Portrait of the Master Genetic Counselor Clinician: A Qualitative Investigation of Expertise in Genetic Counseling
Portrait of the Master Genetic Counselor Clinician: A Qualitative Investigation of Expertise in Genetic Counseling
复制标题
首席遗传咨询临床医生的肖像：遗传咨询专业知识的定性调查
DOI：
--
复制
发表时间：
2016
影响因子：
1.9
通讯作者：
B. LeRoy
中科院分区：
文献类型：
--
作者：
Cacy Miranda;P. Veach;M. Martyr;B. LeRoy
这项研究包括对遗传咨询师的个人和专业特征的初步经验描述，这些咨询师被认为是该专业的专家。15名同龄人提名的遗传咨询师，积极参与为患者提供临床服务，参加了半结构化电话采访，探讨他们的个人素质、灵感和对专业知识的专业发展的看法。使用改进的共识定性研究方法进行分析，得到7个领域和33个类别。研究结果表明，硕士遗传咨询师对这一职业有着强烈的热情和积极的承诺。他们也有永不满足的好奇心，是终生的学习者，他们反思、自我意识、自信，并认识到自己的局限性。他们是真实和真诚的，认为他们的个性是他们的咨询风格。他们在信任的基础上与患者建立合作和互动的关系，并对咨询过程的复杂性和多层次进行微妙的协调。遗传咨询大师有很深的同理心，受到患者和同事的启发，他们从工作中获得个人意义。他们在情感上受到工作的影响，但有效地控制了情感上的影响。他们认为自己的职业发展是持续的，受到同事、患者、指导、多元文化考虑和自己原籍家庭的影响。他们还认为，专业知识的专业发展是通过对个人积累的经验进行批判性反思而实现的。其他发现及其与理论和研究的关系，研究的优势和局限性，对培训和实践的影响，以及研究建议，都进行了讨论。
This study comprises an initial empirical description of personal and professional characteristics of master genetic counselors—those considered to be experts in the profession. Fifteen peer-nominated genetic counselors, actively engaged in providing clinical services to patients, participated in semi-structured telephone interviews exploring their personal qualities, inspirations, and perspectives on professional development of expertise. Analysis using modified Consensual Qualitative Research methods yielded 7 domains and 33 categories. Findings indicate master genetic counselors have a strong passion for and dynamic commitment to the profession. They also have insatiable curiosity and are life-long learners who are reflective, self-aware, confident, and recognize their limitations. They are authentic and genuine, and consider their personality to be their counseling style. They form collaborative and interactive relationships with patients based on trust, and they have nuanced attunement to the complexity and multiple levels of the counseling process. Master genetic counselors have deep empathy and are inspired by patients and colleagues, and they derive personal meaning from their work. They are affected emotionally by their work, but effectively manage the emotional impact. They view their professional development as ongoing, influenced by colleagues, patients, mentoring, multicultural considerations, and their own family of origin. They also believe professional development of expertise occurs through critical reflection upon the experiences one accrues. Additional findings and their relationship to theory and research, study strengths and limitations, implication for training and practice, and research recommendation are discussed.