title: Methods of genomic competency integration in practice.
abstract: OBJECTIVE
  Genomics is increasingly relevant to health care, necessitating support for nurses to incorporate genomic competencies into practice. The primary aim of this project was to develop, implement, and evaluate a year-long genomic education intervention that trained, supported, and supervised institutional administrator and educator champion dyads to increase nursing capacity to integrate genomics through assessments of program satisfaction and institutional achieved outcomes.
  
  
  METHODS
  Longitudinal study of 23 Magnet Recognition Program® Hospitals (21 intervention, 2 controls) participating in a 1-year new competency integration effort aimed at increasing genomic nursing competency and overcoming barriers to genomics integration in practice.
  
  
  METHODS
  Champion dyads underwent genomic training consisting of one in-person kick-off training meeting followed by monthly education webinars. Champion dyads designed institution-specific action plans detailing objectives, methods or strategies used to engage and educate nursing staff, timeline for implementation, and outcomes achieved. Action plans focused on a minimum of seven genomic priority areas: champion dyad personal development; practice assessment; policy content assessment; staff knowledge needs assessment; staff development; plans for integration; and anticipated obstacles and challenges. Action plans were updated quarterly, outlining progress made as well as inclusion of new methods or strategies. Progress was validated through virtual site visits with the champion dyads and chief nursing officers. Descriptive data were collected on all strategies or methods utilized, and timeline for achievement. Descriptive data were analyzed using content analysis.
  
  
  RESULTS
  The complexity of the competency content and the uniqueness of social systems and infrastructure resulted in a significant variation of champion dyad interventions.
  
  
  CONCLUSIONS
  Nursing champions can facilitate change in genomic nursing capacity through varied strategies but require substantial training in order to design and implement interventions.
  
  
  CONCLUSIONS
  Genomics is critical to the practice of all nurses. There is a great opportunity and interest to address genomic knowledge deficits in the practicing nurse workforce as a strategy to improve patient outcomes. Exemplars of champion dyad interventions designed to increase nursing capacity focus on improving education, policy, and healthcare services.
authors: Kappa, Clinical Advisor, National Institutes of Health, National Human Genome Research Institute, Division of Policy, Communications, and Education, Genomic Healthcare Branch, Bethesda, MD.
authors: Jean
authors: J
authors: Jenkins
authors: Kathleen A
authors: KA
authors: Calzone
authors: Sarah
authors: S
authors: Caskey
authors: Stacey
authors: S
authors: Culp
authors: Marsha
authors: M
authors: Weiner
authors: Laurie
authors: L
authors: Badzek
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D004509:Education, Nursing, Continuing / Q000379:methods* / Q000458:organization & administration; D023281:Genomics / Q000193:education*; D006801:Humans; D007857:Leadership; D008137:Longitudinal Studies; D013192:Staff Development / Q000379:methods*
keywords: Champions; competency; education; genomics; nursing