1
|
Cordova MJ, Gimmler C, Dibbern A, Duesterdieck-Zellmer KF. Career-Long Skills for Personal and Professional Wellness: A Staged Developmental Model of Veterinarian Resilience Training. JOURNAL OF VETERINARY MEDICAL EDUCATION 2025:e20240116. [PMID: 40238179 DOI: 10.3138/jvme-2024-0116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/18/2025]
Abstract
Burnout and mental health concerns are widespread in veterinarians. Exposure to the suffering of animal patients and human clients and to the complex dynamics of providing care in a challenging system is inherently demanding. We must teach veterinarians skills for personal and professional wellness without pathologizing their distress. Existing approaches to resilience training are promising but limited in scope, depth, duration, sequencing, and implementation. We forward a staged, developmental, career-long model, introduced early in veterinary medical training, extending into post-graduate veterinary medical education, and integrated throughout professional training and continuing education. This framework proposes intrapersonal, interpersonal, and systems and sustainability skills that provide resources for veterinarians to cope with the common emotional, social, and physical impacts of care provision.
Collapse
Affiliation(s)
- Matthew J Cordova
- Stanford University Department of Psychiatry and Behavioral Sciences
| | - Christophe Gimmler
- Stanford University and now practice and teach medicine at the VA Palo Alto and Stanford School of Medicine
| | - Andrew Dibbern
- Oregon State University and Washington State University and JD and Master of Legal Studies from San Luis Obispo College of Law
| | | |
Collapse
|
2
|
Siebel A, Müller H, Augustin M, Zwingmann C. Disenfranchised Grief: Which Grieving Rules Do German Mid-adolescents Hold? OMEGA-JOURNAL OF DEATH AND DYING 2024:302228241266869. [PMID: 39045765 DOI: 10.1177/00302228241266869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2024]
Abstract
Every society adheres to grieving rules that govern how people experience loss and grief. These are rarely communicated explicitly, which can lead to insecurities in dealing with one's own grief and the grief of others. This is particularly true for adolescents. Based on Doka's concept of disenfranchised grief, this study explores the grieving rules of mid-adolescents. Cross-sectional data collection took place in November and December 2022 at six secondary schools in Germany. A total of 226 adolescents predominantly aged between 14 and 16 years completed the questionnaire. The analysis of the data shows that in some respects, mid-adolescents have similar grieving rules as adults. However, they are more inclusive when it comes to losses of ex-partners, pets and people with intellectual disabilities. Possible sources of (self-)disenfranchisement are parasocial relationships and the duration of grief. Open communication about grieving rules is suggested to prevent possible disenfranchisement.
Collapse
Affiliation(s)
- Angela Siebel
- Protestant University of Applied Sciences RWL, Bochum, Germany
| | - Heidi Müller
- Department of Internal Medicine, Palliative Care, University Hospital of Giessen and Marburg, Giessen Site, Germany
| | - Marc Augustin
- Protestant University of Applied Sciences RWL, Bochum, Germany
| | | |
Collapse
|
3
|
McDonald SE, Kogan LR, Nageotte NL, Currin-McCulloch J, Dickler-Mann R. Zoo professionals and volunteers in the U.S: experiences and prevalence of burnout, mental health, and animal loss. Front Psychiatry 2024; 15:1373525. [PMID: 38633029 PMCID: PMC11021763 DOI: 10.3389/fpsyt.2024.1373525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Accepted: 03/05/2024] [Indexed: 04/19/2024] Open
Abstract
Introduction Burnout and mental health among animal care and health professionals (ACHPs) has received increasing attention in recent years. Despite rapid growth of research in this area, the wellbeing of individuals who work and/or volunteer in zoo settings has received minimal attention. Method An anonymous online survey was created to evaluate zoo staff and volunteers' experiences of animal-related loss, rates of professional fulfillment and burnout, mental health, perceived organizational support, and resilience. Participants included 1695 zoo professionals (72% ACHPs, 20% other staff) and volunteers (7%) who were recruited through relevant professional listservs and online platforms, and flyers on zoo grounds. Results ACHPs reported higher levels of anxiety, depression, and burnout and lower levels of professional fulfillment than other zoo staff and volunteers. The most common animal-related losses experienced by ACHPs in the past year were unexpected death (80%) and anticipated loss (74%), with more than half of these losses occurring within the past 3 months. ACHPs' reported bond with animals under their care was positively associated with depression and anxiety. Having a formal ritual or process following the death of an animal was positively associated with job fulfillment and perceived organizational support and negatively associated with depression and burnout-yet only 17% of participants in our sample indicated that their zoo had such a process or ritual. Discussion Our findings suggest that many ACHPs are struggling with burnout, anxiety, depression, and low rates of professional fulfilment and perceived organizational support. We recommend that zoos develop organizational plans that foster a culture which normalizes and validates grief/loss experiences and is proactive in responding to animal loss, related trauma, and other occupational stressors. The results of this research demonstrate the need for systemic changes within the zoo industry, for the betterment and welfare of both humans and the animals under their care.
