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End-of-Life Communication in Veterin...

McCracken, Bonnie Joy.

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End-of-Life Communication in Veterinary Medicine.

Record Type:	Electronic resources : Monograph/item
Title/Author:	End-of-Life Communication in Veterinary Medicine./
Author:	McCracken, Bonnie Joy.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2016,
Description:	75 p.
Notes:	Source: Dissertation Abstracts International, Volume: 77-12(E), Section: A.
Contained By:	Dissertation Abstracts International77-12A(E).
Subject:	Communication. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10127660
ISBN:	9781339856926

End-of-Life Communication in Veterinary Medicine.
McCracken, Bonnie Joy.

End-of-Life Communication in Veterinary Medicine. - Ann Arbor : ProQuest Dissertations & Theses, 2016 - 75 p.

Source: Dissertation Abstracts International, Volume: 77-12(E), Section: A.

Thesis (Ph.D.)--State University of New York at Buffalo, 2016.

Veterinary medicine is unique in that end-of-life procedures are typically owner-witnessed and often include the administration of euthanasia. Euthanizing an owner's pet requires veterinarians to be equipped with technical communication skills when interacting with owners and administering the procedure. Research indicates practicing veterinarians have received little to no end-of-life communication skills training in their formal education. In addition, scholars and professionals have often relied on anecdotal evidence based on experience when outlining communication strategies appropriate for use by veterinarians in the end-of-life setting. The present study details the communication strategies of veterinarians in the context of end-of-life interactions (e.g., bad news delivery, euthanasia procedures, grief support). Forty-four interviews were conducted with practicing veterinarians to gain an understanding of their experience and training in difficult communication. Participants include experienced small animal practitioners, emergency care specialists, palliative care and hospice providers, and novice practitioners recently out of veterinary school. General themes emerged regarding the type of communication training received, end-of-life communication strategies, and supportive communication strategies. Findings indicate veterinarians receive three forms of communication training: formal, informal, and experiential, with the majority receiving experiential training and informal training being the second most frequently endorsed method of learning. Nineteen end-of-life communication strategies were grouped into three categories: bad news delivery, euthanasia, and general strategies that can be applied to either bad news delivery and/or euthanasia. The most prominent end-of-life communication strategies utilized by veterinarians include references to the pet's overall quality of life and acknowledgment of whether the pet is suffering. Four supportive strategies were identified: provision of tangible support, informational support, emotional support, and the use of immediacy behaviors to communicate empathy and comfort. Tangible support in the form of sympathy cards and sentimental gifts was the most prominent supportive strategy utilized by veterinarians. This study contributes to the field of veterinary medicine by increasing understanding of end-of-life communication during veterinary-client-patient interactions and by providing strategies currently utilized for practical application within the Doctor of Veterinary Medicine (DVM) curriculum.

ISBN: 9781339856926Subjects--Topical Terms:

524709
Communication.

End-of-Life Communication in Veterinary Medicine.
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100 1 $a McCracken, Bonnie Joy. $3 3278453
245 1 0 $a End-of-Life Communication in Veterinary Medicine.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2016
300 $a 75 p.
500 $a Source: Dissertation Abstracts International, Volume: 77-12(E), Section: A.
500 $a Adviser: Thomas H. Feeley.
502 $a Thesis (Ph.D.)--State University of New York at Buffalo, 2016.
520 $a Veterinary medicine is unique in that end-of-life procedures are typically owner-witnessed and often include the administration of euthanasia. Euthanizing an owner's pet requires veterinarians to be equipped with technical communication skills when interacting with owners and administering the procedure. Research indicates practicing veterinarians have received little to no end-of-life communication skills training in their formal education. In addition, scholars and professionals have often relied on anecdotal evidence based on experience when outlining communication strategies appropriate for use by veterinarians in the end-of-life setting. The present study details the communication strategies of veterinarians in the context of end-of-life interactions (e.g., bad news delivery, euthanasia procedures, grief support). Forty-four interviews were conducted with practicing veterinarians to gain an understanding of their experience and training in difficult communication. Participants include experienced small animal practitioners, emergency care specialists, palliative care and hospice providers, and novice practitioners recently out of veterinary school. General themes emerged regarding the type of communication training received, end-of-life communication strategies, and supportive communication strategies. Findings indicate veterinarians receive three forms of communication training: formal, informal, and experiential, with the majority receiving experiential training and informal training being the second most frequently endorsed method of learning. Nineteen end-of-life communication strategies were grouped into three categories: bad news delivery, euthanasia, and general strategies that can be applied to either bad news delivery and/or euthanasia. The most prominent end-of-life communication strategies utilized by veterinarians include references to the pet's overall quality of life and acknowledgment of whether the pet is suffering. Four supportive strategies were identified: provision of tangible support, informational support, emotional support, and the use of immediacy behaviors to communicate empathy and comfort. Tangible support in the form of sympathy cards and sentimental gifts was the most prominent supportive strategy utilized by veterinarians. This study contributes to the field of veterinary medicine by increasing understanding of end-of-life communication during veterinary-client-patient interactions and by providing strategies currently utilized for practical application within the Doctor of Veterinary Medicine (DVM) curriculum.
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