Ethical and professional challenges encountered by Japanese healthcare professionals who provide genetic counseling services
Ethical and professional challenges encountered by Japanese healthcare professionals who provide genetic counseling services
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DOI：
10.1002/jgc4.1225
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发表时间：
2020-02-06
影响因子：
1.9
通讯作者：
Takahashi, Masayo
中科院分区：
文献类型：
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作者：
Yoshida, Akiko;Nakada, Haruka;Takahashi, Masayo
重要的是要确定与遗传咨询服务和系统相关的伦理和专业挑战，以改善这些服务。在以前的研究中，遗传咨询的具体挑战被分为16个领域。然而，这些研究仅限于少数国家，遗传咨询因国家文化或制度而异。因此，应该做出更多的努力来收集和分析遗传咨询中的挑战，以解决这些问题。我们采访了日本48名遗传咨询专业人员（包括29名临床遗传学家，17名遗传咨询师和2名其他专业人员），了解包括伦理专业挑战在内的轶事。主题分析被用来编码的访谈数据，轶事分类根据道德和专业的挑战。轶事（n = 333）被分为16个先前确定的领域和三个独特的子类：“缺乏了解遗传专业人员或遗传咨询部门的其他专业人员和患者”，“沟通技巧不足，进行咨询的遗传咨询专业人员的一部分”，和“缺乏自我完善的系统”。许多轶事也提到了情绪反应领域。本文所述的日本遗传咨询专业人员所经历的挑战将提高这些专业人员提供的服务质量。此外，研究结果可以帮助发展高质量的遗传咨询系统的国家发展这些系统。
It is important to identify ethical and professional challenges associated with genetic counseling services and systems to improve these services. In previous studies, specific challenges in genetic counseling were categorized into 16 domains. However, these studies were limited to a few countries, and genetic counseling differs according to national cultures or systems. Thus, additional efforts should be made to collect and analyze challenges in genetic counseling to address these issues. We interviewed 48 genetic counseling professionals in Japan (including 29 clinical geneticists, 17 genetic counselors, and 2 other professionals) about anecdotes that included ethical professional challenges. Thematic analysis was used to code the interview data, and anecdotes were categorized according to the ethical and professional challenges. The anecdotes (n = 333) were classified into the 16 previously identified domains and three unique subcategories: 'lack of understanding about genetic professionals or departments of genetic counseling by other professionals and patients', 'insufficient communication skills to carry out counseling on the part of the genetic counseling professionals', and 'lack of a system for self-improvement'. Many of the anecdotes also noted the emotional responses domain. The challenges experienced by Japanese genetic counseling professionals described herein will improve the quality of the service these professionals provide. Furthermore, the results can assist development of high-quality genetic counseling systems in countries developing these systems.