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以患者为中心:呼吁从事基因组学工作的护士、助产士和专职医疗人员参与研究。

Putting the patient at the centre: a call for research involvement of nurses, midwives and allied health professionals working in genomics.

作者信息

Cowley Lorraine, Henriques Sasha, Roberts J, Monje-Garcia Laura, Nolan J, Lubasch K, Theobald R, Greer R, Fennell N, Clarkson A, Clapham M, Chilton S, Allon R, Stopford Cheryl, Pierce Heather Hanson, Holliday D

机构信息

Northern Genetics Service, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.

Faculty of Education, Cambridge University, Cambridge, UK

出版信息

BMJ Open. 2025 Aug 12;15(8):e086962. doi: 10.1136/bmjopen-2024-086962.

Abstract

INTRODUCTION

We report the collaborative views of a group of nurses, midwives and allied health professionals (NMAHPs) in the UK who have a genomics research remit or interest. Our group includes genetic counsellors under this diverse category of healthcare workers.This group came together as part of the National Institute for Health and Social Care Research (NIHR) Genomics Research National Specialty Group. After responding to a survey to elicit the views of NMAHPs working in genomics, some of the original 45 respondents, along with others who learnt of the project by word of mouth, have worked together to produce this article.

OBJECTIVE

The paper aims to set out in clear terms the value of NMAHPs to research that supports the patient-centred implementation of genomics in the National Health Service (NHS).

KEY ARGUMENT

We discuss four potential areas where NMAHPs, in particular, can contribute to the research. These are patient perspectives and epistemic justice, psychosocial impacts, the familial nature of genomics and equity. We argue that this group (NMAHPs) represents a potentially underused resource for the NHS as it seeks to ensure that advances in genomics are translated into patient benefit.

CONCLUSIONS

We propose that NMAHPs, with our research expertise, are well placed to shape and deliver a research agenda that explores models of patient-centred care in the genomics era. We call for increased funding for NMAHP research roles and funding opportunities to deliver this fundamental work.

摘要

引言

我们报告了英国一组具有基因组学研究职责或兴趣的护士、助产士及专职医疗人员(NMAHPs)的共同观点。在这一多元化的医护人员类别中,我们的团队包括遗传咨询师。该团队作为英国国家卫生与社会照护研究所(NIHR)基因组学研究国家专业小组的一部分而组建。在回应一项旨在征集从事基因组学工作的NMAHPs观点的调查后,最初的45名受访者中的一些人,以及其他通过口口相传得知该项目的人,共同撰写了本文。

目的

本文旨在明确阐述NMAHPs对于支持英国国民医疗服务体系(NHS)以患者为中心实施基因组学的研究的价值。

关键论点

我们讨论了NMAHPs尤其能够为研究做出贡献的四个潜在领域。这些领域是患者视角与认知公正、心理社会影响、基因组学的家族性质以及公平性。我们认为,在NHS寻求确保基因组学进展转化为患者受益的过程中,这一群体(NMAHPs)代表了一种可能未得到充分利用的资源。

结论

我们建议,凭借我们的研究专业知识,NMAHPs完全有能力塑造并推动一项研究议程,该议程旨在探索基因组学时代以患者为中心的护理模式。我们呼吁增加对NMAHPs研究角色的资金投入以及提供开展这项基础工作的资金机会。

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