Medicine and Health

Becoming agents for genomic change: genetic counsellors' views of patient care and implementation influences when genomics is mainstreamed

T. T. Do, M. Martyn, et al.

This qualitative study conducted by Trang Thu Do, Melissa Martyn, Belinda McClaren, Alison McEwen, and Clara Gaff delves into the perspectives of 12 genetic counselors in Australia regarding the evolution of genomic care models. With insights shaped by Diffusion of Innovation Theory, the research unveils the diverse interpretations of genomic mainstreaming and highlights the vital role genetic counselors play in patient care amid numerous challenges.

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Playback language: English

Index

Abstract

This qualitative study explores the views of 12 genetic counselors (GCs) in Australia working in new genomic care models across five specialties. Guided by Diffusion of Innovation Theory, interviews revealed varied interpretations of "genomics mainstreaming." Some GCs viewed it as specialists independently practicing genomics, while others emphasized GCs' crucial role. GCs saw their role in expediting patient access and enhancing specialist capabilities. Challenges included specialist hesitancy towards genomics, tensions between genetic and non-genetic professionals, and concerns about care standards when non-genetic colleagues manage consent and disclosure. Leadership support and peer connection were identified as essential for GCs' success in mainstream settings.

Publisher

European Journal of Human Genetics

Published On

Aug 29, 2024

Authors

Trang Thu Do, Melissa Martyn, Belinda McClaren, Alison McEwen, Clara Gaff

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