Abstract
The purpose of this study was to examine health care professionals’ views and strategies for individualizing information sharing in families who have a child with a genetic condition. The sample consisted of 37 health professionals from three clinical sites in the greater metropolitan area of a large Midwestern city. Qualitative content thematic analysis was used to analyze data from the health professionals’ semi-structured interviews. Four themes captured how health care professionals work with families around information management: Sharing Information with Parents, Taking into Account Parental Preferences, Understanding of the Condition, and Helping Parents Inform Others. These findings contribute to understanding the processes that health professionals use in sharing information with parents who have children with a genetic condition, and they provide guidance for clinical practice, professional training, and future research.
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Allen, R. I., & Petr, C. G. (1998). Rethinking family-centered practice. The American Journal of Orthopsychiatry, 68(1), 4–15.
American Academy of Pediatrics Council on Children with Disabilities, & Duby, J. C. (2007). Role of the medical home in family-centered early intervention services. Pediatrics, 120(5), 1153–1158. doi:https://doi.org/10.1542/peds.2007-2638.
Biesecker, B. B. (2001). Goals of genetic counseling. Clinical Genetics, 60(5), 323–330.
Committee on Hospital Care, & American Academy of Pediatrics. (2003). Family-centered care and the pediatrician’s role. Pediatrics, 112(3 Pt 1), 691–697.
Darbyshire, P., & Morrison, H. (1995). Empowering parents of children with special needs. Nursing Times, 91(32), 26–28.
Denboba, D., McPherson, M. G., Kenney, M. K., Strickland, B., & Newacheck, P. W. (2006). Achieving family and provider partnerships for children with special health care needs. Pediatrics, 118(4), 1607–1615. doi:https://doi.org/10.1542/peds.2006-0383.
Dunst, E. J., Illback, R. J., & Cobb, C. T. (1997). Conceptual and empirical foundations of family- centered practice: Opportunities for psychological practice. In R. J. Illback & T. Cobb (Eds.), Integrated services for children and families: Opportunities for psychological practice (pp. 75–91). Washington, D. C.: American Psychological Association.
Dunst, C. J., Trivette, C. M., & Hamby, D. W. (2007). Meta-analysis of family-centered helpgiving practices research. Mental Retardation and Developmental Disabilities Research Reviews, 13(4), 370–378. doi:https://doi.org/10.1002/mrdd.20176.
Gallo, A. M., Knafl, K. A., & Angst, D. B. (2009). Family information management patterns in childhood genetic conditions. Journal of Pediatric Nursing, 24(3), 194–204.
Gallo, A., Angst, D., Knafl, K., Hadley, E., & Smith, C. (2005). Parents sharing information with their children about genetic conditions. Journal of Pediatric Health Care, 19(5), 267–275.
Godard, B., Hurlimann, T., Letendre, M., Egalite, N., & INHERIT BRCAs. (2006). Guidelines for disclosing genetic information to family members: from development to use. Familial Cancer, 5(1), 103–116. doi:https://doi.org/10.1007/s10689-005-2581-5.
Harvey, E. K., Fogel, C. E., Peyrot, M., Christensen, K. D., Terry, S. F., & McInerney, J. D. (2007). Providers’ knowledge of genetics: a survey of 5915 individuals and families with genetic conditions. Genetics in Medicine: Official Journal of the American College of Medical Genetics, 9(5), 259–267. doi:https://doi.org/10.1097/GIM.0b013e31805002f2.
Hernandez, V. R., Selber, K., & Tijerina, M. S. (2006). Visioning family-centered care in genetics: what parents and providers have to say. Journal of Genetic Counseling, 15(5), 349–360. doi:https://doi.org/10.1007/s10897-006-9032-9.
Hooper, V. D. (2008). Patient-family centered care: are we there yet? Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses, 23(6), 440–442. doi:https://doi.org/10.1016/j.jopan.2008.10.001.
Institute for Family-Centered Care (2009). Retrieved from https://doi.org/www.familycenteredcare.org.
Johnson, B. H. (2000a). Family-centered care: facing the new millennium. Interview by Elizabeth Ahmann. Pediatric Nursing, 26(1), 87–90.
Johnson, B. H. (2000b). Family-centered care: four decades of progress. Families, Systems & Health: The Journal of Collaborative Family HealthCare, 18(2), 137–137.
