Managing clients and patients: Exploring the experience of client-based incivility in veterinary practice

2021 ◽  
Author(s):  
Amy Irwin ◽  
Dionne Hall ◽  
Hannah Ellis

Background: Interactions with clients have been identified as a key potential stressor within veterinarian work. However, there is a lack of research investigating the experience, and impact, of specific behaviours such as incivility. The current study aimed to address this literature gap by investigating veterinary perceptions of client-based rudeness. Method: Telephone interviews were used to gather qualitative data regarding veterinary perceptions of client-based rudeness. This encompassed the potential causes of incivility, the impact on the veterinarian, and coping strategies.Results: Thematic analysis produced 16 themes relevant to client-based rudeness, and one over-arching theme. The over-arching theme suggested that vets consider client management, and patient care, two distinct aspects of their role. Key themes included the perception of client worry as a key causal factor of rudeness, the utilisation of empathy as a client management technique and the potential for rudeness to have an adverse impact on mental health. A supportive practice was considered vital for enabling successful coping.Conclusion: It is important that veterinary practices are aware of the potential for client rudeness to adversely impact vet wellbeing. Practices should seek to develop guidelines detailing appropriate responses to rudeness, alongside developing a supportive culture to maximise vet coping strategies.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kathryn Murray ◽  
Kelly Buttigieg ◽  
Michelle Todd ◽  
Vicky McKechnie

Abstract Background A subset of patients experience psychological distress following insertion of an implantable cardioverter-defibrillator (ICD) and ICD support groups are recommended, however access to these groups is limited. This study aimed: to gauge a better understanding of patients’ key ICD-related concerns; to determine patient interest in a support group and topics deemed helpful to address in a support group; and to examine factors which affect patient inclination to attend. Methods One hundred and thirty nine patients completed the ICD Patient Concerns Questionnaire – Brief (ICDC-B) and a semi-structured survey. Non-parametric tests were used to examine associations and differences in the quantitative data. Qualitative data were analysed using thematic analysis. Results 42% of respondents said they would attend a support group and inclination to attend was associated with higher ICD concerns and a shorter time since implant. Topics considered important to address in a group were information about heart conditions and devices, the impact of an ICD on daily life and coping with fear of shocks. Conclusion We concluded that there is interest in further support amongst many patients and that ICD support groups may be delivered efficiently by targeting patients who have higher levels of ICD concerns and within the first few years after implant.


2021 ◽  
Vol 47 (1) ◽  
pp. 59-65
Author(s):  
Abhinand Thaivalappil ◽  
Mariola Mascarenhas ◽  
Lisa A Waddell ◽  
Ian Young

Background: The Publicly Available International Foodborne Outbreak Database (PAIFOD) is a regularly updated repository that contains international outbreak data collected from multiple surveillance systems and sources. As of February 2020, the database contained more than 13,000 entries spanning over 20 years. PAIFOD is the only known database that captures international foodborne outbreak data. Objective: To explore user perceptions and identify potential directions for PAIFOD and make recommendations for databases with food safety information. Methods: Between January and March 2020, 16 semistructured telephone interviews were conducted with 24 previous, current and potential PAIFOD users. Interviewees were asked about their knowledge of and experience of using PAIFOD as well as about its strengths and limitations and recommendations for the database. An inductive thematic analysis approach was used to analyze qualitative data and generate themes. Results: Four main themes were generated based on the 24 interviewees’ accounts of their experience with and recommendations for PAIFOD: participants viewed PAIFOD as a useful tool; they weren’t familiar with its contents or purpose; they stated it should become an open-access platform or linked with another information-sharing initiative; and they considered that PAIFOD had the potential to enhance the Agency’s reputation by becoming widely recognized and used. Conclusion: This work, along with the ever-changing landscape of foodborne surveillance, supports the need to ensure that PAIFOD is updated to meet the modern-day demands of food safety experts.


2019 ◽  
Vol 56 (9) ◽  
pp. 1181-1186 ◽  
Author(s):  
Ella Guest ◽  
Bruna Costa ◽  
Gillian McCarthy ◽  
Claire Cunniffe ◽  
Nicola Marie Stock

Objective: The birth of a child with a cleft lip and/or palate (CL/P) can have a significant emotional and social impact on parents. Yet, the impact on the wider family is rarely investigated. Grandparents are becoming increasingly involved in the care of their grandchildren and may therefore have support needs of their own. The aim of the current study was to explore the experiences and support needs of grandparents of children born with CL/P. Design: Individual semistructured telephone interviews were carried out with 12 grandparents of children born with CL/P and were analyzed using inductive thematic analysis. Results: Five themes were identified (1) emotional impact of CL/P on grandparents, (2) grandparents’ social experiences, (3) grandparents’ involvement, (4) grandparents’ information needs, and (5) grandparents’ support needs. Participants experienced difficult emotions around the time of diagnosis and were concerned about the child’s treatment and future experiences. Participants played a significant role in supporting the whole family, but received little information or support themselves. Conclusions: Grandparents reported experiences comparable to published literature on parents. Clinicians and charitable organizations could consider how existing resources could be made more accessible to and/or adapted for wider family members, including grandparents.


