scholarly journals Rural general practice patients’ coping with hazards and harm: an interview study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031343
Author(s):  
Martin Bruusgaard Harbitz ◽  
Helen Brandstorp ◽  
Margrete Gaski

ObjectiveThe aim of this study is to identify and analyse rural general practice patients’ experiences of hazards and harm that comprise adverse events, and their strategies for coping with them.DesignInterview study using systematic text condensation and coping strategy theory in an abductive analysis process.SettingNine rural general practice clinics in Norway.ParticipantsTwenty participants, aged 21–79 years, all presenting with recent onset of somatic and/or psychiatric complaints.ResultsParticipating rural general practice patients described their experiences of a variety of hazards and harms. Their three most discussed cognitive and behavioural coping strategies were: (1) to accept the events; (2) to confront them and (3) to engage in planful problem-solving. While the participants demonstrated a tendency toward accepting hazards and harm that their regular general practitioner created, they were often willing to confront those that locum (ie, substitute) general practitioners created. Participants used planful problem-solving in situations they deemed hazardous, such as breaches of confidentiality or not being taken seriously, as well as during potential/actual emergencies.ConclusionsPatients at rural general practice clinics actively identify and respond to hazards and harm, applying three coping strategies. Thus, patients themselves may serve as an important safety barrier against hazards and harm; their potential contributions to improving patient safety must be appreciated accordingly and reflected in future research as well as in everyday clinical practice.

1991 ◽  
Vol 21 (4) ◽  
pp. 1013-1018 ◽  
Author(s):  
J. Catalan ◽  
D. H. Gath ◽  
P. Anastasiades ◽  
S. A. K. Bond ◽  
A. Day ◽  
...  

SYNOPSISA randomized trial in general practice compared: (i) a brief psychological treatment (problem-solving) given by a psychiatrist; (ii) any treatment of the GP's choice, whether psychological or pharmacological. The patients had recent onset emotional disorders of poor prognosis. Patients in the problem-solving group showed significantly greater reductions in symptoms. Problem-solving as given by a psychiatrist was feasible in primary care and acceptable to patients. Problem-solving is now being evaluated as given by general practitioners trained in the method.


2021 ◽  
Author(s):  
Shu Cui ◽  
Fangshuo Cheng ◽  
Ling Zhang ◽  
Chao Zhang ◽  
Qiuyu Yuan ◽  
...  

Abstract Background: Negative coping strategies and behavioral problems are common among Chinese left-behind children, which are relate to a variety of negative consequences. At this stage of development, the relevant factors of coping strategies need to be further studied, in which social support and self-esteem are worthy of our attention. The aim of this study is to detect the current situation of self-esteem, social support, and coping styles of left-behind children (LBC) in rural China. Methods: 322 children from 3 schools in China enrolled in this study, including 236 LBC and 86 non-left-behind children (NLBC) to assess self-esteem, social support and coping strategies. Results: The LBC group had lower self-esteem score and lower total social support (subjective support, objective support and support-seeking behavior) than the NLBC group. In terms of coping strategies, the LBC group was lower than the NLBC group in problem-solving and rationalization. The self-esteem score in LBC was significant positive associated with the subjective support score, objective support score, problem-solving and help-seeking score. In addition, self-esteem has significant mediating effect between subjective support and problem-solving, subjective support and help-seeking, respectively. Conclusions: The finding indicate that Chinese LBC’s self-esteem and social support need to be improved. Given the significant correlativity between self-esteem, subjective support and coping strategy, it is necessary to promote Chinese LBC’s self-esteem and social support, especially subjective support.


Author(s):  
Sarah Deck ◽  
Brianna DeSantis ◽  
Despina Kouali ◽  
Craig Hall

In team sports, it has been found that team mistakes were reported as a stressor by both males and females, and at every playing level (e.g., club, university, national). The purpose of this study was to examine the impact of partners’ play on performance, emotions, and coping of doubles racquet sport athletes. Seventeen one-on-one semistructured interviews were conducted over the course of 6 months. Inductive and deductive analysis produced the main themes of overall impact on performance (i.e., positive, negative, or no impact), negative emotions (i.e., anger), positive emotions (i.e., excitement), emotion-focused coping (i.e., acceptance), and problem-focused coping (i.e., team strategy). These athletes acknowledge that how their partner plays significantly affects not only their emotions but also their own play and their choice of coping strategies. Future research should try to understand which forms of coping reduce the impact of partners’ play.


2021 ◽  
Author(s):  
Shu Cui ◽  
Fangshuo Cheng ◽  
Ling Zhang ◽  
Chao Zhang ◽  
Qiuyu Yuan ◽  
...  

Abstract Background: Negative coping strategies and behavioral problems are common among Chinese left-behind children, which are related to a variety of negative consequences. At this stage of development, the relevant factors of coping strategies need to be further studied, in which social support and self-esteem are worthy of our attention. The aim of this study is to detected the current situation of self-esteem, social support, and coping styles of left-behind children (LBC) in rural China and the relationship between the three.Methods: 322 children from 3 schools in China participated in this study, including 236 LBC and 86 non-left-behind children (NLBC) to assess self-esteem, social support and coping strategies.Results: The LBC group had lower self-esteem score and lower total social support (subjective support, objective support and support-seeking behavior) than the NLBC group. In terms of coping strategies, the LBC group was lower than the NLBC group in problem-solving and rationalization. The self-esteem score in LBC was significant positive associated with the subjective support score, objective support score, problem-solving and help-seeking score. In addition, self-esteem has significant mediating effect between subjective support and problem-solving, subjective support and help-seeking, respectively.Conclusions: The finding indicate that Chinese LBC’s self-esteem and social support need to be improved. Given the significant correlativity between self-esteem, subjective support and coping strategy, it is necessary to promote Chinese LBC’s self-esteem and social support, especially subjective support.


