What does this research mean for the field?

Culturally responsive genetic counseling practice is conceptualized and operationalized substantially differently across the UK, Aotearoa New Zealand, and Australia, highlighting that standard equality, diversity, and inclusion frameworks may insufficiently address systemic racism compared to Indigenous-led and sovereignty-based approaches. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

Investigate how systemic racism, colonial legacies, cultural safety, and structural power dynamics shape contemporary genetic counseling practice across the United Kingdom, Aotearoa New Zealand, and Australia.

September 8, 2026Journal of Genetic Counseling

(Re)imagining the Future of Genetic Counseling: A Reflexive Qualitative Analysis of Sociopolitical Power, Cultural Safety, Systemic Racism, and Comparative Practice in the United Kingdom, Aotearoa New Zealand and, Australia

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Authors

SCSubhashini Crerar CHCamelia Harrison

Discussion

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Overview

Comparative qualitative analysis reveals divergent approaches to cultural safety and systemic racism in genetic counseling across three nations, highlighting the need for justice-oriented practice.

Key Points

Investigate how systemic racism, colonial legacies, cultural safety, and structural power dynamics shape contemporary genetic counseling practice across the United Kingdom, Aotearoa New Zealand, and Australia.
Conducted an iterative reflexive, narrative, and comparative qualitative analysis drawing on practitioner experiences across the UK and Australasia.
Analyzed purposively selected professional, policy, and scholarly literature centered on anti-racism, dignity, cultural safety, and Human Rights-Based Decision-Making frameworks.
Identified four core themes detailing how sociopolitical context, systemic racism, cultural safety, and technologization intersect in genomic healthcare delivery.
Contrasted Aotearoa New Zealand's treaty-based Māori sovereignty models and Australia's Indigenous-led workforce initiatives against the UK's broader equality, diversity, and inclusion frameworks.
Observed through clinical examples that standardized pathways, misconstrued communication styles, and unexamined assumptions of patient autonomy frequently sustain structural inequities.

Cite This Study

Crerar et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd79b58e84d0ff5b465ea https://doi.org/10.1002/jgc4.70279

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September 8, 2026Journal of Genetic Counseling

(Re)imagining the Future of Genetic Counseling: A Reflexive Qualitative Analysis of Sociopolitical Power, Cultural Safety, Systemic Racism, and Comparative Practice in the United Kingdom, Aotearoa New Zealand and, Australia

View Full Paper

Ask AI

Bookmark

Authors

SCSubhashini Crerar CHCamelia Harrison

Discussion

Member takes

Overview

Comparative qualitative analysis reveals divergent approaches to cultural safety and systemic racism in genetic counseling across three nations, highlighting the need for justice-oriented practice.

Key Points

Investigate how systemic racism, colonial legacies, cultural safety, and structural power dynamics shape contemporary genetic counseling practice across the United Kingdom, Aotearoa New Zealand, and Australia.
Conducted an iterative reflexive, narrative, and comparative qualitative analysis drawing on practitioner experiences across the UK and Australasia.
Analyzed purposively selected professional, policy, and scholarly literature centered on anti-racism, dignity, cultural safety, and Human Rights-Based Decision-Making frameworks.
Identified four core themes detailing how sociopolitical context, systemic racism, cultural safety, and technologization intersect in genomic healthcare delivery.
Contrasted Aotearoa New Zealand's treaty-based Māori sovereignty models and Australia's Indigenous-led workforce initiatives against the UK's broader equality, diversity, and inclusion frameworks.
Observed through clinical examples that standardized pathways, misconstrued communication styles, and unexamined assumptions of patient autonomy frequently sustain structural inequities.

Cite This Study

Crerar et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd79b58e84d0ff5b465ea https://doi.org/10.1002/jgc4.70279

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