Canadian nursing and genomics: An engagement initiative

Lindsay Carlsson, Jacqueline Limoges


Advances in genome sequencing technologies and biomarker discoveries now inform individual risk assessments and treatment decision-making within cancer care. These advances have contributed to the emergence of precision healthcare where disease prevention and treatment recommendations are based upon individual genetic variability, as well as environmental and lifestyle considerations. To actively participate in precision healthcare and support patients, oncology nurses require specific knowledge and skills in cancer genomics. Nurses are poised to contribute to the safe and equitable delivery of precision healthcare and further education and engagement will support this endeavour. The Canadian Nursing and Genomics (CNG) promotes collaboration between nurses from the five domains of practice, from different healthcare sectors and educational backgrounds, as a key strategy to prepare nurses for the genomics era. This article provides a case study to illustrate genomics informed nursing practice across clinical settings and provides leadership strategies across the domains of nursing practice to support genomic literacy within nursing practice. 


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Aiello, L. B. (2017). Genomics education: Knowledge of nurses across the profession and integration into practice. Clin J Oncol Nurs, 21(6), 747–753.

Bancroft, E. K. (2013). How advances in genomics are changing patient care. Nurs Clin North Am, 48(4), 557–569.

Borden, E. C., & Raghavan, D. (2010). Personalizing medicine for cancer: The next decade. Nat Rev Drug Discov, 9(5), 343–344.

Calzone, K. A., Jenkins, J., Culp, S., & Badzek, L. (2018). Hospital nursing leadership-led interventions increased genomic awareness and educational intent in Magnet settings. Nurs Outlook, 66(3), 244–253.

Daack-Hirsch, S., Dieter, C., & Quinn Griffin, M. T. (2011). Integrating genomics into undergraduate nursing education. J Nurs Scholarsh, 43(3), 223–230.

Dagan, E., Amit, Y., Sokolov, L., Litvak, P., & Barnoy, S. (2021). Integrating genomic professional skills into nursing practice: Results from a large cohort of Israeli nurses. J Nurs Scholarsh, 53(6), 753–761.

Denny, J. C., & Collins, F. S. (2021). Precision medicine in 2030-seven ways to transform healthcare. Cell, 184(6), 1415–1419.

Dewell, S., Benzies, K., Ginn, C., & Seneviratne, C. (2020). Assessing knowledge of genomic concepts among Canadian nursing students and faculty. Int J Nurs Educ Scholarsh, 17(1), 2020/j/ijnes.2020.17.issue-1/ijnes-2020-0058/ijnes-2020-0058.xml.

Fawaz, M. (2021). Role of nurses in precision health. Nurs Outlook, 69(6), 937–940.

Flowers, E., Leutwyler, H., & Shim, J. K. (2020). Direct-to-consumer genomic testing: Are nurses prepared? Nursing, 50(8), 48–52.

Fu, M. R., Kurnat-Thoma, E., Starkweather, A., et al. (2020). Precision health: A nursing perspective [published correction appears in Int J Nurs Sci, 8(1), III]. Int J Nurs Sci, 7(1), 5–12.

Gray, S. W., Hicks-Courant, K., Lathan, C. S., Garraway, L., Park, E. R., & Weeks, J. C. (2012). Attitudes of patients with cancer about personalized medicine and somatic genetic testing. J Oncol Pract, 8(6), 329–335.

Hébert, J., Bergeron, A. S., Veillette, A. M., Bouchard, K., Nabi, H., & Dorval, M. (2022). Issues associated with a hereditary risk of cancer: Knowledge, attitudes and practices of nurses in oncology settings. Can Oncol Nurs J, 32(2), 272–285.

Kurian, A. W., Kingham, K. E., & Ford, J. M. (2015). Next-generation sequencing for hereditary breast and gynecologic cancer risk assessment. Curr Opin Obstet Gynecol, 27(1), 23–33.

Jenkins, J., Calzone, K. A., Caskey, S., Culp, S., Weiner, M., & Badzek, L. (2015). Methods of genomic competency integration in practice. Journal of Nursing Scholarsh, 47(3), 200–210.

Limoges, J., & Carlsson, L. (2020). Advancing nursing practice in genetics and genomics: An invitation to collaborate. Canadian Nurse.

Limoges, J., Pike, A., Dewell, S., Meyer, A., Puddester, R., & Carlsson, L. (2022). Leading Canadian nurses into the genomic era of healthcare. Can J Nurs Leadersh, 35(2), 79–95.

Mighton, C., Carlsson, L., Clausen, M., et al. (2020). Quality of life drives patients’ preferences for secondary findings from genomic sequencing. Eur J Hum Genet, 28(9), 1178–1186.

Mighton, C., Carlsson, L., Clausen, M., et al. (2019). Development of patient “profiles” to tailor counseling for incidental genomic sequencing results. Eur J Hum Genet, 27(7), 1008–1017.

Read, C. Y., & Ward, L. D. (2016). Faculty performance on the genomic nursing concept inventory. J Nurs Scholarsh, 48(1), 5–13.

Seed, L. M. (2021). Horizon scanning in cancer genomics: How advances in genomic medicine will change cancer care over the next decade. Curr Genet Med Rep, 9(3), 37–46.

Swadas, N., Dewell, S., & Davidson, S. (2022). Knowledge and attitudes of pharmacogenetics among Canadian nurses: Implications for nursing education. Quality Advancement in Nursing Education / Avancées En Formation Infirmière, 8(2).

Tung, N., Domchek, S. M., Stadler, Z., Nathanson, K. L., Couch, F., Garber, J. E., Offit, K., & Robson, M. E. (2016). Counselling framework for moderate-penetrance cancer-susceptibility mutations. Nature reviews. Clinical Oncology, 13(9), 581–588.


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