caa a22 4500 605544832 CHVBK 20210128100933.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10897-014-9815-3 doi (NATIONALLICENCE)springer-10.1007/s10897-014-9815-3 Clearing the Air: A Qualitative Investigation of Genetic Counselors' Experiences of Counselor-Focused Patient Anger [Elektronische Daten] [Lynn Schema, Michaela McLaughlin, Patricia Veach, Bonnie LeRoy] Patient anger is challenging for healthcare professionals to manage, particularly when it is directed at them. This study comprises the first in-depth investigation of genetic counselors' experiences with patient anger. Using a brief survey and interview methods, this study explored prevalence and context of patient anger directed at the genetic counselor, how genetic counselors manage patient anger directed at them, and possible thematic differences due to genetic counseling experience. Individuals enrolled in the National Society of Genetic Counselors (NSGC) listserv were invited to participate in a study of their experiences with patient anger directed at them. A majority of survey respondents (95.7%, 243/254) reported experiencing patient anger directed at them, and 19.4% reported having feared for their safety because of patient anger. Twenty-two survey respondents were purposively selected to participate in individual interviews. Inductive and cross case analysis yielded prevalent themes concerning patient triggers for anger, including bad news, logistical mishaps, and perceived counselor characteristics. Interview results further suggest unaddressed patient anger negatively affected patient and counselor emotional well-being and hindered genetic counseling goals. Prevalent challenges included genetic counselor attempts to accurately recognize, understand, and effectively manage patient anger without taking it personally. Commonly recommended strategies for addressing anger were empathy (i.e., understanding origins of patient anger), anticipating and acknowledging anger, maintaining personal, professional and legal protection, and debriefing with colleagues. Themes were quite similar across counselor experience levels. The findings underscore the importance of training and continuing education regarding patient anger. Additional findings, practice implications, and research recommendations are presented. National Society of Genetic Counselors, Inc., 2015 Patient anger nationallicence Genetic counseling nationallicence Anger triggers nationallicence Strategies nationallicence Genetic counselor experience nationallicence Patient emotions nationallicence Schema Lynn University of Minnesota-Fairview, Minneapolis, Minnesota, USA aut McLaughlin Michaela Department of Educational Psychology, University of Minnesota, 250 Education Sciences Building 56 E. River Road, 55455, Minneapolis, MN, USA aut Veach Patricia Department of Educational Psychology, University of Minnesota, 250 Education Sciences Building 56 E. River Road, 55455, Minneapolis, MN, USA aut LeRoy Bonnie Department of Genetics, Cell Biology, and Development, University of Minnesota, Minneapolis, MN, USA aut Journal of Genetic Counseling Springer US; http://www.springer-ny.com 24/5(2015-10-01), 717-731 1059-7700 24:5<717 2015 24 10897 https://doi.org/10.1007/s10897-014-9815-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10897-014-9815-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Schema Lynn University of Minnesota-Fairview, Minneapolis, Minnesota, USA aut NATIONALLICENCE 700 1- McLaughlin Michaela Department of Educational Psychology, University of Minnesota, 250 Education Sciences Building 56 E. River Road, 55455, Minneapolis, MN, USA aut NATIONALLICENCE 700 1- Veach Patricia Department of Educational Psychology, University of Minnesota, 250 Education Sciences Building 56 E. River Road, 55455, Minneapolis, MN, USA aut NATIONALLICENCE 700 1- LeRoy Bonnie Department of Genetics, Cell Biology, and Development, University of Minnesota, Minneapolis, MN, USA aut NATIONALLICENCE 773 0- Journal of Genetic Counseling Springer US; http://www.springer-ny.com 24/5(2015-10-01), 717-731 1059-7700 24:5<717 2015 24 10897