In the process of creating a care plan or finding a placement for children, assessment of their health and developmental needs will be undertaken. This can involve the interpretation of complex family history information and may also include undertaking and interpreting the results of genetic testing, when within professional guidelines. This study explores opinions, knowledge about and experiences of adoption professionals in relation to genetic information and testing in Wales. Semi-structured qualitative interviews were conducted with six social workers and seven medical advisers. The data were transcribed and thematically analysed. Themes included the challenges to collation of family history, how the willingness of professionals to undertake genetic testing in children awaiting adoption was altered by the availability (and non-availability) of family history information, and the uncertainty that genetic information can generate for professionals and prospective parents. Uncertainty for both professional groups emerged from apparent inconsistency in current practice and from concern over their own lack of genetic knowledge. As new genetic technologies increase the scope of uncertainty, there is a need for social workers and medical practitioners working in adoption to have a greater understanding of genetics alongside opportunities to discuss cases in a multidisciplinary setting when appropriate.

中文翻译：

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在收养环境中工作的专业人员对遗传信息和检测的态度和经验

在制定护理计划或为儿童寻找安置的过程中，将对他们的健康和发展需求进行评估。这可能涉及对复杂家族史信息的解释，还可能包括在专业指南范围内进行和解释基因检测的结果。本研究探讨了威尔士收养专业人员在遗传信息和检测方面的意见、知识和经验。对六名社会工作者和七名医疗顾问进行了半结构化的定性访谈。对数据进行转录和专题分析。主题包括整理家族史的挑战，专业人士对等待收养的儿童进行基因检测的意愿如何因家族史信息的可用性（和不可用）以及遗传信息可能为专业人士和准父母带来的不确定性而改变。两个专业群体的不确定性源于当前实践的明显不一致以及对他们自身缺乏遗传知识的担忧。随着新的遗传技术增加了不确定性的范围，在收养工作中的社会工作者和医疗从业者需要更好地了解遗传学，同时有机会在适当的时候在多学科环境中讨论案例。两个专业群体的不确定性源于当前实践的明显不一致以及对他们自身缺乏遗传知识的担忧。随着新的基因技术增加了不确定性的范围，在收养工作中的社会工作者和医疗从业者需要更好地了解遗传学，同时有机会在适当的时候在多学科环境中讨论案例。两个专业群体的不确定性源于当前实践的明显不一致以及对他们自身缺乏遗传知识的担忧。随着新的基因技术增加了不确定性的范围，在收养工作中的社会工作者和医疗从业者需要更好地了解遗传学，同时有机会在适当的时候在多学科环境中讨论案例。