Incidents, accidents, failures: The representation of negative experience in public entertainment

Background & Aims: A number of factors have been identified that influence the yield of screeningcolonoscopy. The perceived tolerability of bowel preparation has not been studied as a predictor of quality outcomes in colonoscopy. We aimed to characterize the association between patient-perceived tolerability of bowel preparation and polyp detection during colonoscopy.Methods: We performed a cross-sectional cohort study of 413 consecutive adult patients presenting foroutpatient colonoscopy at two outpatient endoscopy centers at our institution. We developed a standardized questionnaire to assess the patient's experience with bowel preparation. Bowel preparation quality was measured using the validated Ottawa scale and colonoscopic findings were recorded for each patient. The primary outcome was polyp detection and the secondary outcome was the quality of bowel preparation.Results: Patient-reported clarity of effluent during bowel preparation correlated poorly with Ottawa score during colonoscopy, k=0.15. Female gender was an independent risk factor for a poorly tolerated bowel prep (OR 3.93, 95% CI 2.30 - 6.72, p<0.001). Report of a poorly tolerated bowel prep was independently associated with the primary outcome, polyp detection (OR 0.39, 95% CI 0.18 - 0.84, p=0.02) and also with the secondary outcome, lower quality bowel preparation (OR 2.39, 95% CI 1.17 - 4.9, p=0.02).Conclusions: A patient-perceived negative experience with bowel preparation independently predicted both a lower quality bowel preparation and a lower rate of polyp of detection. Assessment of the tolerability of bowel preparation before colonoscopy may be a clinically useful predictor of quality outcomes during colonoscopy.

Download Full-text

Verbal compliance-gaining strategies used by male physicians and patient healthcare experience

Communication & Medicine ◽

10.1558/cam.17143 ◽

2017 ◽

Vol 13 (2) ◽

pp. 185-202 ◽

Cited By ~ 1

Author(s):

Annabel Levesque ◽

Han Z. Li

Keyword(s):

Health Status ◽

Patient Experience ◽

Lifestyle Changes ◽

Positive Patient ◽

Negative Experience ◽

Healthcare Experience ◽

Healthcare Experiences ◽

Compliance Gaining ◽

Family Practice Clinic ◽

Motivation Strategies

This study explores male physicians’ use of verbal compliance gaining strategies to encourage patients to adhere to medication regimens, lifestyle changes, or future appointments, and assesses which strategies are associated with patients’ reported healthcare experiences. Five physicians from a family practice clinic in northern British Columbia, Canada, were audio-recorded while interacting with 31 patients during actual consultations. Compliance-gaining utterances were coded into five categories of strategies, while patient experience with care was assessed using a questionnaire. A number of intriguing findings emerged: direct orders were related to a more negative experience with interpersonal aspects of care, but were fairly frequently used, especially with female patients. Persuasion was the only strategy that promoted a positive patient experience, but was rarely used. However, the effect of persuasion on patient experience was no longer significant when adjusting for patients’ health status. Physicians relied mostly on motivation strategies to encourage adherence, but these strategies were not related to patients’ assessment of their healthcare experiences. These results suggest that the most frequently used verbal compliance gaining strategies by physicians are not always appreciated by patients. To be more effective, it is necessary to inform physicians about which compliance-gaining strategies promote a positive patient healthcare experience.

Download Full-text

Organizational Justice enhances Subjective Well-being

International Journal of Indian Psychology ◽

10.25215/0303.099 ◽

2016 ◽

Vol 3 (3) ◽

Author(s):

Ms. Anjali Sahai ◽

Prof. (Dr). Abha Singh

Keyword(s):

Organizational Justice ◽

Satisfaction With Life ◽

Interactional Justice ◽

Well Being ◽

Adverse Outcomes ◽

Satisfaction With Life Scale ◽

Subjective Well Being ◽

Negative Experience ◽

Life Scale ◽

The Relationship

Organizational Justice has the potential to create major impact on organizations and employees alike. These include greater commitment, trust, enhanced job performance, more citizenship behaviors and less number of conflicts. It has been reported that employees seem to have a universal concern for Justice that transcends the self and that many are subject to biases at various point of time in their work life. Sometimes these biases lead to adverse outcomes including decreased level of subjective well-being. Subjective well-being is a broad category that includes life satisfaction, positive affect, and low negative affect, such as anger, sadness and fear. Thus to study the relationship between Organizational justice and subjective well-being, a sample of 88 employees working in Private Universities of NCR region were examined. For this purpose, the Organizational Justice scales consisting of Measure of Procedural & Interactional Justice and Distributive Justice Index scale by Moorman, Blakely & Niehoff (1998) and Subjective Wellbeing Scales inclusive of the Satisfaction with Life Scale(SWLS),Scale of Positive and Negative Experience(SPANE) and Flourishing Scale (FS) by Ed Diener (2004)were used. Results indicate significant relationship between the three types of Organizational justice and subjective well-being of employees.

