Lonely patients in general practice: a call for revealing GPs' emotions? A qualitative study

Abstract

When confronted with lonely patients, a helpful distinction could be made between transitory and chronic loneliness. Chronically lonely patients are more likely to evoke negative feelings and behaviour in their GPs. GPs should try to recognize these emotions and make sure they do not harmfully influence consultation.

The hidden stressor of child welfare workers: client confidentiality as a barrier for coping with emotional work demands

“…; van der Zwet et al . ; Wilkes & Beale ) with simultaneously increased awareness of the need for confidentiality (Løvseth & Leiulfsrud ). High proximity to clients will most likely be associated with different coping strategies for these employees in contrast to those who receive clients for a shorter period of time or work with indirect information about cases through written documents.…”

“…Some relationships with clients can be perceived as more personalized for employees that are assigned regular clients face-to-face. Direct exposure to daily stories of events where children are involved will increase the risk of emotional distress (Karlsson 2005;Lipsky 1980;Öhman & Söderberg 2004;Shanafelt et al 2003;van der Zwet et al 2009;Wilkes & Beale 2001) with simultaneously increased awareness of the need for confidentiality (Løvseth & Leiulfsrud 2011). High proximity to clients will most likely be associated with different coping strategies for these employees in contrast to those who receive clients for a shorter period of time or work with indirect information about cases through written documents.…”

Development of the cancer-related loneliness assessment tool: Using the findings of a qualitative analysis to generate questionnaire items

“…Individuals can be reluctant to report psychosocial problems, including loneliness, because they think clinicians are too busy, they are embarrassed by the associated stigma, they do not wish to be viewed as difficult or demanding and/or they believe that others cannot help (Lynch, Goodhart, Saunders, & O'Connor, 2011;Ryan et al, 2005;van der Zwet, Loon, & van den Akker, 2009). …”

“…Clinicians may not know what questions to ask due to its diversity (De Jong Gierveld et al, 2006). They may also lack time to ask questions (Bottomley, 1995) or may prefer not to do so due to a lack of confidence in managing the problem (van der Zwet et al, 2009). …”

“…Clinicians may not know what questions to ask due to its diversity (De Jong Gierveld et al, 2006). They may also lack time to ask questions (Bottomley, 1995) or may prefer not to do so due to a lack of confidence in managing the problem (van der Zwet et al, 2009). Systematic assessment involving individual self-report is advocated as beneficial for the identification of psychosocial issues, including loneliness (Fann, Ell, & Sharpe, 2012).…”