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2,2,"Once completed, the analysis team collaboratively sorted the codes into major themes (53)","[-0.006961649749428034, -0.0003688917786348611, -0.004434926435351372, -0.013620619662106037, -0.01222565770149231, 0.01049511507153511, -0.019634747877717018, -0.008475052192807198, -0.032715804874897, -0.012363837100565434, -0.00025620911037549376, 0.0021385031286627054, 0.0032751995604485273, -0.015107701532542706, 0.002793214051052928, 0.009725254029035568, 0.017094863578677177, -0.014212819747626781, 0.006060188636183739, -0.026333197951316833, -0.02258259244263172, 0.00176508747972548, -0.027688678354024887, -0.019753187894821167, -0.01768706552684307, 0.011304455809295177, 0.006843209732323885, -0.024661874398589134, -0.017331743612885475, 0.007066930178552866, 0.013390318490564823, -0.021345550194382668, -0.0037440252490341663, -0.018384546041488647, -0.022227272391319275, 0.01289023831486702, 0.00662606954574585, -0.005905558355152607, -0.006566849071532488, -0.016002582386136055, 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7,7,Numerous techniques were used to help establish rigour (57),"[-0.005653257016092539, 0.021173782646656036, 0.002312843455001712, -0.01723206229507923, 0.014548061415553093, 0.014988911338150501, 0.00513785146176815, 0.0015656669856980443, -0.04040263593196869, -0.03521616384387016, -0.016687482595443726, 0.011909442022442818, 0.015468659810721874, 0.014612891711294651, -0.016052138060331345, 0.0035397689789533615, 0.040739756077528, 0.012382707558572292, 0.014820351265370846, -0.000584693974815309, -0.019527075812220573, 0.003136196406558156, -0.018165627494454384, -0.014210940338671207, -0.01723206229507923, 0.015157471410930157, 0.012927288189530373, -0.024908043444156647, 0.0008541475399397314, 0.005462006200104952, 0.011397277936339378, -0.003948203753679991, 0.011099055409431458, -0.024091174826025963, -0.032752588391304016, -0.002147524617612362, -0.010061760433018208, 0.013951616361737251, 0.012214147485792637, 0.01795816794037819, 0.0218739565461874, 0.015740949660539627, 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9,9,Credibility was established by having peer debriefings and regularly scheduled meetings throughout the analysis stage (57–59),"[-0.009553098119795322, -0.001590814208611846, 0.011655568145215511, -0.016780339181423187, -0.0055682603269815445, -0.001101332949474454, -0.008909216150641441, 0.013823740184307098, -0.0014183459570631385, -0.02998647838830948, -0.0005313664441928267, 0.015111503191292286, 0.0012639458291232586, 0.0032834666781127453, -0.036320168524980545, -0.015545137226581573, 0.027121862396597862, 0.0006541474140249193, -0.0036201905459165573, -0.028146816417574883, -0.02002602629363537, -0.014835553243756294, -0.03135308250784874, -0.003561058547347784, -0.019592391327023506, 0.008055088110268116, 0.023652786388993263, -0.03721371665596962, 0.001589992898516357, 0.011018256656825542, 0.0021205381490290165, -0.012141764163970947, 0.008902646601200104, -0.01772644929587841, 0.004822540562599897, -0.0028104109223932028, -0.007076125591993332, -0.01092627365142107, 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13,13,"Verbatim quotes are provided for context and to support findings (62).

⦁	Ethical Considerations 
The study protocol was approved by the University of Guelph Ethics Board (REB 16MY029)","[-0.016822023317217827, -0.0193957407027483, -0.010971462354063988, -0.055878836661577225, 0.0015057568671181798, 0.030407002195715904, -0.013498745858669281, -0.004712952766567469, -0.03194592520594597, -0.027329156175255775, -0.003598559880629182, 0.0219561904668808, 0.016569958999753, -0.020483599975705147, -0.02426457591354847, -0.00679912231862545, 0.017962949350476265, -0.007356318645179272, -0.0010588389122858644, 0.0023680846206843853, -0.01416870765388012, 0.017750684171915054, -0.017193488776683807, -0.008357945829629898, -0.008802375756204128, 0.0059699611738324165, 0.015402499586343765, -0.018281348049640656, -0.00018542118777986616, -0.0015820397529751062, -0.006971587892621756, -0.0171006228774786, -0.02913341112434864, -0.005548747256398201, -0.00452390406280756, -0.011462325230240822, -0.016928156837821007, 0.0025405501946806908, 0.020934663712978363, 0.012822150252759457, 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16,16,"Potentially identifying data, such as names, dates, and places were removed from the data set after transcription to help uphold participant confidentiality.
