ACCESS: an empirically-based framework developed by the International Nursing CASCADE Consortium to address genomic disparities through the nursing workforce.
ACCESS: an empirically-based framework developed by the International Nursing CASCADE Consortium to address genomic disparities through the nursing workforce.
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DOI：
10.3389/fgene.2023.1337366
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发表时间：
2023
影响因子：
3.7
通讯作者：
Dwyer, Andrew A.
中科院分区：
文献类型：
--
作者：
Katapodi, Maria C.;Pedrazzani, Carla;Barnoy, Sivia;Dagan, Efrat;Fluri, Muriel;Jones, Tarsha;Kim, Sue;Underhill-Blazey, Meghan L.;Uveges, Melissa K.;Dwyer, Andrew A.
关键词：
简介：需要跨学科的努力来缩小基因组医疗保健方面的差异。护士是全球数量最多的训练有素的医疗保健专业人员，可以在解决整个护理过程中的差异方面发挥关键作用。 ACCESS 是一个基于经验的理论框架，用于指导临床实践以改善基因组差异。 方法：该框架由国际护理 CASCADE 联盟根据 2005 年至 2023 年间从以色列、韩国、瑞士和美国几个州等不同医疗系统、不同种族背景、具有不同遗传性疾病的个人和家庭收集的证据制定。该框架的组成部分已根据已发表的科学文献进行了验证。 结果：ACCESS 代表倡导、应对、沟通、cascadE 筛选和监视。每个组成部分都在与基因组医疗保健相关的护理专业范围内的临床实践的具体例子中得到证明。主要成果包括倡导、积极应对、家庭内部沟通、级联筛查和终身监测。宣传需要及时识别高危人群，促进转介至专业服务，并做出明智的检测决策。积极应对可增强终生适应和疾病风险管理。有效的家庭内遗传性疾病易感性沟通支持对未受影响的高危亲属进行级联检测。终身监测对于识别复发、健康状况变化以及危及生命和改变生命的疾病轨迹至关重要。 讨论：ACCESS 提供了标准化、系统性、情景化和统一的实践指南，适用于护理和其他医疗保健专业。如果颁布得当，它将有助于公平获取基因组资源和服务。
Introduction: Efforts are needed across disciplines to close disparities in genomic healthcare. Nurses are the most numerous trained healthcare professionals worldwide and can play a key role in addressing disparities across the continuum of care. ACCESS is an empirically-based theoretical framework to guide clinical practice in order to ameliorate genomic disparities. Methods: The framework was developed by the International Nursing CASCADE Consortium based on evidence collected between 2005 and 2023 from individuals and families of various ethnic backgrounds, with diverse hereditary conditions, and in different healthcare systems, i.e., Israel, Korea, Switzerland, and several U.S. States. The components of the framework were validated against published scientific literature. Results: ACCESS stands for Advocating, Coping, Communication, cascadE Screening, and Surveillance. Each component is demonstrated in concrete examples of clinical practice within the scope of the nursing profession related to genomic healthcare. Key outcomes include advocacy, active coping, intrafamilial communication, cascade screening, and lifelong surveillance. Advocacy entails timely identification of at-risk individuals, facilitating referrals to specialized services, and informed decision-making for testing. Active coping enhances lifelong adaptation and management of disease risk. Effective intrafamilial communication of predisposition to hereditary disease supports cascade testing of unaffected at-risk relatives. Lifelong surveillance is essential for identifying recurrence, changes in health status, and disease trajectory for life-threatening and for life-altering conditions. Discussion: ACCESS provides a standardized, systematic, situational, and unifying guide to practice and is applicable for nursing and for other healthcare professions. When appropriately enacted it will contribute towards equitable access to genomic resources and services.
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DOI：
10.1200/edbk_390522
发表时间：
2023-05-01
期刊：
American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting
影响因子：
--
作者：
Al-Sukhun, Sana;Masannat, Yazan;Rebbeck, Timothy R
通讯作者：
Rebbeck, Timothy R
影响因子：
4.3
作者：
Calzone, Kathleen A.;Cashion, Ann;Wung, Shu-Fen
通讯作者：
Wung, Shu-Fen
影响因子：
3.2
作者：
Serrano, Jillian G.;O'Leary, Melanie;Wojcik, Monica H.
通讯作者：
Wojcik, Monica H.
DOI：
10.1177/08445621231159164
发表时间：
2023-12
期刊：
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres
影响因子：
--
作者：
通讯作者：
--
影响因子：
3.7
作者：
Barnoy, Sivia;Dagan, Efrat;Kim, Sue C.;Caiata-Zufferey, Maria;Katapodi, Maria
通讯作者：
Katapodi, Maria