Whether you are just beginning to establish an initial plan of action or you are deciding how to keep efforts going, you can expect that you will encounter obstacles and challenges. It is difficult to be able to anticipate what bottlenecks you may encounter, but proactively thinking about it can help in strategizing and preventing issues.

Challenges and Potential Solutions from the MINC Champions


Challenge identified by MINC Champions Potential Solutions
Need for administrative backing

Recommended frequent meetings with the CNO to keep them informed and to gain their input

Demonstrated leadership support increased staff receptiveness to interventions and supported successful planning

Interprofessional collaborative support

Inform interprofessional colleagues to facilitate receptiveness to planned interventions, early problem solving, and potential for competency collaborations

Be prepared to inform them about the justification for initiative and the relevancy of genomics to care

Infrastructure considerations

Begin networking early in the planning and establish partnerships as part of problem solving for genomic competency integration endeavors

Consider implications for genetic specialty services and discuss potential outcomes and options for problem solving

Think about infrastructure that is needed to enable achievement of care that integrates genomic information (i.e., documentation of family history information in the electronic health record) and plan for how to make that available

Financial support to implement action plan ideas and activities

Consider financial implications of introducing genomics new knowledge and competency and present justification to your administrator for the investment

Explore internal and external funding resources

Potential for conflicting priorities and lack of time to focus on genomics

Administrator commitment to mandated time for the champion dyad to be part of this initiative

Recognize the potential for competing demands and create a team that can support each other and assist with time management

Life events leading to personnel related issues Life issues such as personal injury, retirement, and doctoral studies will require some modification and team changes
Technological challenges

Consider security issues related to accessing external educational webinars and meetings

Anticipate the need for audiovisual and information technology support for lectures and make IT contacts early Assess EHR ability to incorporate genetic history and information

Other unanticipated challenges Expect the unexpected (i.e., disasters, mergers, magnet re-designation demands) and work collaboratively to explore options for problem solving

Resources

Reference: Jenkins, J., Calzone, K., Caskey, S., Culp, S., Weiner, M., & Badzek, L. Methods of Genomic Competency Integration in Practice. (2015). Journal of Nursing Scholarship. 47(3):200-210 PMID:25808828.

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