1	RESULTS
A summary of participants’ demographic data is presented in Table 1","[-0.034241337329149246, -0.009186537936329842, 0.03421469032764435, -0.042315367609262466, -0.02038492076098919, 0.05284091457724571, -0.016414524987339973, -0.0022100319620221853, -0.01729387417435646, -0.04007702320814133, 0.008327174000442028, 0.025287961587309837, -0.005166178569197655, 0.008766848593950272, 0.005902300588786602, 0.00391044095158577, 0.019319042563438416, -0.025874193757772446, 0.005409331992268562, -0.02359587885439396, -0.008380468003451824, 0.005512589123100042, -0.00898668635636568, 0.02163732796907425, -0.021983738988637924, -0.006578467320650816, 0.016414524987339973, -0.03781203180551529, -0.0011499826796352863, -0.005639161914587021, 0.009173214435577393, -0.016134731471538544, -0.00677165761590004, -0.029098475351929665, -0.03133682161569595, -0.005988903343677521, -0.02246338501572609, -0.015268705785274506, 0.018093284219503403, 0.0006391105707734823, 0.0044567035511136055, 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19,19,"As noted in Table 1, a small number of participants were no longer in clinical practice; however, these participants often answered questions from their time in clinical practice","[0.0008294432773254812, -0.010284602642059326, 0.03362273797392845, -0.03607521951198578, -0.03383370488882065, 0.018947402015328407, -0.006576212123036385, -0.007344260811805725, -0.02452482096850872, -0.03175041452050209, 0.014873117208480835, 0.018710065633058548, 0.006655324716120958, 0.0023305173963308334, -0.005099448841065168, -0.005883979145437479, 0.032436054199934006, -0.004341288935393095, 0.002810135716572404, -0.005827941466122866, -0.012203076854348183, 0.00614768685773015, -0.029429785907268524, 0.002343702595680952, -0.008834210224449635, 0.015980690717697144, 0.0034051265101879835, -0.030959291383624077, 0.0004985724808648229, 0.0037611317820847034, 0.0017767309909686446, -0.005785088986158371, -0.036919087171554565, -0.017022335901856422, -0.02586973085999489, -0.03238331153988838, 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22,22,"Each theme is described below.
⦁	Theme 1: Perceived Negative Impacts on Interactions with Co-Workers 
Participants perceived their high stress and/or poor mental health to negatively affect interpersonal relationships with co-workers","[-0.016042573377490044, -0.00819153431802988, 0.0301993265748024, -0.03208514675498009, -0.026087189093232155, 0.026231244206428528, -0.03651158884167671, -0.0017564981244504452, 0.0002449357125442475, -0.026872947812080383, -0.031142236664891243, 0.013220390304923058, 0.008610605262219906, 0.007975450716912746, 0.006331905722618103, -0.0030300819780677557, 0.032818522304296494, -0.023454897105693817, 0.004085945431143045, -0.013567433692514896, -0.025615733116865158, 0.010136286728084087, -0.02201434038579464, -0.00204788357950747, -0.019892791286110878, 0.002078986493870616, 0.01120360940694809, -0.036485396325588226, -0.0037978338077664375, 0.0017090251203626394, 0.016317589208483696, -0.005235117394477129, -0.02346799336373806, -0.008315945975482464, -0.00672478461638093, -0.01571517437696457, 0.0019496637396514416, 0.0033214674331247807, 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25,25,"Several participants recognized that other veterinary staff, such as veterinary technicians or animal care assistants, ‘bear the brunt’ of this irritability.
