | doaj-art-09ae5eb95ffc46ddb91317309aeb5e3e |
| institution | DOAJ |
| issn | 1664-8021 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Genetics |
| spelling | doaj-art-09ae5eb95ffc46ddb91317309aeb5e3e2025-08-20T02:48:57ZengFrontiers Media S.A.Frontiers in Genetics1664-80212024-11-011510.3389/fgene.2024.14819481481948Consumer-oriented (patient and family) outcomes from nursing in genomics: a scoping review of the literature (2012–2022)Jordan N. Keels0Joanne Thomas1Kathleen A. Calzone2Laurie Badzek3Sarah Dewell4Vinaya Murthy5Rosie O’Shea6Emma T. Tonkin7Andrew A. Dwyer8William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, United StatesGenomics Policy Unit, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United KingdomGlobal Genomics Nursing Alliance (G2NA) and National Institutes of Health, National Cancer Institute, Center for Cancer Research, Bethesda, MD, United StatesGlobal Genomics Nursing Alliance (G2NA) and Ross and Carol Nese College of Nursing, Penn State University, University Park, PA, United StatesGlobal Genomics Nursing Alliance (G2NA) and School of Nursing at Thompson Rivers University, Kamloops, BC, CanadaDivision of Medical Genetics, Department of Pediatrics, University of California San Francisco, San Francisco, CA, United StatesCancer Genetics Service, St. James’s Hospital and Trinity College School of Medicine, Dublin, IrelandGlobal Genomics Nursing Alliance (G2NA) and Genomics Policy Unit, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United KingdomGlobal Genomics Nursing Alliance (G2NA) and William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, United StatesIntroductionGenomics is a lifespan competency that is important for improving health outcomes for individuals, families, and communities. Nurses play a key role in genomic healthcare and realizing the potential of the genomic era.MethodsWe aimed to chart the current state of genomics in nursing by conducting a systematic scoping review of the literature in four databases (2012–2022). We categorized included articles using the Cochrane Collaboration outcome domains/sub-domains and identify key topical areas.ResultsOf 8532 retrieved articles, we identified 67 articles on ‘consumer-oriented outcomes’ (patient and family) for analysis. Identified articles primarily centered on themes of genetic testing and screening. Most studies reported non-interventional studies 39/67 (58%) and more than half were from the U.S.A. 34/67 (51%). Six of nine subdomains were reported on. The “patient involvement in care” subdomain was the most commonly reported subdomain (17/67, 25%) while “treatment outcomes” had the fewest reports (5/67, 8%). Overall, consumers (i.e., patients and families) had high satisfaction with nurse-led interventions.DiscussionSynthesizing findings revealed key knowledge gaps and unmet patient informational needs around genetic testing and decision support. There are opportunities for interprofessional collaboration between nursing and genetic counseling to meet the mounting demand for genomic healthcare and develop more person-centered approaches to genetic counseling and decisional support. Findings support the need for interventional studies and enhanced focus on implementation for nurses to improve consumer-oriented outcomes.https://www.frontiersin.org/articles/10.3389/fgene.2024.1481948/fullcascade screeningdecision makingfamily historygenetic counselinggenetic testingnursing practice |
| spellingShingle | Jordan N. Keels Joanne Thomas Kathleen A. Calzone Laurie Badzek Sarah Dewell Vinaya Murthy Rosie O’Shea Emma T. Tonkin Andrew A. Dwyer Consumer-oriented (patient and family) outcomes from nursing in genomics: a scoping review of the literature (2012–2022) Frontiers in Genetics cascade screening decision making family history genetic counseling genetic testing nursing practice |
| title | Consumer-oriented (patient and family) outcomes from nursing in genomics: a scoping review of the literature (2012–2022) |
| title_full | Consumer-oriented (patient and family) outcomes from nursing in genomics: a scoping review of the literature (2012–2022) |
| title_fullStr | Consumer-oriented (patient and family) outcomes from nursing in genomics: a scoping review of the literature (2012–2022) |
| title_full_unstemmed | Consumer-oriented (patient and family) outcomes from nursing in genomics: a scoping review of the literature (2012–2022) |
| title_short | Consumer-oriented (patient and family) outcomes from nursing in genomics: a scoping review of the literature (2012–2022) |
| title_sort | consumer oriented patient and family outcomes from nursing in genomics a scoping review of the literature 2012 2022 |
| topic | cascade screening decision making family history genetic counseling genetic testing nursing practice |
| url | https://www.frontiersin.org/articles/10.3389/fgene.2024.1481948/full |
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