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017073 ◽  
Author(s):  
Jennifer Liddle ◽  
Roisin Bartlam ◽  
Christian D Mallen ◽  
Sarah L Mackie ◽  
James A Prior ◽  
...  

ObjectivesClinical management of giant cell arteritis (GCA) involves balancing the risks and burdens arising from the disease with those arising from treatment, but there is little research on the nature of those burdens. We aimed to explore the impact of giant cell arteritis (GCA) and its treatment on patients’ lives.MethodsUK patients with GCA participated in semi-structured telephone interviews. Inductive thematic analysis was employed.Results24 participants were recruited (age: 65–92 years, time since diagnosis: 2 months to >6 years). The overarching themes from analysis were: ongoing symptoms of the disease and its treatment; and ‘life-changing’ impacts. The overall impact of GCA on patients’ lives arose from a changing combination of symptoms, side effects, adaptations to everyday life and impacts on sense of normality. Important factors contributing to loss of normality were glucocorticoid-related treatment burdens and fear about possible future loss of vision.ConclusionsThe impact of GCA in patients’ everyday lives can be substantial, multifaceted and ongoing despite apparent control of disease activity. The findings of this study will help doctors better understand patient priorities, legitimise patients’ experiences of GCA and work with patients to set realistic treatment goals and plan adaptations to their everyday lives.


Author(s):  
Muhammad Usman ◽  
Anwar Allah Pitchay ◽  
Eliza Nor ◽  
Ema Izati ◽  
Munazza Zahra

The aim of this paper is to focus on the impact of non-sharia compliant income of Islamic banks on customers’ trust and commitment. The research work has followed the qualitative strategy as it has worked on secondary qualitative data. Books, journals, and credible websites have been reviewed as the primary methods of collecting secondary qualitative data. Thematic analysis has been used to analyse the gathered data. According to the findings of this paper, those banks which are not focusing on shariah compliance cannot achieve the trust of the customers which ultimately leads to a lack of customers commitment.


2021 ◽  
Vol 27 (5) ◽  
pp. 245-253
Author(s):  
Natalie Pejoski ◽  
Gemma Skaczkowski ◽  
Juli Moran ◽  
Hilary Hodgson ◽  
Carlene Wilson

Background: Little research examines the extent and impact of aggressive or uncomfortable ‘confronting behaviour’ experienced by palliative care nurses, despite palliative wards being an emotionally labile environment. Methods: Qualitative data on nurses' experiences of confrontation were collected from 17 palliative care nurses at a major metropolitan hospital via a focus group and individual interviews. Data were analysed using inductive thematic analysis. Findings: Results indicated that family members were the main perpetrators and tolerance of confrontation varied dependent on the characteristics of the aggressor. Confrontation was described as arising in response to grief, and because of misunderstandings of palliative care goals. Nurses reported a perceived lack of appreciation for their work from some patients' families and feelings of discontent with the nature and amount of structured support available following a confrontation. Informal workplace support helped nurses to deal with these incidents and, despite bad experiences, nurses affirmed their commitment to working in this area. Conclusion: The findings demonstrate the demands placed on nurses working in palliative care, and the importance of compassion in moderating the impact of a challenging environment.


2018 ◽  
Vol 1 (3) ◽  
pp. 137
Author(s):  
Brixhilda Kadiu ◽  
Edmond Kadiu

This study deals with family-related issues that shift from their home country to the Kamza area for a better living above the minimum standard, taking into account the challenges that need to be overcome to integrate into society. Their massive movement begins after the fall of the totalitarian socialist regime in the early 90s of the 20th century, where massive displacement of the population from villages and small peripheral towns and their settling was about a 7 km from Tirana. The population of the Kamza area gradually became present and today is faced with massive overcrowding. Kamza is a region that has been waiting for many migrants mainly from the northern Albania. The study aims to explore the impact of families on their integration into society. The method used in this study is the qualitative data collection method through semi-structured individual interviews as well as free conversations primarily with heads of households, which show in detail what they have done for their family to integrate into society and challenge the minimum vital. Also in the study is used the method of secondary data analysis. In the interview participated 27 individuals, of whom 17 are heads of households and 10 of them are boys and girls. For the purpose of obtaining the findings, thematic analysis was used, which was made possible through the organization of data based on labeling and coding. One of the most important findings of this study is that the Albanian family based on internal migration and the departure from their previous community makes them suffer structural and functional changes within its interior.


Animals ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 2059
Author(s):  
Heather Bacon ◽  
Belinda Vigors ◽  
Darren J. Shaw ◽  
Natalie Waran ◽  
Cathy M. Dwyer ◽  
...  