“Okay, yeah, so when you're anxious, or tired, or exhausted, you're probably not, you’re probably snappier at people, you have less patience for people, and so as a result, yeah, you could probably not be the nicest to your co-worker, like every day is fine, but then—like when you're with people for this long, you sort of become family and you take people for granted.” (DVM 8)","[-0.005065840668976307, -0.00458886194974184, 0.02881607972085476, -0.03844775632023811, -0.00942772626876831, 0.022171275690197945, -0.0025214070919901133, -0.015289627946913242, -0.013789612799882889, -0.02568446844816208, -0.010236945003271103, -0.00024095637490972877, -0.00015440121933352202, -1.8452077711117454e-05, -0.0035000352654606104, -0.01251986250281334, 0.0426056906580925, 0.0042171478271484375, 0.009835625067353249, -0.02030283585190773, -0.03010556660592556, 0.022618649527430534, -0.015421207994222641, 0.01194748841226101, 0.012105384841561317, 0.008368505164980888, -0.0060658506117761135, 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27,27,"For example, one participant said they got ‘annoyed by everything’, yet ‘I often don’t even want to like, point out things that technicians are doing that I'm getting annoyed by because I feel like it’s not worth the trouble’","[-0.017893904820084572, -0.0046257502399384975, 0.0425555482506752, -0.008865739218890667, -0.006720365956425667, 0.01099080964922905, -0.010753938928246498, -0.025961050763726234, -0.03787227347493172, -0.033297281712293625, 0.005221311468631029, 0.005911620799452066, 0.025893373414874077, -0.010131306946277618, 0.006788043305277824, 0.005583385471254587, 0.04742832109332085, 0.012696280144155025, 0.003827156964689493, -0.024282651022076607, -0.022834355011582375, 0.018002187833189964, -0.020046046003699303, -0.009535745717585087, -0.016838137060403824, 0.009799687191843987, 0.011444248259067535, -0.03662700951099396, 0.009989184327423573, 0.0062838466838002205, 0.02305092290043831, -0.023551736027002335, -0.005282220896333456, -0.01076747477054596, 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28,28,"Social withdrawal was described by one participant as being ‘in my office by myself’:
“…I don’t always participate in, say, lunchtime discussions, or anything like that, when I'm in my depressed mode, I don’t visit with the [staff] as often.” (DVM 14) 
In several instances, participants readily described the negative impact of high stress and poor mental health on co-worker interactions to extend broadly to negatively impact ‘the energy of the clinic’ at-large","[-0.02712886966764927, -0.014891961589455605, 0.0475543849170208, -0.031571485102176666, -0.0291004441678524, 0.024197794497013092, -0.013064969331026077, -0.006874224171042442, -0.01303210947662592, -0.0331750325858593, -0.012677226215600967, 0.020070631057024002, 0.018887687474489212, 0.000934855081140995, -0.019216282293200493, -0.005523695610463619, 0.04000982642173767, -0.028837567195296288, 0.0022492383141070604, -0.034095101058483124, -0.015299420803785324, 0.01550972182303667, 0.00026431423611938953, -0.010035315528512001, -0.008122888393700123, 0.013958749361336231, 0.007952018640935421, -0.042717453092336655, 0.002927788533270359, -0.011454849503934383, 0.019518591463565826, -0.007551131770014763, -0.007932302542030811, -0.019926048815250397, -0.01348557136952877, 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31,31,"“In terms of how I can see it, is that you know, the [staff members] are you know just dragging through their procedures as well, you know they’re not bubbly and enthusiastic and talking about other uh, things, you know normally, the chatter…So when that’s not happening, you know when it’s relatively silent, everybody is feeling the weight of this, uh, burden of emotion.” (DVM 2) 
“But you can definitely tell when um, like, when somebody is having an off day, or they're not engaged, you know they're not working towards the same goal as you are, I guess","[-0.023823313415050507, -0.015777118504047394, 0.022822678089141846, -0.039943113923072815, -0.0040813530795276165, 0.018162190914154053, -0.011315388604998589, -0.01555780228227377, -0.03350067511200905, -0.03933999314904213, 0.0006335349171422422, 0.018422631546854973, -0.003399414010345936, -0.0002934221993200481, 0.00036431470653042197, -0.0010203382698819041, 0.025632677599787712, -0.0067577059380710125, 0.010218802839517593, -0.03426828607916832, -0.021369703114032745, -0.0028271335177123547, -0.018641948699951172, 0.014063704758882523, -0.009341535158455372, -0.0019344447646290064, 0.00736082810908556, -0.017271216958761215, -0.01760019175708294, -0.0076555353589355946, 0.0021229202393442392, 0.004386340733617544, -0.008121583610773087, -0.010431266389787197, -0.011808851733803749, -0.048359405249357224, 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32,32,"Then it’s frustrating, you feel like you're lagging, and you should be doing 14 things, when you can only manage 10.” (DVM 6) 