Download Full-text

How Can SMEs Become More Sustainable? Modelling the M-Commerce Consumer Behaviour with Contingent Free Shipping and Customer Journey’s Touchpoints Optimisation

Sustainability ◽

10.3390/su13126845 ◽

2021 ◽

Vol 13 (12) ◽

pp. 6845

Author(s):

Eliza Nichifor ◽

Radu Constantin Lixăndroiu ◽

Silvia Sumedrea ◽

Ioana Bianca Chițu ◽

Gabriel Brătucu

Keyword(s):

Consumer Behaviour ◽

Business Models ◽

Rank Correlation ◽

Transformation Process ◽

Analytic Hierarchy ◽

Negative Experience ◽

Free Shipping ◽

Hierarchy Process ◽

Function Construction

Digital technology is leading the transformation of business models into sustainable ones, expanding and changing the competitiveness scenario. This paper aims to promote a new sustainable retailer model shaped by contingent free shipping theory and the optimisation of the customer’s journey, enriching the scientific literature by proposing a consumer behavioural model that highlights the contribution of four selected touchpoints to the sustainable transformation of SMEs. The research was elaborated by deploying a framework that presents five analysis methods, namely, an additive function construction, a TOPSIS method, a Spearman rank correlation coefficient calculation, a content analysis and an analytic hierarchy process, which engender the new model. Discovering nine distinguished categories of e-tailers, the sustainable retailer profile was developed and the touchpoint with the greatest contribution to the transformation process was identified. The results of the study allowed the authors to propose the model as a solution to withstand the preponderant negative experience provided by analysed e-tailers to digital buyers, representing the opportunity for SMEs’ sustainable transformation and long-term growth in a competitive, ever-growing market.

Download Full-text

Six Key Advantages and Disadvantages of Working from Home in Europe during COVID-19

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041826 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1826

Author(s):

Christine Ipsen ◽

Marc van Veldhoven ◽

Kathrin Kirchner ◽

John Paulin Hansen

Keyword(s):

Knowledge Work ◽

Well Being ◽

Key Factors ◽

Differential Impact ◽

Home Office ◽

Negative Experience ◽

Number Of Children ◽

Advantages And Disadvantages ◽

Working From Home ◽

And Performance

The number of people working from home (WFH) increased radically during the coronavirus (COVID-19) pandemic. The purpose of this study was therefore to investigate people’s experiences of WFH during the pandemic and to identify the main factors of advantages and disadvantages of WFH. Data from 29 European countries on the experiences of knowledge workers (N = 5748) WFH during the early stages of lockdown (11 March to 8 May 2020) were collected. A factor analysis showed the overall distribution of people’s experiences and how the advantages and disadvantages of WFH during the early weeks of the pandemic can be grouped into six key factors. The results indicated that most people had a more positive rather than negative experience of WFH during lockdown. Three factors represent the main advantages of WFH: (i) work–life balance, (ii) improved work efficiency and (iii) greater work control. The main disadvantages were (iv) home office constraints, (v) work uncertainties and (vi) inadequate tools. Comparing gender, number of children at home, age and managers versus employees in relation to these factors provided insights into the differential impact of WFH on people’s lives. The factors help organisations understand where action is most needed to safeguard both performance and well-being. As the data were collected amidst the COVID-19 pandemic, we recommend further studies to validate the six factors and investigate their importance for well-being and performance in knowledge work.

Download Full-text

Positive Aspects of Caregiving Among Family Caregivers of Individuals With Dementia

Innovation in Aging ◽

10.1093/geroni/igaa057.1153 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 358-359

Author(s):

Mary Grace Asirot ◽

Anna Papazyan ◽

Yeonsu Song

Keyword(s):

