Mainstreaming genetics and genomics: a systematic review of the barriers and facilitators for nurses and physicians in secondary and tertiary care.
Stephanie WhiteChris JacobsJane PhillipsPublished in: Genetics in medicine : official journal of the American College of Medical Genetics (2020)
Nurses and physicians are largely underprepared to integrate genetic and genomic health information into routine clinical care. Ethical, legal, and psychological concerns surrounding genetic information can lead to avoidance of genetics discussions. The knowledge-practice gap could limit patients' and families' access to vital genetic information. Building the capacity of the current and next generation of nurses and physicians to integrate genetics and genomics into usual clinical practice is essential if opportunities afforded by precision medicine are to be fully realized.
Keyphrases
- health information
- healthcare
- primary care
- clinical practice
- mental health
- copy number
- genome wide
- tertiary care
- end stage renal disease
- social media
- single cell
- ejection fraction
- newly diagnosed
- chronic kidney disease
- quality improvement
- peritoneal dialysis
- prognostic factors
- dna methylation
- patient reported outcomes
- gene expression
- affordable care act
- patient reported