College of Nursing and Health Sciences School of Nursing – Doctor of Nursing Practice
NURS 805 Preventive Care for Populations Unit II Determinants of Population Health
Lesson 7: The Role of Genomics in Population Health Learner Objectives:
At the end of this lesson, the student will:
1. Recognize the relevance of genomics to healthcare and nursing practice. 2. Discuss ethical, legal and social challenges of translating genetic information into clinical practice. 3. Analyze implications of genomics in population health in the context of a public health framework. 4. Utilize reliable online resources for information on genomics in health care.
Course Objective:
5. Utilize knowledge of health and illness, genetics and environment, human attitudes and behavior, and cultural and socioeconomic factors to target at risk populations and aggregates with evidence based preventive care.
Reading Assignments:
Badzek, L., Henaghan, M., Turner, M. & Monsen, R. (2013). Ethical, legal and social issues in the translation of genomics into health care. Journal of Nursing Scholarship, 45 (1), 15-23.
Calzone, K., Jenkins, J., Nicol, N., Skirton, H., Feero, W.G. & Green, E. (2013). Relevance of genomics to healthcare and nursing practice. Journal of Nursing Scholarship, 45 (1), 1-2.
Thomas, J., Irwin, D., Zuiker, E. & Millikan, R. (2005). Genomics and the public health code of ethics. American Journal of Public Health, 95 (12), 2139-2143.
Paniagua, C.T., Taylor, R.E., (January 31, 2008). The cultural lens of genomics. OJIN: The Online Journal of Issues in Nursing. 13(1). doi:10.3912/OJIN.Vol13No01Man05
Brief Lesson Overview Genomics along with environmental exposure, socio-economic circumstances, behavior and healthcare quality and access are among factors that influence health. The science of genomics is growing rapidly and in the previous ten years knowledge about the role of genetics in understanding, diagnosing and treating diseases has expanded tremendously. Applying genomics on the individual patient level as well as the population level brings promises as well as concerns. The assigned readings provide an overview of current and emerging technological applications of genomics in health care, ethical, legal and social considerations in applying genomics in health care in general and public health specifically. The entire issue 4 of volume 45 of the Journal of Nursing Scholarship is dedicated to Genomics in health care and nursing practice. While only two of these articles are assigned readings for this lesson, you are encouraged to read the others, especially those related to your clinical areas of interest. Multiple online resources on genomics are provided at the end of each article.
The case study assignment provides an opportunity to apply the concepts covered in the readings . See Case Study Assignment on Moodle.
References
Jaja C., Gibson, R. & Quarles, S. (2013). Advancing genomic research and reducing health disparities: What can nurse scholars do? Journal of Nursing Scholarship, 45 (2), 202-209.
Gwinn, M., Bowen, M. & Khoury, M. (2006). Genomics and public health at CDC. MMWR, 55(Supplement), 20-21.
McBride, C.M., Bryan, A., Bray, M., Swan, G. & Green, E. (2012). Health behavior change: Can genomics improve behavioral adherence? American Journal of Public Health, 102(3), 401-405.
Calzone, K., Jenkins, J., Yates, J., Cusack, G., Wallen, G., Liewehr, D., Steinberg, S. & McBride, C. (2012). Survey of nursing integration of genomics into nursing practice. Journal of Nursing Scholarship, 45 (4), 428-436.
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