Mental Health ◽

Sleep Quality ◽

Family Caregivers ◽

Care Recipient ◽

Related Factors ◽

Negative Experience ◽

Care Recipients ◽

Positive Aspects Of Caregiving ◽

Positive Caregiving ◽

And Behavior

Abstract Traditionally, caregiving for individuals with dementia has been viewed as a negative experience. Understanding positive aspect of caregiving and related factors is important to improve health among family caregivers. We analyzed baseline data from an ongoing dyadic sleep education trial for individuals with dementia and their caregivers (N=21 dyads; mean age 70.8± 11.1 for caregivers, 80.5± 8.3 for care-recipients). The Positive Aspects of Caregiving (PAC 9-item) was used to assess subjective satisfaction with caregiving. Other measures included Zarit Burden Interview (ZBI), SF-12 Health Survey (SF-12v2), Revised Memory and Behavior Problems Checklist (RMBPC), and Pittsburgh Sleep Quality Index (PSQI). Pearson correlations and t-tests were calculated for analyses. Caregivers most frequently endorsed that caregiving enabled them to appreciate life more (n=16 agreed a lot). Caregivers who began providing care within the first few months of the care-recipient needing care (n=16) had greater positive aspects of caregiving than those who started providing care sometime later (n=5) (36.37±7.33 versus 25.8±8.29, p=0.01). Caregivers with higher PAC scores had lower ZBI score (r=-0.49, p=0.02), better mental health on the SF-12v2 (r=0.53, p=0.01), less distress related to care-recipient behaviors on the RMBPC (r=-0.50, p=0.02), and lower PSQI subscale (perceived sleep quality) score (r= -0.46, p=0.04). Findings suggest that higher positive caregiving experience was associated with better mental health and sleep quality, and less burden and distress from the care-recipients behaviors. More research is needed to better understand this relationship and to determine possible interventions to increase positive aspects of caregiving.

Download Full-text

The Effect of Dialectic Behavioral Counseling on Depression, Anxiety, and Postpartum Hematocrit Level

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0041-1728780 ◽

2021 ◽

Vol 43 (04) ◽

pp. 275-282

Author(s):

Nasrin Pour Amiri ◽

Atefeh Ahmadi ◽

Firoozeh Mirzaee ◽

Moghadameh Mirzai ◽

Nader Shahrokhi

Keyword(s):

Postpartum Depression ◽

Behavioral Therapy ◽

Intervention Group ◽

Anxiety Symptoms ◽

Control Group ◽

P Value ◽

Depression And Anxiety ◽

Hematocrit Level ◽

Negative Experience ◽

Behavioral Counseling

Abstract Objective Childbirth is a biological, psychological, and sociological event that can be a positive or negative experience, and, without support, this period may be potentially damaging. Parturition may distort maternal emotions and lead to short- or long-term disorders such as postpartum depression and anxiety. The present research aims to study the effects of dialectic behavioral therapy-based counseling on depression, anxiety symptoms, and postpartum hematocrit level. Methods The current research is a clinical trial study, and the sample was selected using parturients who were referred to the Health General Center with a diagnosis of postpartum depression and anxiety. The sample size consisted of 116 subjects who agreed to participate in the study. The patients in intervention group underwent group dialectic behavioral counseling (10 sessions/one session per week) and the control group did not receive any type of intervention. The patients were assessed in the first and last sessions as well as 2 months after the end of the sessions, using the Beck depression scale and Spielberg anxiety scale as well as the results of hematocrit tests. Data were analyzed using the IBM SPSS Statistics for Windows, Version 21.0 (IBM Corp., Armonk, NY, USA) Results The results implied the effectiveness of dialectic behavioral therapy on reduction of the depression score, anxiety symptoms (p-value ≤ 0.0001), and hematocrit level (p-value = 0.04). The participants' depression, anxiety, and hematocrit levels decreased in the experiment group compared to the control group, and this decrease has remained until the 2-month follow-up. Conclusion It seems that dialectic behavioral counseling reduces the levels of postpartum depression, anxiety, and hematocrits.

Download Full-text

In support of female leadership in the church: Grappling with the perspective of Setswana men � Shepherding as solution offered

Verbum et Ecclesia ◽

10.4102/ve.v33i1.433 ◽

2012 ◽

Vol 33 (1) ◽

Author(s):

Gopolang H. Sekano ◽

Maake J. Masango

Keyword(s):

Female Leadership ◽

1 Corinthians ◽

Intensive Study ◽

Female Leaders ◽

Negative Experience ◽

Patriarchal Culture ◽

Timothy 2 ◽

Female Leader ◽

The Church

This article addresses the overwhelmingly negative experience and feeling of some men who serve under female leaders in the church. They claim to feel degraded and traumatised by the experience of being led by women. They also claim that their patriarchal culture and religion is defied by such actions and laws of equality that encourage female leadership. They substantiate their views by quoting 1 Corinthians 14:34−35 and 1 Timothy 2:12−14 in addition to a Setswana proverb, �Tsa etelelwa pele ke e namagadi di wela ka lengope� [those who are led by a female leader fall into dongas]. In the light of this situation an intensive study regarding the need for an egalitarian concept and constructive interpretation of Bible passages, Setswana proverbs and idioms regarding the inevitability of female leadership is paramount to people who have an androcentric concept of religion and culture.

Download Full-text