Inversely, an atmosphere filled with ‘positivity’ was described as a motivator and could help the staff to ‘handle things [at the practice]’","[-0.020198624581098557, 3.359305264893919e-05, 0.01969194784760475, -0.030866237357258797, 0.002480322727933526, 0.030345866456627846, -0.036864202469587326, -0.009647411294281483, -0.02248552069067955, -0.031194893643260002, -0.015994571149349213, 0.019705642014741898, 0.0027969959191977978, 0.014652561396360397, 0.011947999708354473, -0.02070530131459236, 0.030044598504900932, -0.025813158601522446, -0.02625136449933052, -0.015939796343445778, -0.025511890649795532, 0.0076754773035645485, -0.007401597686111927, -0.00766178360208869, -0.019513925537467003, -0.006052740383893251, 0.02112981490790844, -0.02562144212424755, 0.019637171179056168, -0.015446812845766544, 0.024690251797437668, -0.021362613886594772, -0.02185559645295143, -0.006607346702367067, -0.008305400609970093, -0.027278413996100426, 0.0003226644766982645, -0.006182833109050989, 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33,33,"A range of workplace energies and outcomes were described further: 
“…it’s camaraderie in the clinic, or being able to bond with a team, and have the fun in the day without losing the efficiency at work…But it’s at such a pace that you're productive, it’s healthy, it’s a positive environment, and I think that’s when people do their best, is because they are open to ideas, they can think laterally, they have the energy to do the extra mile if you need.” (DVM 15)
Indeed, feelings of well-being were said to ‘help me just interact with the staff better and foster a ‘supportive’ workplace atmosphere’","[-0.016531724482774734, -0.0059410883113741875, 0.023952214047312737, -0.035612981766462326, -0.02949409931898117, 0.012278025969862938, 0.00027319445507600904, -0.02368384227156639, -0.024032725021243095, -0.02663593553006649, -0.022395655512809753, 0.00811154767870903, -0.0006273199105635285, -0.006826716475188732, -0.008634873665869236, -0.010634246282279491, 0.036874331533908844, -0.03998744860291481, -0.019389888271689415, -0.0106812110170722, -0.0300845168530941, 0.0061993966810405254, -0.005800193175673485, 0.0009887836640700698, -0.018262723460793495, 0.015833957120776176, 0.014277397654950619, -0.028823168948292732, -0.008916664868593216, -0.0032590441405773163, 0.039074983447790146, 0.010949583724141121, -0.02028893493115902, -0.0076150596141815186, -0.012888572178781033, -0.024609725922346115, -0.003302654717117548, 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35,35,"The veterinarian attested:
“I think that my wellness has been, I hope anyway, a real positive influence on all my employees and many of my clients","[-0.022092992439866066, -0.0020184842869639397, 0.021794438362121582, -0.03348996490240097, -0.0076715387403965, 0.029569823294878006, 0.0014692425029352307, -0.022028090432286263, -0.027856383472681046, 0.002089877612888813, 0.0015868792543187737, 0.0026740049943327904, -0.007976583205163479, -0.011435914784669876, -0.007217217702418566, -0.003543705679476261, 0.05096186324954033, -0.021041564643383026, -0.006376723293215036, -0.008878734894096851, -0.01664113812148571, 0.01625172048807144, 0.011358031071722507, 0.006853760685771704, -0.006970585789531469, 0.005708221811801195, 0.007158804684877396, -0.031257301568984985, 0.007308081723749638, -0.00745735876262188, 0.008223214186728, -0.008761909790337086, -0.017861315980553627, -0.01603104919195175, -0.011117889545857906, -0.017342090606689453, -0.005081907846033573, 0.005143565591424704, 0.0017069497844204307, 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36,36,"I think my overall attitude towards life and so forth is one that has helped—well I know it’s helped other vets because they’ve told me so, in dealing with some of the stresses and challenges of work.” (DVM 11) 
⦁	Theme 2: Perceived Negative Impacts on Interactions with Clients 
