Shickle Darren, Hapgood Rhydian, Qureshi Nadeem
School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK.
Fam Pract. 2002 Apr;19(2):193-6. doi: 10.1093/fampra/19.2.193.
Previous research with primary health care professionals has demonstrated consistently that education, training and support are necessary before there should be any expansion in primary care genetics. The genetic liaison nurse role has been suggested as one means of providing this education and support.
The aim of this study was to evaluate GP responses to the genetics liaison nurse role as a means of supporting community-based genetics services.
A self-completion postal questionnaire in primary care was sent to GPs working in Nottingham. Main outcome measures were assessment of potential usage of a genetic outreach professional in terms of time, roles and support for a pilot scheme
A total of 182 (55.0%) of 331 GPs working in Nottingham returned a questionnaire. Although 54% did not believe that the genetics liaison nurse role would be useful in the present, most believed that such a role would definitely or probably (64%) be useful in the future. The most valued contribution was as a source of advice when genetics problems arise in a consultation. Providing education on specific genetic disorders and on clinical skills relevant to genetics were also seen as important. Many GPs would also use a liaison nurse to see patients prior to their attending an out-patient clinic with a clinical geneticist. Respondents suggested that each nurse should spend approximately 3 hours a month in each practice and be attached to between 10 and 20 practices.
GPs appreciate that there may be limited genetics services provided in primary care at present, but this is likely to change in the near future. The genetics liaison nurse role should be evaluated as a means of providing genetics specialist outreach support for service delivery and to facilitate education.
先前针对初级卫生保健专业人员的研究一致表明，在初级保健遗传学领域进行任何扩展之前，教育、培训和支持都是必要的。有人建议设立遗传联络护士这一角色，作为提供此类教育和支持的一种方式。
本研究旨在评估全科医生对遗传联络护士这一角色作为支持社区遗传服务手段的反应。
向在诺丁汉工作的全科医生发送了一份初级保健领域的自填式邮政问卷。主要结局指标是从时间、角色以及对一项试点计划的支持等方面评估对遗传外展专业人员的潜在使用情况。
在诺丁汉工作的331名全科医生中，共有182名（55.0%）回复了问卷。虽然54%的人认为目前遗传联络护士这一角色没有用处，但大多数人认为这样一个角色在未来肯定或可能（64%）会有用。最有价值的贡献是在会诊中出现遗传问题时作为咨询来源。提供特定遗传疾病的教育以及与遗传学相关的临床技能教育也被视为很重要。许多全科医生还会在患者前往临床遗传学家门诊之前，让联络护士去看诊患者。受访者建议，每位护士每月应在每个诊所花费约3小时，并服务10至20个诊所。
全科医生认识到目前初级保健中提供的遗传服务可能有限，但在不久的将来这种情况可能会改变。应评估遗传联络护士这一角色，作为为服务提供提供遗传学专家外展支持并促进教育的一种方式。
