Decision Making: Approaches and Tools to Respond to Ethical Issues in Genetic and Genomic Nursing. 
Competent genetic and genomic nursing practice requires the incorporation of various ethical approaches, or tools, into patient decision making.  Using different decision-making approaches, which converge to answer an ethical issue, nurses can be confident that their judgment is justified.  A lack of convergence can signal a need to reexamine the nurse's ethical decision-making skills.  This article describes four approaches that nurses can use to facilitate ethical decision making, which is a skill that must be learned and practiced; these will then be applied to a genomic case study.