Collapse
Affiliation(s)
- Shelby E. McDonald
- Department of Community Research and Evaluation, Denver Zoological Foundation, Denver, CO, United States
| | - Lori R. Kogan
- Clinical Sciences, Colorado State University, Fort Collins, CO, United States
| | - Nichole L. Nageotte
- Department of Community Research and Evaluation, Denver Zoological Foundation, Denver, CO, United States
| | | | - Rachel Dickler-Mann
- Department of Community Research and Evaluation, Denver Zoological Foundation, Denver, CO, United States
| |
Collapse
|
4
|
Gates MC, Kells NJ, Kongara KK, Littlewood KE. Euthanasia of dogs and cats by veterinarians in New Zealand: protocols, procedures and experiences. N Z Vet J 2023:1-14. [PMID: 36946181 DOI: 10.1080/00480169.2023.2194687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
AIMS To collect data on protocols used by New Zealand veterinarians to perform euthanasia of dogs and cats, and to explore opinions towards the training they received in euthanasia during veterinary school. METHODS A cross-sectional survey was administered to all veterinarians registered with the Veterinary Council of New Zealand. The survey asked respondents about their practices' policies for euthanasia; protocols for performing euthanasia of dogs and cats; opinions towards euthanasia training received in veterinary school; and subsequent experiences with euthanasia in practice. Descriptive statistics were provided for all quantitative study variables and thematic analysis was performed on the free-text comments. RESULTS The survey was completed by 361/1,448 (24.9%) veterinarians in companion or mixed animal practice. The mean number of dogs and cats euthanised each month were 7.2 (median 5; min 0; max 60) and 7.9 (median 5; min 0; max 60), respectively. Fewer than half of respondents reported that their clinic had a standard protocol for euthanising dogs (147/361; 40.7%) and cats (157/361; 43.5%). For euthanasia of dogs, 119/361 (32.9%) always used sedation while 71/361 (19.7%) indicated that they would not use sedation. For euthanasia of cats, 170/361 (47.1%) always used sedation while 53/361 (14.7%) indicated that they would not use sedation. Placement of IV catheters, methods for patient restraint, preferences towards the presence of owners during euthanasia, services provided with euthanasia, and discussions with owners were also highly variable and handled case-by-case depending on the client, patient, and clinical scenario. When asked about the euthanasia training received at veterinary school, it was generally ranked as below satisfactory, with approximately one third of respondents indicating that they received no training in dealing with emotional clients (113/361; 31.3%), sedation protocols for euthanasia (107/361; 29.6%), or managing compassion fatigue (132/361; 36.6%). Most respondents (268/361; 74.2%) received no formal training in euthanasia after graduation and learned from experience or discussions with colleagues. Providing animals and owners with a good experience during the euthanasia process was highlighted as important for managing compassion fatigue. CONCLUSIONS Euthanasia is a common procedure in companion animal practice and there is considerable variation in how veterinarians approach both the technical and non-technical elements. Training provided during veterinary school was generally considered below satisfactory, particularly regarding managing compassion fatigue and clients' emotional needs. CLINICAL RELEVANCE Providing veterinarians with additional training on adapting their euthanasia protocols to different clinical scenarios may improve the experience for patients, owners and veterinary staff.
