Stenberg Kaye, Mills Rachel, Kalia Isha, Schwartz Lisa
Department of Biomedical Laboratory Sciences, The George Washington University, Ashburn, Virginia, USA.
MS Genetic Counseling Program, University of North Carolina Greensboro, Greensboro, North Carolina, USA.
J Genet Couns. 2025 Feb;34(1):e1931. doi: 10.1002/jgc4.1931. Epub 2024 Jun 11.
Professional identity (PI) comprises attributes, beliefs, values, motives, and experiences by which people define themselves in a professional role and evolves through socialization with others in the workplace. While there have been several studies exploring the expanding roles of genetic counselors, few have specifically addressed PI. This scoping review aimed to describe the contexts in which PI has been discussed or examined in the genetic counseling literature. Articles were searched using PubMed, Scopus, and CINAHL with a priori terms including and related to PI. Articles based in the United States or Canada and of all study designs, commentaries, and speeches were included. Date of publication was not restricted. Using social identity theory (SIT) to formulate a definition of PI, multiple reviewers applied inclusion and exclusion criteria to all titles, abstracts, and full-text articles with conflicts addressed through consensus among all reviewers. A total of 5523 titles and/or abstracts were screened, and 467 full-text articles were evaluated and categorized as (1) focusing on PI specifically, (2) containing elements of PI although focused on another topic, or (3) not related to PI. Eighty-seven (87) articles were reviewed during the extraction phase. Ultimately, 41 articles were deemed to meet the agreed upon characteristics of PI. While empirical studies of PI among genetic counselors were limited, PI is being addressed in research focused on related areas, including professional development and diversity, equity, and inclusion, as well as in personal accounts, addresses, and commentaries. Sentiments regarding PI voiced by genetic counselors align with those reported among other health professionals. Given the lack of diversity in the field and rapidly expanding opportunities for genetic counselors, there is risk of some members of the profession feeling excluded, which in turn could negatively impact the collective identity of the profession and translate into impacts on patient care. Additional research regarding the PI of genetic counselors is needed.
职业身份（PI）由属性、信念、价值观、动机和经历组成，人们通过这些来界定自己的职业角色，并在工作场所与他人的社交过程中不断发展。虽然有多项研究探讨了遗传咨询师角色的不断扩展，但很少有研究专门涉及职业身份。本综述旨在描述遗传咨询文献中讨论或研究职业身份的背景情况。通过使用PubMed、Scopus和CINAHL数据库，以包括并与职业身份相关的先验术语进行检索。纳入了基于美国或加拿大的所有研究设计、评论和演讲的文章，出版日期不受限制。利用社会身份理论（SIT）来制定职业身份的定义，多位评审员对所有标题、摘要和全文文章应用纳入和排除标准，评审员之间通过共识解决冲突。共筛选了5523个标题和/或摘要，评估了467篇全文文章，并将其分类为：（1）专门关注职业身份；（2）虽关注其他主题但包含职业身份要素；（3）与职业身份无关。在提取阶段对87篇文章进行了审查。最终，41篇文章被认为符合职业身份的既定特征。虽然遗传咨询师职业身份的实证研究有限，但在关注相关领域的研究中，包括专业发展、多样性、公平性和包容性，以及个人叙述、演讲和评论中，职业身份都得到了探讨。遗传咨询师表达的关于职业身份的观点与其他卫生专业人员的报道一致。鉴于该领域缺乏多样性以及遗传咨询师的机会迅速增加，该职业的一些成员存在被排斥的风险，这反过来可能对该职业的集体身份产生负面影响，并转化为对患者护理的影响。因此，需要对遗传咨询师的职业身份进行更多研究。