Johnson, B., Abraham, M., Conway, J., Simmons, L., Edgman-Levitan, S., Sodomka, P., et al. (2008). Partnering with patients and families to design a patient- and family- centered health care system: Recommendations and promising practices. Bethesda: Institute for FamilyCentered Care.
Kelly, M. (2007). Achieving family-centered care: working on or working with stakeholders? Neonatal Pediatric & Child Health Nursing, 10(3), 4–11.
Levetown, M., & American Academy of Pediatrics Committee on Bioethics. (2008). Communicating with children and families: from everyday interactions to skill in conveying distressing information. Pediatrics, 121(5), e1441–60. doi:https://doi.org/10.1542/peds.2008-0565.
New Health Partnerships (2009). Retrieved from https://doi.org/www.newhealthpartnerships.org/.
MacKean, G. L., Thurston, W. E., & Scott, C. M. (2005). Bridging the divide between families and health professionals’ perspectives on family-centered care. Health Expectations, 8(1), 74–85. doi:https://doi.org/10.1111/j.1369-7625.2005.00319.x.
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks: Sage.
Newton, M. S. (2000). Family-centered care: current realities in parent participation. Pediatric Nursing, 26(2), 164–168.
Nobile, C., & Drotar, D. (2003). Research on the quality of parent-provider communication in pediatric care: implications and recommendations. Journal of Developmental and Behavioral Pediatrics: JDBP, 24(4), 279–290.
Powers, P. H., Goldstein, C., Plank, G., Thomas, K., & Conkright, L. (2000). The value of patient -and family-centered care. The American Journal of Nursing, 100(5), 84–88.
Qureshi, N., Hapgood, R., & Armstrong, S. (2002). Continuous medical education approaches for clinical genetics: a postal survey of general practitioners. Journal of Medical Genetics, 39(11), e69.
Reid Ponte, P., & Peterson, K. (2008). A patient- and family-centered care model paves the way for a culture of quality and safety. Critical Care Nursing Clinics of North America, 20(4), 451–464. doi:https://doi.org/10.1016/j.ccell.2008.08.001.
Rolland, J. S. (2006). Genetics, family systems, and multicultural influences. Families, Systems & Health: The Journal of Collaborative Family HealthCare, 24(4), 425–441. doi:https://doi.org/10.1002/nur.1025.
Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23, 334–340.
Trivette, C. M., Dunst, C. J., & Hamby, D. W. (1996). Factors associated with perceived control appraisals in family-centered early intervention program. Journal of Early Intervention, 20, 165–170.
U. S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (2008). The National Survey of Children with Special Health Care Needs Chartbook 2005–2006. Rockville Maryland. Retrieved from https://doi.org/mchb.hrsa.gov/cshcn05/NF/6family/receipt.htm.
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Appendix: Example Interview Questions
Appendix: Example Interview Questions
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What information about the condition do you provide to parents at the time of diagnosis?
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Does the genetic aspect ever come up in your interactions with parents? When does it come up, what types of questions do parents ask and how do you handle the questions?
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Is it your impression that parents generally seeking their own information or do they rely primarily on you?
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Genetics is a complicated topic. How do you know if parents understand what they’ve been told about the condition generally and about the genetics of the condition?
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Different factors may make it easier or more difficult to talk with parents about their child’s genetic conditions. What factors make it easier to inform parents? What factors make it more difficult to inform parents?
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When you talk with families abut the genetic aspect of the condition, what have you found to be the easiest for families to understand? Most challenging for families to understand?
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For parents, how important do you think the genetic aspect of the condition is?
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Given that time is often an issue in healthcare, how do you balance the time you spend talking to families about the condition while incorporating genetic education?
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Genetics is a complicated topic. What do you want families of children with the condition to understand about genetics?
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Can you tell me a little bit about what you recommend to families as far as telling others about the condition?
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Considering your clinical expertise, what words of wisdom for working with families of children with genetic conditions would you share with new professionals?
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Gallo, A.M., Angst, D.B., Knafl, K.A. et al. Health Care Professionals’ Views of Sharing Information with Families Who Have a Child with a Genetic Condition. J Genet Counsel 19, 296–304 (2010). https://doi.org/10.1007/s10897-010-9286-0
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DOI: https://doi.org/10.1007/s10897-010-9286-0