应用基于实践的能力来评估和描述在遗传咨询课程中签约过程
Emma Baldry1, Bonnie J Baty1, Kimberly A Kaphingst2
1University of Utah Graduate Program in Genetic Counseling, Salt Lake City, Utah, USA.
Journal of genetic counseling
|September 25, 2023
概括
遗传咨询师 (GCs) 有效地使用合同技能,与患者调整会议期望. 该研究确定了四个关键技能和三个新组成部分,提高了对遗传咨询实践的理解.
科学领域:
- 医学遗传学 医学遗传学
- 基因咨询 基因咨询
- 卫生沟通 卫生沟通
背景情况:
- 签订合同是遗传咨询师 (GC) 建立共享会议目标和增强患者自主性的关键技能.
- 虽然在基于实践的能力 (PBC) 中描述,但在遗传咨询中对合同技能的系统观察是有限的.
- 了解合同的实际应用对于改善以患者为中心的护理至关重要.
研究的目的:
- 系统地评估基因顾问在模拟会议期间使用的合同技能的使用和质量.
- 确定由PBCs定义的合同的特定组成部分,并探索实际存在的潜在额外元素.
- 为评估遗传咨询师在遗传咨询的合同阶段的表现提供经验基础.
主要方法:
- 从模拟的产前和癌症遗传咨询会议中对148个成绩单的指导内容分析.
- 开发和试点测试基于PBC定义的四个合同技能的代码书和评级表.
- 由三个作者编写的独立编码和成绩单评分,差异通过共识解决.
主要成果:
- 在88%-98%的分析会议中,PBC定义的四种合同技能存在.
- 遗传咨询师通常在观察到的合同技能上获得"充足"的分数.
- 确定了三个额外的合同组成部分:评估客户的担忧得到满足,邀请中断,包括合作伙伴的担忧.
结论:
- 这项研究首次评估了基因辅导员在辅导期间在PBC上对基因辅导员的表现.
- 这些发现证实了PBC样本合同技能在实际遗传咨询实践中的相关性.
- 识别的额外组件为改进和扩大对有效遗传咨询合同的理解提供了机会.
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