title: Genomics and public health practice: a survey of nurses in local health departments in North Carolina.
abstract: In order to examine the extent to which current public health practices incorporate information about genetic susceptibilities potentially obtained by a comprehensive family history, public health nurses in North Carolina were surveyed to assess the extent to which this information is routinely collected. In addition, we measured nurses' awareness of the Centers for Disease Control and Prevention's Genomic Competencies and assessed training needs related to genomics. A self-administered survey was distributed to all public health nurse supervisors, directors, consultants as well as Breast and Cervical Cancer Coordination Program managers in North Carolina. A 68.4% response rate (292/427) was obtained. The majority (88.7%) of nurses with regular patient contact report routine gathering of family history data for adult chronic diseases. Some key family history data components are routinely collected including the total number of affected relatives (76%), ethnicity information (57.5%), and age of chronic disease onset (31.8%). A minority of nurses (9%) reported awareness of the Genomic Competencies, and most (72.1%) acknowledged their need for training in order to achieve these competencies. Information collected by taking a family history can indicate a combination of genetic and environmental susceptibilities for chronic diseases.
authors.affiliation: North Carolina Center for Genomics and Public Health, Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. dirwin@email.unc.edu
authors.forename: Debra E
authors.initials: DE
authors.lastname: Irwin
authors.forename: Robert C
authors.initials: RC
authors.lastname: Millikan
authors.forename: Rachel
authors.initials: R
authors.lastname: Stevens
authors.forename: Myra I
authors.initials: MI
authors.lastname: Roche
authors.forename: Tejinder
authors.initials: T
authors.lastname: Rakhra-Burris
authors.forename: Mary V
authors.initials: MV
authors.lastname: Davis
authors.forename: Elizabeth P
authors.initials: EP
authors.lastname: Mahanna
authors.forename: Sara
authors.initials: S
authors.lastname: Duckworth
authors.forename: H Pennington
authors.initials: HP
authors.lastname: Whiteside
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S. / Q000592:standards; D005192:Family Health; D020022:Genetic Predisposition to Disease; D023281:Genomics / Q000193:education* / Q000592:standards*; D006801:Humans; D008487:Medical History Taking / Q000592:standards*; D020380:Needs Assessment; D009657:North Carolina; D017410:Practice Guidelines as Topic / Q000592:standards; D011637:Public Health Nursing / Q000193:education*; D014481:United States