Participants readily described their high stress and/or poor mental health impacting ‘how I talk with clients’ and as contributors to a reduction in effort invested in client interactions","[-0.02482869103550911, -0.008293700404465199, 0.028169754892587662, -0.04224152863025665, -0.006983479019254446, 0.03472086042165756, -0.015093747526407242, -0.018893389031291008, -0.01732112467288971, -0.023282630369067192, -0.023125404492020607, 0.017504554241895676, 0.003540872596204281, 0.005417764652520418, -0.0046087028458714485, -0.009394286200404167, 0.041665032505989075, -0.017216306179761887, -0.0047397250309586525, -0.017465248703956604, -0.031550124287605286, 0.01096655149012804, 0.004887124989181757, -0.008732624351978302, -0.004965738393366337, -0.00033308277488686144, 0.00912568997591734, -0.03390852361917496, -0.007835122756659985, -0.018185870721936226, 0.011084470897912979, -0.005784626584500074, -0.04339452460408211, -0.023335039615631104, -0.0007468260591849685, 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37,37,"For example, one participant recalled: ‘I like die a little inside, and I don’t want to answer [clients] questions’ and another reported ‘[not] feel[ing] like necessarily giving all the advice’","[-0.02137715369462967, 0.0025166315026581287, 0.040239349007606506, -0.010722020640969276, -0.032480429857969284, 0.024547606706619263, -0.006534880958497524, -0.020868809893727303, -0.02005278691649437, -0.029671167954802513, 0.01720339059829712, 0.03585154563188553, 0.007277328986674547, -0.015598097816109657, -0.0007650225306861103, 0.013076449744403362, 0.04224596545100212, -0.0031102553475648165, 0.02442721091210842, -0.018701665103435516, 0.02062801644206047, 0.016093064099550247, -0.005558327306061983, 0.01321022491902113, -0.013517905957996845, -0.009364210069179535, 0.007136865518987179, -0.017885640263557434, 0.008273947983980179, -0.0014238615985959768, 0.007912756875157356, -0.010601622983813286, -0.0034179366193711758, -0.0008519758703187108, -0.020775169134140015, 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40,40,"Participants noted:
“Whereas, by the end of the day, I have the mentality of ‘do whatever you want it’s not my problem’, and like, I just need to get through the rest of the day, I don’t want to have this discussion, and I feel like … you know whether or not that conversation is going to make a difference anyways, I’m not necessarily giving the best advice I should be, because mentally I’m just done with dealing with that.” (DVM 17)

“There’s nothing left…Oh, it was not good, I’m not good at [interacting with clients]","[-0.03552362695336342, 0.0022701388224959373, 0.02419186569750309, -0.018546637147665024, -0.01394784264266491, 0.009411007165908813, -0.004457664676010609, -0.023159202188253403, -0.021947544068098068, -0.02510060928761959, 0.016522618010640144, 0.014512365683913231, 0.015269652009010315, 0.0028174505569040775, 0.0031737193930894136, -0.016577692702412605, 0.03312784805893898, -0.026422418653964996, 0.007049649953842163, -0.030346540734171867, 6.513310654554516e-05, 0.0001607082667760551, 0.003989523742347956, 0.013514123857021332, 0.0005610805237665772, -0.0011247427901253104, 0.016013169661164284, -0.023544728755950928, -0.015145732089877129, -0.025375986471772194, 0.013259400613605976, -0.002457739319652319, -0.0005554869421757758, -0.03219156712293625, 0.006767388433218002, -0.018835783004760742, 0.006684775464236736, -0.0018295355839654803, 0.022787442430853844, -0.02208523266017437, 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41,41,"Because I didn’t have the strength to have compassion, if compassion was needed.” (DVM 15) 
The implications of the ineffective communication with clients were described as altering ‘client’s perspective and trust in me’ and even loss of clients: 
“Yeah, so if you're obviously coming to work stressed you're probably not as interactive with your clients, so you may leave, you may not explain fully to a client what is going on with their animal, and then they leave confused and they may never come back to see you again because they’ve just wasted money and they still don’t know what is wrong with their animal.” (DVM 8)","[-0.0226779542863369, -0.01127293799072504, 0.019468436017632484, -0.04633329436182976, -0.0017368380213156343, 0.017434420064091682, -0.008287953212857246, -0.028449803590774536, -0.005395424552261829, -0.03468393161892891, 0.0009782096603885293, 0.03814439848065376, 0.0040647294372320175, 0.004434550646692514, -0.01826651766896248, 0.009146466851234436, 0.03938594087958336, -0.007805865257978439, -0.001984486123546958, -0.02794790454208851, -0.0011532142525538802, -0.005517597775906324, -0.004342094995081425, 0.007686994504183531, -0.0175664983689785, -0.0028809718787670135, 0.02316664718091488, 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42,42,"A few participants described feeling like their clients were cognisant of their veterinarian’s poor mental health through non-verbal communication, like ‘body language’","[-0.031069748103618622, 