Schlub Georgina, De Deckker Kimberley
Faculty of Health, Graduate School of Health, University of Technology Sydney, Broadway, New South Wales, Australia.
Familial Cancer Service, Department of Clinical Genetics, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
J Genet Couns. 2025 Jun;34(3):e2005. doi: 10.1002/jgc4.2005. Epub 2024 Dec 4.
Trauma-informed practice (TIP) is an emerging model of care that acknowledges the widespread impact of trauma and emphasizes both physical and psychological safety for consumer and provider. It is being increasingly integrated into models of healthcare delivery, organizational policies, and practices, and has been shown to improve clinical interactions, increase treatment adherence, and improve healthcare outcomes. However, to date, TIP has not yet been systematically integrated into genetic counseling training and practice. In this study, using the RISE2 Genomics reporting standard, we present the outcomes of developing and evaluating a TIP workshop designed and delivered for genetic counselors in New South Wales, Australia. This workshop was the first of its kind and addressed the unique clinical and psychosocial challenges that genetic counselors face, including the risk of vicarious trauma and the high rates of burnout in the profession. The workshop aimed to enhance genetic counselors' understanding of trauma and its effects, provide practical strategies for communication and engagement with trauma-affected individuals, and offer guidance on incorporating TIP into clinical practice. Genetic counselors who participated in the TIP training expressed strong appreciation for the workshop and reported increased awareness of the ubiquity of trauma and the presentation of traumatic responses, and increased self-perceived knowledge and confidence in providing trauma-informed care. Additionally, participants were interested in ongoing TIP professional development and the integration of TIP into models of genetic counseling and professional practice. As the field of genetic counseling continues to evolve, we suggest that integrating TIP into training, professional development, and practice will not only improve client outcomes but also reduce rates of vicarious trauma and burnout among genetic counselors. This study is the first to consider the educational needs and the incorporation of TIP into genetic counseling practice, and in doing so, it paves the way for future research and policy development that integrates TIP into models of genetic counseling.
创伤知情实践(TIP)是一种新兴的护理模式,它认识到创伤的广泛影响,并强调服务对象和提供者的身体及心理安全。它正越来越多地融入医疗服务模式、组织政策和实践中,并已被证明能改善临床互动、提高治疗依从性并改善医疗结果。然而,迄今为止,TIP尚未系统地融入遗传咨询培训和实践中。在本研究中,我们使用RISE2基因组学报告标准,展示了为澳大利亚新南威尔士州的遗传咨询师设计并举办的一次TIP工作坊的开发和评估结果。这个工作坊是同类中的首个,解决了遗传咨询师面临的独特临床和心理社会挑战,包括替代性创伤的风险以及该职业中较高的倦怠率。该工作坊旨在增强遗传咨询师对创伤及其影响的理解,提供与受创伤个体沟通和互动的实用策略,并就将TIP纳入临床实践提供指导。参加TIP培训的遗传咨询师对该工作坊表达了强烈的赞赏,并报告称对创伤普遍性和创伤反应表现的认识有所提高,以及在提供创伤知情护理方面自我认知的知识和信心有所增强。此外,参与者对持续的TIP专业发展以及将TIP融入遗传咨询模式和专业实践感兴趣。随着遗传咨询领域的不断发展,我们建议将TIP融入培训、专业发展和实践中,不仅会改善服务对象的结果,还会降低遗传咨询师的替代性创伤和倦怠率。本研究首次考虑了教育需求以及将TIP纳入遗传咨询实践,这样做,为未来将TIP融入遗传咨询模式的研究和政策制定铺平了道路。