The nurse executive of a major health care organization would like for all nurses working in the organization to master the essential competencies of genetic/genomic care. What is the best strategy for this nurse to institute?
1. Require that all nurses pass a written examination on the competencies.
2. Have managers ask questions about genetics in all employment interviews.
3. Work with the human resources department to include competencies as part of the job description.
4. Tell nurse managers to emphasize the genetic competencies in annual performance reviews.
3
Rationale 1: This is not the best strategy. Nurses may know the competencies but not practice them.
Rationale 2: This strategy may help to identify those with some competence before employment, but is not the best offered.
Rationale 3: This is a beginning towards the goal. The executive should also work to provide education to nurses and demonstrate the competencies in clinical practice.
Rationale 4: A nonspecific instruction to "emphasize these competencies" does not provide good direction to the nurse managers, who may also have little education in genetics/genomics. It is also difficult to base performance reviews on competencies unless they have been added to the job description.
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