Universal frameworks for zoo animal welfare have been suggested. However, there is little evidence of a cross-cultural understanding of zoo animal welfare. This paper reports themes emerging from a qualitative study of international (European and Chinese) zoo professionals on zoo animal welfare issues. Structured telephone interviews were conducted with eight Chinese and eight European zoo staff, covering aspects of zoological animal welfare, conservation and zoological husbandry practices. These qualitative data were thematically analysed, and key themes generated. This paper describes three themes relating to ‘What is animal welfare’ ‘Animal welfare frameworks’ and ‘The human element in animal welfare’. This analysis indicates that the concept of animal welfare has cultural equivalence across Europe and between Europe and China, and that zoo staff are familiar with welfare frameworks. In China, a need for senior leadership and motivating staff to improve animal welfare emerged.


2020 ◽  
Vol 10 (S3) ◽  
pp. 75-90
Author(s):  
Lara Fridani ◽  
Ulfa Elfiah ◽  
Selfi Handayani ◽  
Aschawir Ali

The purpose of this narrative study was to explore how an international PhD student-mother, who has a young child, negotiated and coped with the challenges to complete her studies during the COVID-19 pandemic. Multiple semi-structured interviews were adopted to collect narrative data. Anchored in a thematic analysis, qualitative data showed that the participant encountered such challenges as the skills of managing academic time and activities, difficulty in focusing on studying, worries about family conditions in Indonesia and financial needs. We concluded that physical, mental and spiritual strengths of an individual derived from family and community support play a pivotal role in thinking of, managing, and coping with various challenges during the COVID-19 pandemic.


2021 ◽  
Vol 5 (2) ◽  
pp. 425
Author(s):  
Adita Putri Vicianti ◽  
Hanifah Hanifah

Distance Learning which is the impact of the COVID-19 pandemic is a necessity that must be carried out by all lecturers. Distance learning based on digital technology has a serious impact on senior lecturers over the age of 50 with limited digital knowledge and skills. The purpose of this study is to describe the adjustment of senior lecturers in distance learning which includes the absence of excessive emotions, the absence of psychological mechanisms, and feelings of personal frustration, rational judgment and self-direction, the ability to learn, the ability to use past experiences. past, and a realistic and objective attitude (Schneiders, 1999). Qualitative methods and phenomenological approaches with thematic analysis techniques are used in this study. Through telephone interviews and video calls with 4 senior lecturers who have worked for more than 30 years, it was obtained that senior lecturers were able to manage emotions calmly in the face of changing learning methods to distance learning due to the COVID-19 pandemic. Most of the lecturers take into consideration in overcoming difficulties, they also have a desire to learn new things and try to learn other online media platforms because the previous ones were deemed ineffective. The two lecturers carried out a psychological rationalization mechanism due to the difficulty in adjusting to the distance learning. All lecturers are not frustrated because there is no longer urgency to get certain achievements as lecturers at their age, all lecturers also say positive things about distance learning and state that blended learning can be used for the teaching process in the future. Pembelajaran Jarak Jauh (PJJ) yang merupakan dampak dari pandemi COVID-19 menjadi sebuah keniscayaan yang harus dilakukan oleh semua dosen. PJJ yang berbasiskan teknologi digital membawa dampak yang cukup serius bagi dosen senior yang berusia diatas 50 tahun dengan pengetahuan dan keterampilan digitalnya terbatas. Tujuan penelitian ini adalah untuk menggambarkan penyesuaian diri dosen senior dalam pembelajaran jarak jauh yang meliputi ketiadaan emosi yang berlebihan, ketiadaan mekanisme psikologis, dan perasaan frustrasi pribadi, pertimbangan rasional dan kemampuan mengarahkan diri (self-direction), kemampuan untuk belajar, kemampuan menggunakan pengalaman masa lalu, dan sikap realistik dan objektif (Schneiders, 1999). Metode kualitatif dan pendekatan fenomenologis dengan teknik thematic analysis digunakan dalam penelitian ini.  Melalui wawancara telepon dan video call terhadap 4 dosen senior yang sudah bekerja lebih dari 30 tahun, diperoleh gambaran bahwa para dosen senior mampu mengelola emosi dengan tenang dalam menghadapi perubahan metode pembelajaran menjadi PJJ akibat pandemi COVID-19. Sebagian besar dosen melakukan pertimbangan dalam mengatasi kesulitan, mereka juga memiliki keinginan untuk belajar hal baru dan mencoba mempelajari platform media online lainnya karena yang sebelumnya dirasa tidak efektif. Kedua dosen melakukan mekanisme psikologis rasionalisasi akibat kesulitan menyesuaikan dengan PJJ. Seluruh dosen tidak mengalami frustrasi karena tidak ada lagi urgensi untuk mendapatkan pencapaian tertentu sebagai dosen di usia mereka, seluruh dosen juga menyatakan hal yang positif terkait PJJ dan menyatakan bahwa blended learning dapat digunakan untuk proses pengajaran ke depannya.


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