Analysing how negative emotions emerge and are addressed in veterinary consultations, using the Verona Coding Definitions of Emotional Sequences (VR-CoDES). Issue 4 (April 2017)

• Record Type: Journal Article
• Authors: Vijfhuizen, Malou; Bok, Harold; Matthew, Susan M.; Del Piccolo, Lidia; McArthur, Michelle
• Is Part Of: Patient education and counseling. Volume 100:Issue 4(2017)
• Page Start: 682
• Page End: 689
• Publication Date: 2017-04
• Subjects: Cues -- Concerns -- Veterinary communication -- Triadic consultations -- VR-CoDES -- Emotions; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2016.11.001
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: The VR-CoDES were applied to veterinary consultations which are triadic in nature. Themes including guilt, reassurance and cost prompted modification to the VR-CoDES. Notations were added to identify patients' perspectives as presumed by the client. The multi-directional expression of codes within the triadic interaction was noted. (Underlying) emotion is mostly responded to by the veterinarian by ignoring. Abstract: Objective: To explore the applicability, need for modifications and reliability of the VR-CoDES in a veterinary setting while also gaining a deeper understanding of clients' expressions of negative emotion and how they are addressed by veterinarians. Methods: The Verona Coding Definitions of Emotional Sequences for client cues and concerns (VR-CoDES-CC) and health provider responses (VR-CoDES-P) were used to analyse 20 audiotaped veterinary consultations. Inter-rater reliability was established. The applicability of definitions of the VR-CoDES was identified, together with the need for specific modifications to suit veterinary consultations. Results: The VR-CoDES-CC and VR-CoDES-P generally applied to veterinary consultations. Cue and concern reliability was found satisfactory for most types of cues, but not for concerns. Response reliability was satisfactory for explicitness, and for providing and reducing space for further disclosure. Modifications to the original coding system were necessary to accurately reflect the veterinary context and included minor additions to the VR-CoDES-CC. Conclusion: Using minor additions to the VR-CoDES including guilt, reassurance and cost discussions it can be reliably adopted to assess clients' implicit expressions of negative emotion and veterinarians' responses. Practice implications: The modified VR-CoDES could be of great value when combined with existing frameworks used for teaching and researching veterinary communication.