Nurses in general practice (termed practice nurses) are an under-utilized r
esource for the detection and management of patients with alcohol misuse. H
owever, little is known about their knowledge and attitudes towards alcohol
use and misuse. We therefore conducted a postal questionnaire survey of 13
2 practice nurses in Liverpool (UK). The results of our survey (response ra
te 77%) show that a knowledge and skills gap exists in the delivery of effe
ctive advice on alcohol-related issues. Indeed, our results suggest that on
ly one in two women and one in three men are receiving correct advice on se
nsible limits of alcohol consumption, this despite the fact that alcohol hi
stories are taken. Further training was requested by most nurses to develop
their screening and health promotion roles, and to become involved in the
management of patients with alcohol-related problems in primary care. We su
ggest practice nurses should be encouraged to become involved in screening
for, and management of, alcohol-related problems. However, it is important
to ensure that the nurses receive appropriate training and have adequate ba
ck-up facilities from doctors and other workers involved in the care of pat
ients with alcohol-related problems.