{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T07:55:09Z","timestamp":1787903709465,"version":"build-2784847793"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,6,27]],"date-time":"2020-06-27T00:00:00Z","timestamp":1593216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Nurse leaders driving strategic integration of genomics across nursing need tools and resources to evaluate their environment, guide strategies to address deficits, and benchmark progress. We describe the development and pilot testing of a self\u2010assessment maturity matrix (MM) that enables users to benchmark the current state of nursing genomic competency and integration for their country or nursing group; guides the development of a strategic course for improvement and implementation; and assesses change over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mixed\u2010methods participatory research and self\u2010assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>During a 3\u2010day workshop involving nursing experts in health care and genomics, a genomic integration MM grid was built by consensus using iterative participatory methods. Data were analyzed using descriptive techniques. This work built on an online survey involving the same participants to identify the critical elements needed for \u201ceffective nursing which promotes health outcomes globally through genomics.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Experts from 19 countries across six continents and seven organizations participated in item development. The Assessment of Strategic Integration of Genomics across Nursing (ASIGN) MM incorporates 55 outcome\u2010focused items serving as subscales for six critical success factors (CSFs): education and workforce; effective nursing practice; infrastructure and resources; collaboration and communication; public\/patient involvement; policy and leadership. Users select their current circumstances for each item against a 5\u2010point ordinal scale (precontemplation to leading). Nurses representing 17 countries undertook matrix pilot testing. Results demonstrate variation across CSFs, with many countries at the earliest stages of implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The MM has the potential to guide the strategic integration of genomics across nursing and enables additional assessments within and between countries to be made.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Nurse leadership and direction are essential to accelerate integration of genomics across nursing practice and education. The MM helps nurse leaders to benchmark progress and guide strategic planning to build global genomic nursing capacity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jnu.12586","type":"journal-article","created":{"date-parts":[[2020,6,27]],"date-time":"2020-06-27T07:28:00Z","timestamp":1593242880000},"page":"583-592","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["A Maturity Matrix for Nurse Leaders to Facilitate and Benchmark Progress in Genomic Healthcare Policy, Infrastructure, Education, and Delivery"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5759-0927","authenticated-orcid":false,"given":"Emma","family":"Tonkin","sequence":"first","affiliation":[{"name":"Associate Professor of Genomics Healthcare University of South Wales Pontypridd, Rhondda Cynon Taff Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2354-6810","authenticated-orcid":false,"given":"Kathleen A.","family":"Calzone","sequence":"additional","affiliation":[{"name":"<i>Xi<\/i>, Research Geneticist National Institutes of Health National Cancer Institute Center for Cancer Research Genetics Branch Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie","family":"Badzek","sequence":"additional","affiliation":[{"name":"<i>Alpha Rho<\/i>, Nu Omega Dean and Professor Penn State College of Nursing Pennsylvania State University University Park PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0021-3650","authenticated-orcid":false,"given":"Caroline","family":"Benjamin","sequence":"additional","affiliation":[{"name":"Genetic Counsellor Liverpool Women\u2019s NHS Hospital Trust Liverpool England UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3103-8098","authenticated-orcid":false,"given":"Anna","family":"Middleton","sequence":"additional","affiliation":[{"name":"Head of Society and Ethics Research Connecting Science Wellcome Genome Campus; and Professor, Faculty of Education University of Cambridge Cambridge, Cambridgeshire England UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4191-0663","authenticated-orcid":false,"given":"Christine","family":"Patch","sequence":"additional","affiliation":[{"name":"Clinical Lead for Genetic Counselling Genomics England, London, UK; Principal Staff Scientist, Society and Ethics Research Connecting Science, Wellcome Genome Campus, Cambridge, Cambridgeshire; and Visiting Professor Sheffield Hallam University Sheffield South Yorkshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1745-7106","authenticated-orcid":false,"given":"Maggie","family":"Kirk","sequence":"additional","affiliation":[{"name":"Senior Author Emeritus Professor of Genetics Education University of South Wales Rhondda Cynon Taff Pontypridd Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12096"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2012.523"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00040"},{"issue":"5","key":"e_1_2_9_5_1","first-page":"311","article-title":"Participants' evaluation of a group\u2010based organisational assessment tool in Danish general practice: The Maturity Matrix","volume":"17","author":"Buch M. 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