0.006271944846957922, 0.039462752640247345, -0.01539151556789875, -0.018232624977827072, 0.02487925812602043, 0.004864422604441643, -0.02639104053378105, -0.003939107060432434, -0.036595575511455536, -0.0052977572195231915, 0.037950966507196426, -0.007741372101008892, -0.007115806452929974, 0.0008226836798712611, 0.009904786013066769, 0.04558807983994484, -0.00875791534781456, 0.004431088455021381, -0.008992502465844154, -0.007396007422357798, 0.020187517628073692, -0.00731781218200922, 0.02610432356595993, -0.008999018929898739, -0.004870939068496227, -0.005359661765396595, -0.029088791459798813, -0.004134596325457096, 0.0014971214113757014, -0.013749406673014164, -0.008608040399849415, -0.020265713334083557, -0.01185316126793623, -0.01554790697991848, -0.01328674890100956, 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43,43,"One veterinarian shared: 
“Well yes, because if you know you're talking to someone that’s depressed, they're not as lively in conversation as they might be otherwise","[-0.014156846329569817, 0.0019735440146178007, 0.046864043921232224, -0.023637564852833748, -0.0009771371260285378, 0.019179828464984894, -0.019500991329550743, -0.017291393131017685, -0.017830945551395416, -0.019141290336847305, -0.00924305897206068, 0.02669503353536129, -0.0066737583838403225, -0.006654488388448954, -0.01042493712157011, 0.004477006383240223, 0.04146851226687431, -0.005588228814303875, 0.003510307054966688, -0.05156586319208145, -0.014400930143892765, 0.018254881724715233, -0.008697082288563251, -0.005084003787487745, -0.007592283189296722, 0.004313213285058737, 0.003510307054966688, -0.02905878983438015, -0.00798410177230835, -0.007707901764661074, -0.010502016171813011, -0.01052128616720438, -0.017766714096069336, -0.031114229932427406, -0.010058811865746975, -0.011343462392687798, -0.001790481386706233, 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44,44,"I mean you can…body language, by facial expression, by you know tiredness, by enthusiasm for world events, and uh, even town events come more into play, but if you're depressed and burdened with emotion, then you know you can see that in people.” (DVM 2)
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45,45,"They described forcing ‘a cheery atmosphere with [clients]’ when experiencing high stress and/or poor mental health, such as ‘turn[ing] [my emotions] off long enough to be able to do my job effectively’ or making a conscious effort to ‘try not to let it’ affect their client interactions","[-0.02335953712463379, -0.02048552595078945, 0.0497111938893795, -0.03209967911243439, -0.020603636279702187, 0.01914694719016552, -0.01788710616528988, -0.013110212050378323, -0.013595775701105595, -0.038871318101882935, -0.005173875018954277, 0.013740132562816143, 0.01266401819884777, 0.006085946690291166, -0.002513118786737323, -0.004760489799082279, 0.042545855045318604, -0.019829358905553818, 0.005055765155702829, -0.02742777019739151, -0.02438315749168396, 0.0036089171189814806, -0.019435659050941467, -0.0096522131934762, -0.02673223428428173, -0.008156153373420238, -0.0005737358005717397, -0.02001308649778366, -0.004573482554405928, -0.022139066830277443, 0.0015378908719867468, 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46,46,"In the case of the latter, a veterinarian remarked: 
“But when I go in to see the client, I kind of like, ‘Okay, you know, you're going to go in, you're not going to let this affect your interaction with the client.’ So, the last reserves go to that.” (DVM 16)
Conversely, when participants described feeling well, they said that were more effective communicators, as they could ‘explain things better’ or perceived that the clients ‘were understanding what I’m saying’","[-0.01519033033400774, -0.0010718718403950334, 0.023896822705864906, -0.014414374716579914, -0.008496063761413097, 0.022068722173571587, 0.003243562998250127, -0.033063627779483795, -0.009232564829289913, -0.019070113077759743, 0.0003715383936651051, 0.03619375824928284, 0.008377697318792343, -0.006184634752571583, -0.021831991150975227, 0.0003066013741772622, 0.05373826250433922, -0.031353894621133804, -0.005208113230764866, -0.01763656549155712, 0.007088820915669203, 0.020819302648305893, -0.004185560625046492, 0.003698944114148617, -0.01147494651377201, 0.002969019114971161, 0.012513939291238785, -0.02471223473548889, -0.003721959888935089, -0.01779438741505146, -0.002484046621248126, 0.015795312821865082, -0.029775679111480713, -0.025987960398197174, -0.015098268166184425, 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47,47,"In addition, veterinarians said that they were more ‘engaged