2019 ◽  
Vol 36 (1) ◽  
pp. 39-45
Author(s):  
Juan C. Melendez ◽  
Encarnación Satorres ◽  
Iraida Delhom

El manejo y las estrategias utilizadas desempeñan un papel esencial en la adaptación a los cambios, y los rasgos de la personalidad son factores predictivos importantes de estas estrategias. El objetivo de este estudio es estudiar qué rasgos predicen diferentes estrategias de afrontamiento en adultos mayores. Los participantes fueron 226 adultos mayores (60 a 88 años). Los instrumentos utilizados fueron el NEO-FFI para evaluar la personalidad y el Cuestionario de estrategias de afrontamiento (CAE). Se realizaron modelos de regresión lineal múltiple. El neuroticismo predijo positivamente las estrategias orientadas a la emoción: autofocalización negativa, expresión abierta de emociones, evitación y religión. Las estrategias orientadas a los problemas fueron predichas positivamente: apertura a la experiencia (resolución de problemas), la amabilidad (reevaluación positiva) y la responsabilidad (resolución de problemas y reevaluación positiva). Además, la amabilidad y la responsabilidad predijeron de manera negativa las estrategias orientadas a la emoción: expresión emocional abierta y autofocalización negativa. La extraversión no predijo ninguna estrategia de afrontamiento. Estos hallazgos muestran que el neuroticismo es un rasgo desadaptativo durante el envejecimiento, mientras que la apertura a la experiencia, la amabilidad y la conciencia son rasgos adaptativos en los adultos mayores. Coping and strategies used play an essential role in the adaptation to changes, and personality traits are important predictors of these strategies. The aim of this study is to find out what traits predict different coping strategies in older adults. Participants were 226 older adults (60 to 88 years old). Data on personality and coping strategies were obtained through the NEO-FFI and the Coping Strategies Questionnaire. Multiple linear regression models were conducted. Neuroticism positively predicted emotion-oriented strategies: negative self-focused, overt-emotional expression, avoidance, and religious. Problem-oriented strategies were positively predicted by openness to experience (problem-solving focused), agreeableness (positive reappraisal), and conscientiousness (problem-solving focused and positive reappraisal). In addition, agreeableness and conscientiousness negatively predicted emotion-oriented strategies: overt-emotional expression and negative self-focused. Extraversion did not predict any coping strategy. These findings show that neuroticism is a maladaptive trait during aging, whereas openness to experience, agreeableness, and conscientiousness are adaptive traits in older adults.


2020 ◽  
Vol 32 (11) ◽  
pp. 3601-3622
Author(s):  
Tiffany Shin Legendre ◽  
John Thomas Bowen

Purpose The purpose of this study is to provide insight into customers’ psychological processes and behavioral responses after merger and acquisition (M&A) of an artisanal brand. Design/methodology/approach Study 1 adopts a qualitative approach to understand how craft-beer customers perceive M&A decisions. In Study 2, a two-conditioned (M&A types: local and local company M&A vs local and national company M&A) between-subjects design experiment was executed. Findings The findings of this study show M&A’s of artisanal brands cause identity stigmatization, resulting in customers’ identity dissonance and coping strategies. Which coping strategies a customer uses depends on their brand identity, product-category identity and M&A partner types. Research limitations/implications This was an exploratory study that serves as a starting point for future research. Future research could investigate the model proposed in this study by testing the effects of potential moderators and mediators. Practical implications The findings of the study enable companies to better anticipate post-M&A customer behavior, thereby enabling them to enhance their brand positioning when a competitor is acquired by a large company. Originality/value The popularity of locally produced and craft hospitality products has attracted the attention of large companies that acquire artisanal brands. There is a paucity of research investigating post- M&A customer reactions of locally owned artisanal companies by large companies.


Author(s):  
Rebecca Pentith ◽  
Samantha Louise Moss ◽  
Kevin Lamb ◽  
Carmel Edwards

This study investigated the prevalence of perfectionism among young female competitive Irish dancers and examined the relationships between perfectionistic tendencies and coping strategies used when experiencing injury. Sixty-eight female dancers (Mean age: 14 ± 2.3 years) completed the Child-Adolescent Perfectionism Scale and the Ways of Coping Questionnaire and provided a record of injuries incurred during their championship careers. Participants reported 189 injuries, mostly involving the lower extremities. Seventy-nine percent of dancers reported perfectionistic tendencies (mixed perfectionism 40%, pure self-oriented perfectionism 29%, pure socially prescribed perfectionism 10%), and most frequently adopted “planful problem-solving,” “seeking social support,” “distancing,” and “self-controlling” strategies to cope with injury. Perfectionism and two coping strategies were found to be significantly related (p = 0.03); “planful problem-solving” was typically used “quite a bit or a great deal” by the mixed perfectionism group, but only “somewhat” by the non-perfectionism group, whereas “confrontive coping” was typically not used by the non-perfectionism group but was used “somewhat” by the mixed perfectionism group. Given the presence of such a large degree of perfectionism and the simultaneous employment of problem- and emotion-focused strategies when coping with injuries, it is suggested that medical practitioners acknowledge such tendencies when supporting their dancers in order to reduce the likelihood of negative psychological impact.


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