Nurse or physician: whose recommendation influences the decision to take genetic tests more?
Nurse or physician: whose recommendation influences the decision to take genetic tests more?
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DOI：
10.1111/j.1365-2648.2009.05239.x
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发表时间：
2010-04-01
影响因子：
3.8
通讯作者：
Bar-Tal, Yoram
中科院分区：
文献类型：
--
作者：
Barnoy, Sivia;Levy, Ofra;Bar-Tal, Yoram
护士还是医生：谁的建议更能影响做基因检测的决定？目的。本文是一项研究的报告，探讨影响因素的决定采取基因载体testing.Background。基因检测已成为一种流行的手段，阐明风险的生育一个生病/残疾的孩子，但什么影响未来的父母采取基因检测或不是unclear.Methods。这项研究是基于析因2 × 2 × 2之间的科目设计。调查问卷提出了四种情况，每种情况都说明了一名医疗工作者提出了关于毁灭性遗传疾病的信息。操纵的变量为：卫生保健工作者的专业知识（新手与专家），推荐者的角色（护士与医生）和推荐类型（推荐与不推荐）。在每个场景之后，参与者被问到他们自己参加测试的意图以及他们推荐朋友参加测试的意图。数据收集于2007年。结果：共回收问卷156份。专家护士和专家医生被给予相同的依从性水平。然而，一个新手医生的建议，采取基因测试遵守尽可能多的专家医生的，而一个新手护士的建议是不太接受比专家护士。当没有建议，更多的遵守护士被发现（即不打算采取测试）。结论：遗传信息应谨慎地向公众展示，以避免过度测试。为了让公众接受护士的推荐，护士必须被视为专家;因此，专家护士的熟练程度应该明确。
P>Title.Nurse or physician: whose recommendation influences the decision to take genetic tests more?Aim.This paper is a report of a study conducted to explore factors influencing the decision to take genetic carrier testing.Background.Genetic testing has become a popular means of elucidating the risk of giving birth to a sick/disabled child but what influences prospective parents to take genetic tests or not is unclear.Methods.The study was based on a factorial 2 x 2 x 2 within-between subjects design. The questionnaire presented four scenarios, each illustrating a healthcare worker presenting information on a devastating genetic disease. The variables manipulated were: the health care worker's expertise (novice vs. expert), the recommender's role (nurse vs. physician) and type of recommendation (recommendation vs. no recommendation). After each scenario participants were asked their own intention to take the test and their intention to recommend a friend to take the test. Data were collected in 2007.Results.Altogether 156 questionnaires were collected. Expert nurses and expert physicians were accorded the same level of compliance. However, a novice physician's recommendation to take a genetic test was complied with as much as an expert physician's, whereas a novice nurse's recommendation was less accepted than that of an expert nurse. When no recommendation was made, more compliance with the nurse was found (i.e. less intention to take the test).Conclusion.Genetic information should be presented to the public with caution to avoid over-testing. For the public to accept a nurse's recommendation, the nurse has to be perceived as an expert; therefore, expert nurses' proficiency should be made clear.