with the client’, thus prompting participants to ‘pick up on body language’ or other ‘nonverbal cues’","[-0.041552893817424774, 0.001706451061181724, 0.018930230289697647, -0.01994434930384159, -0.006806301884353161, 0.022232618182897568, 0.005918947048485279, -0.029825514182448387, -0.013677611015737057, -0.029565483331680298, -0.005821435712277889, 0.030267564579844475, -0.0012774005299434066, -0.005987205076962709, 0.003952465485781431, -0.009393606334924698, 0.04079880565404892, -0.004397768061608076, 0.00822346843779087, -0.02179056778550148, -0.012377457693219185, 0.016160903498530388, 0.001306653954088688, 0.004609042778611183, -0.011415344662964344, 0.010745765641331673, -0.0052818721160292625, -0.02938346192240715, -0.014678728766739368, -0.006364249624311924, -0.008763032034039497, 0.0013586600543931127, -0.03406401351094246, -0.03921261802315712, -0.028551362454891205, -0.004166990984231234, 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48,48,"Two veterinarians articulated: 
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49,49,"I'm an introvert, so talking to people takes effort, but if I'm, if I’m in a better mood, it comes more naturally rather than if you have to drag it out of me, right? And I also tend to explain things better.” (DVM 5)","[-0.020603004842996597, -0.0031028229277580976, 0.020316490903496742, -0.032975226640701294, -0.002871657721698284, 0.0316728875041008, 0.00484470184892416, -0.03821063041687012, -0.015992725268006325, -0.01866251975297928, -0.014911782927811146, 0.04321161285042763, -0.0036302704829722643, -0.002682818565517664, 0.004317254293709993, -0.009324748069047928, 0.03003193996846676, 0.008686602115631104, 0.006358671002089977, -0.024978864938020706, -0.022634655237197876, -0.010145221836864948, -0.006785186938941479, -0.0008241364848800004, -0.014729456044733524, 0.014638291671872139, 0.013316418044269085, -0.02070719189941883, -0.00889497622847557, -0.013791771605610847, 0.017659718170762062, 0.010718251578509808, -0.006586580071598291, -0.03951296955347061, -0.007110771723091602, -0.03362639620900154, -0.01501596998423338, -0.01349223405122757, 0.008947069756686687, -0.015758303925395012, 0.018206700682640076, -0.011903380043804646, 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50,50,"“[Well-being] impacts my work not in a great way anymore, but it definitely impacts the subtlety of my work, so how much I put into it and how much the client gets; not so much how much the animal gets, it’s more the client interactions that I have","[-0.01542980782687664, -0.015924524515867233, 0.030832873657345772, -0.03265129029750824, -0.022208761423826218, 0.03741126507520676, -0.02508346550166607, -0.01018180139362812, -0.03179556503891945, -0.025551440194249153, -0.004525987897068262, 0.015510031953454018, 0.006879233755171299, -0.008336641825735569, 0.003580009564757347, -0.007427433505654335, 0.04340134561061859, -0.014681046828627586, 0.01062303502112627, -0.03152815252542496, -0.0160448607057333, 0.018411478027701378, -0.007427433505654335, -0.010776798240840435, -0.004716520197689533, -0.0013964042300358415, 0.018852710723876953, -0.019160237163305283, -0.0020323488861322403, -0.009593489579856396, 0.005014019086956978, 0.009232480078935623, -0.01031550858169794, 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51,51,"So if I’m feeling good, I will explain things better, I get handouts for clients, I do that extra stuff to make sure that I think they understand fully what’s going on.” (DVM 13)
⦁	Theme 3: Reduced Concentration
Veterinarians reported that their high stress and/or poor mental health negatively impacted their ability to concentrate","[-0.035342514514923096, 0.0016570856096222997, 0.04247324913740158, -0.04384753853082657, -0.0245037991553545, 0.04000990465283394, -0.010495145805180073, -0.02834143117070198, -0.018254682421684265, -0.018112067133188248, 0.0035783324856311083, 0.03510914742946625, -0.008381854742765427, 0.007065910380333662, -0.007202042266726494, -0.0033287566620856524, 0.043691959232091904, -0.0015987432561814785, -0.014287400059401989, -0.025631751865148544, -0.021223660558462143, -0.0037792895454913378, -0.008492057211697102, -0.014092925004661083, 0.00396404042840004, -0.007208524737507105, -0.0013248581672087312, -0.021742260083556175, 0.007104805205017328, -0.01006730180233717, 0.017230449244379997, -0.0036366749554872513, -0.011610133573412895, -0.035161007195711136, 0.0035135075449943542, -0.00338385789655149, 0.0034648890141397715, 0.003857079427689314, 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53,53,Another veterinarian stated that her anxiety-induced