Precision health: Advancing symptom and self-management science

Nurs Outlook. 2019 Jul-Aug;67(4):462-475. doi: 10.1016/j.outlook.2019.01.003. Epub 2019 Jan 18.

Abstract

Background: Precision health considers individual lifestyle, genetics, behaviors, and environment context and facilitates interventions aimed at helping individuals achieve well-being and optimal health.

Purpose: To present the Nursing Science Precision Health (NSPH) Model and describe the integration of precision health concepts within the domains of symptom and self-management science as reflected in the National Institute of Nursing Research P30 Centers of Excellence and P20 Exploratory Centers.

Methods: Center members developed the NSPH Model and the manuscript based on presentations and discussions at the annual NINR Center Directors Meeting and in follow-up telephone meetings.

Discussion: The NSPH Model comprises four precision components (measurement; characterization of phenotype including lifestyle and environment; characterization of genotype and other biomarkers; and intervention target discovery, design, and delivery) that are underpinned by an information and data science infrastructure.

Conclusion: Nurse scientist leadership is necessary to realize the vision of precision health as reflected in the NSPH Model.

Keywords: Air self-management; Major nursing; Precision health; data science; informatics; symptom science.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Diagnostic Techniques and Procedures / standards*
  • Humans
  • Models, Nursing
  • Nursing Care / standards*
  • Nursing Research
  • Practice Guidelines as Topic*
  • Precision Medicine / nursing*
  • Precision Medicine / standards*
  • Self-Management / methods*