One view on integrating Genomics and Informatics into the Undergraduate Nursing Curriculum Prepared by Patti Brennan and Stephanie Gilbertson-White Presented to UPC in April, 05; Update Spring, 07

Work to date Identify and disseminate genomics and informatics competencies (September 04) Review curriculum and courses for points of articulation (October-December, 2004) –Many points where genomic content or informatics competencies fit Identify critical points for strengthening –Science Core - eliminate Chem and gain the opportunity for a genetics course –Upper division - propose activities & content

Basic competencies upon entry to the nursing major 1.Able to use 2.Familiarity with Office suite (Word, Excel, Powerpoint) 3.Locate information on the web 4.Discriminate between scholarly resources and resources for the general public

Developing skills during the nursing major 1.Document on information systems in every assigned clinical agency 2.Use a common format for recording information about patients that incorporates all elements of the Nursing Minimum Data Set (*) 3.Identify genetic precursors and considerations for every patient

Incorporation of Genomics and Informatics Content in Specific Courses

Overview Capitalize on the strengths in the courses Strengthen the faculty’s ability to incorporate the content Three-year phased approach: –05-06: 105, , 301, –06-07: 415, , –07-08: 302, 310, 332, 401, 443

05-06CONTENTSTRATEGIES N 105TECHNOLOGY IN HEALTH careAdd lecture content Health records: Personal health records, clinical records 2.Information retrieval 3.Policy (HIPAA) 4.Languages and the Nursing Minimum Data Set Exercise (219) Assessment criteria (212) Introduce common clinical data form 3011.Family History 2.Nursing terminology 3.Recognize at-risk family members 4.Access to clinical records systems 1.Change objectives to include both nursing and medical terms 2.Add lecture and exercise of obtaining family history, including genogram document use of genomic information 2.describe biological basis of common illnesses (319) 3.recognize ethnic and racial predisposition to disease (312) 1.Modify Objectives 2.expand lecture content

06-07CONTENTSTRATEGIES 4151.describe IT use in administration and decision support 2.explain use of dashboard for quality reporting Activity using excel to analyze budget data or staffing information Describe the biological basis of complex illness 2.Clinical decision support (449) genetic protective & enhancement 3.Risk factors related to race, gender and ethnicity Lecture content strengthened with genetics information public health informatics 2.surveillance, HAN/PHIN 1.Lecture content strengthened by informatics content 2.Desk top software exercise 3.Add objective: use health promotion/disease prevention technologies to alter phenotypical expression 4.locate and evaluate web-based resources

07-08CONTENTSTRATEGIES Information retrieval evaluation (introduced first in clinical trials informatics? 1.Research literature search using standard terms for retrieval 2.Use IR statistics to assess adequacy of search 310Explore genetic precursors of behavior and behavioral disturbances Expand evaluation criteria 3321.Screening for congenital and genetic problems 2.Technology-based patient education 1.Add lecture content 2.expand objectives: demonstrate understanding of nurses’ role in genetics testing 3.Use web-based resources 4011.Data privacy and security; tradeoffs between patients and providers 2.quality report cards Lectures & activities 443Genetic precursors to illness- experience and time-til-death Modify objectives 2. expand assessment

Next Steps Discuss with faculty & staff Develop capacity among faculty Review with course faculty Develop shared resources Revise course materials, descriptions and competencies of the graduates

Current Activities UPC directed modifications in courses GIfT Brown Bags GIfT Resources TECNE –Wednesday 3PM Videobrown bags