Collapse
Affiliation(s)
- M C Gates
- Tāwharau Ora - School of Veterinary Science, Massey University, Palmerston North, New Zealand
| | - N J Kells
- Tāwharau Ora - School of Veterinary Science, Massey University, Palmerston North, New Zealand
| | - K K Kongara
- Tāwharau Ora - School of Veterinary Science, Massey University, Palmerston North, New Zealand
| | - K E Littlewood
- Tāwharau Ora - School of Veterinary Science, Massey University, Palmerston North, New Zealand
| |
Collapse
|
5
|
The Impact of Lethal, Enforcement-Centred Cat Management on Human Wellbeing: Exploring Lived Experiences of Cat Carers Affected by Cat Culling at the Port of Newcastle. Animals (Basel) 2023; 13:ani13020271. [PMID: 36670811 PMCID: PMC9854822 DOI: 10.3390/ani13020271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 12/19/2022] [Accepted: 01/05/2023] [Indexed: 01/15/2023] Open
Abstract
In urban and peri-urban areas of the world, free-roaming cats often pose management challenges for authorities. Most are wandering owned or semi-owned cats (fed by people who do not perceive ownership). Some are lost or abandoned, or unowned cats who obtain food from humans unintentionally. Unidentified cats are classified as "stray" in shelter data, and by government agencies as "stray" or "feral" based on their behaviour. However, legally feral cats are usually considered to live and reproduce in the wild with no support from humans. Cats classified as feral in Australia can be managed using lethal methods, including shooting, poisoning, trapping, and blunt trauma. The impact of killing animals on shelter staff is well documented. However, no previous research has investigated psychological impacts of lethal cat management on citizens who care for free-roaming cats. Using semi-structured interviews, this study explored the lived experience of six cat caregivers affected by lethal management of cats by shooting, instigated by the Port of Newcastle in 2020. Results demonstrated strong relationships between the caregivers and cats, and negative impacts on caregiver psychological health and quality of life associated with lethal management. It is recommended that a care-centred approach to cat management be prioritized in future, whereby authorities aid neutering and, if possible, adoption, to improve cat welfare, minimize cat nuisance complaints, and reduce psychological hazards to caregivers. Further, a revision of relevant legislation used to distinguish between domestic and feral cats in Australia should be actioned to prevent unnecessary killing of domestic cats.
Collapse
|
6
|
Mc Veigh MJ. "Giving voice to the voiceless": An exploration of the grieving ritual for a therapy dog. DEATH STUDIES 2022; 47:339-347. [PMID: 35459433 DOI: 10.1080/07481187.2022.2067263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The use of animal-assisted therapy with children who have experienced trauma is receiving increasing attention in the literature. However, there is a lack of attention given to the death of therapy animals. The scholarship on the death of animal companions highlights a varying depth of acknowledgment of children's grief. This article draws on the clinical experience of one therapy center's approach to the death of a therapy dog. Knowledge gained from this experience highlighted the necessity of acknowledging the death, the need for clear communication with children and young people, and the importance of involving children in a memorial ritual.
Collapse
|
7
|
Fontana F, Figueiredo P, Martins JP, Santos HA. Requirements for Animal Experiments: Problems and Challenges. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2021; 17:e2004182. [PMID: 33025748 DOI: 10.1002/smll.202004182] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Indexed: 05/27/2023]
Abstract
In vivo models remain a principle screening tool in the drug discovery pipeline. Here, the challenges associated with the need for animal experiments, as well as their impact on research, individual/societal, and economic contexts are discussed. A number of alternatives that, with further development, optimization, and investment, may replace animal experiments are also revised.
Collapse
Affiliation(s)
- Flavia Fontana
- Drug Research Program, Division of Pharmaceutical Chemistry and Technology, Faculty of Pharmacy, University of Helsinki, Helsinki, FI-00014, Finland
| | - Patrícia Figueiredo
- Drug Research Program, Division of Pharmaceutical Chemistry and Technology, Faculty of Pharmacy, University of Helsinki, Helsinki, FI-00014, Finland
| | - João P Martins
- Drug Research Program, Division of Pharmaceutical Chemistry and Technology, Faculty of Pharmacy, University of Helsinki, Helsinki, FI-00014, Finland
| | - Hélder A Santos
- Drug Research Program, Division of Pharmaceutical Chemistry and Technology, Faculty of Pharmacy, University of Helsinki, Helsinki, FI-00014, Finland
- Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, FI-00014, Finland
| |
Collapse
|
8
|
Deacon RE, Brough P. Companion animal death and client bereavement: A qualitative investigation of veterinary nurses' caregiving experiences. DEATH STUDIES 2019; 45:805-816. [PMID: 31778100 DOI: 10.1080/07481187.2019.1696424] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Veterinary paraprofessionals are routinely confronted with companion animal death and client bereavement throughout their day-to-day work. However, research exploring the nature and psychological impact of these end-of-life encounters among veterinary paraprofessionals is scarce. To address this knowledge gap, we conducted an exploratory qualitative investigation involving semi-structured interviews with 26 veterinary nurses. Thematic analysis identified three major themes within the data: (1) Contextual nuances; (2) Relational dynamics; and (3) Cumulative impact. Findings revealed a number of previously unexplored situational and relational complexities influencing veterinary nurses' appraisals of these responsibilities, and their associated psychological outcomes.
Collapse
Affiliation(s)
- Rebecca E Deacon
- School of Applied Psychology, Griffith University, Brisbane, Australia
| | - Paula Brough
- School of Applied Psychology, Griffith University, Brisbane, Australia
| |
Collapse
|