inattention elevated her stress levels to the point where it made it ‘hard to function’,"[-0.016251783818006516, 0.011921881698071957, 0.036071669310331345, -0.029794936999678612, -0.013660353608429432, 0.02906569093465805, -0.016186673194169998, -0.035602867603302, -0.022580603137612343, -0.006208363920450211, 0.007064577657729387, 0.016134584322571754, 0.006048840936273336, 0.0007475592428818345, 0.003975045867264271, -0.0022707569878548384, 0.04305160045623779, 0.009656007401645184, -0.014181244187057018, -0.02187740057706833, -0.028128087520599365, 0.01292459573596716, 0.00916767306625843, 0.01556160394102335, -0.0016717329854145646, -0.007357578258961439, -0.0033434659708291292, -0.02612265944480896, -0.0163820069283247, -0.009525785222649574, -0.005423772614449263, -0.007344556041061878, -0.033701617270708084, -0.033988106995821, -0.014480755664408207, -0.018113967031240463, 0.0017352164722979069, -0.0037797116674482822, 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54,54,"One participant articulated the effects of her poor mental health, stating, 
“Yeah, I was just, it was just really hard to concentrate on anything, hard to focus, I just constantly felt like I was going to throw up, and I was shaky, and I’m never, I’m not [normally] an anxious person, like I’ve never had that before, so","[-0.0349796898663044, 0.0010931153083220124, 0.04295072704553604, -0.022778073325753212, -0.024222662672400475, 0.015735700726509094, -0.015451942570507526, -0.046742770820856094, -0.02263619378209114, -0.012562764808535576, 0.01488442625850439, 0.043621428310871124, 0.010550659149885178, -0.007996832020580769, -0.004333767108619213, 0.014239519834518433, 0.033896248787641525, -0.005091531202197075, 0.0004441788769327104, -0.020598290488123894, -0.0019121456425637007, -0.018715165555477142, -0.001907308935187757, 0.01710290089249611, -0.02280386909842491, -0.0028472591657191515, 0.021268993616104126, -0.02677648887038231, 0.0054720258340239525, -0.015193980187177658, 0.004501442424952984, 0.00044982178951613605, -0.014278214424848557, 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55,55,"It was really hard for me to deal with that.” (DVM 9) 
The time and places of veterinarians’ inattention differed amongst participants, with a few sharing that they could not focus ‘on anything’ at work","[-0.018369127064943314, -0.010419798083603382, 0.02937997877597809, -0.02665715105831623, -0.0207466222345829, 0.04016503319144249, -0.01080497819930315, -0.02208811230957508, -0.021862316876649857, -0.03219578042626381, 0.01755892112851143, 0.020866159349679947, 0.011037414893507957, -0.015845531597733498, 0.0074910977855324745, 0.012617983855307102, 0.026816535741090775, -5.629322549793869e-05, -0.027082176879048347, -0.030309725552797318, -0.030362853780388832, 0.014079012908041477, 0.004037754610180855, 0.01482280995696783, 0.005259706638753414, 0.0062890686094760895, 0.00807550922036171, -0.030283160507678986, -0.018608205020427704, -0.013680550269782543, 0.011097184382379055, -0.012007007375359535, -0.021875599399209023, -0.030947264283895493, -0.018462102860212326, -0.021277904510498047, -0.006461735814809799, -0.01734640635550022, 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57,57,"She explained: 
“And on the days that yeah I don’t check [the stress] as well, it’s hard for me to, in those downtimes when I’m doing my own thing and not seeing clients, you know in the in-between time, I have trouble focusing and getting things done in a timely manner.” (DVM 21) 
In several instances, participants shared the implications of their lack of focus, including impeding patient care as ‘it takes more time’ and more drastically, ‘mak[ing] mistakes [as] I probably was distracted by either what was going on in my head or what was going on around me’","[-0.03176162391901016, -0.001831512083299458, 0.03266003727912903, -0.037019994109869, -0.015233423560857773, 0.016567835584282875, -0.003111423458904028, -0.00792719330638647, -0.025076355785131454, -0.017003830522298813, 0.005998243112117052, 0.03110102377831936, 0.013231807388365269, 0.006761235650628805, 0.00039099232526496053, -0.006589479744434357, 0.035276010632514954, -0.005687761586159468, -0.014440704137086868, -0.03519674018025398, -0.019170597195625305, -0.008072525262832642, 0.007847921922802925, 0.0035375102888792753, -0.013806529343128204, 0.0022245687432587147, 0.0051989178173244, -0.013469623401761055, -0.032131560146808624, -0.017241645604372025, 0.008165009319782257, 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58,58,Being ‘distracted’ was also said to be extremely detrimental during time-sensitive veterinary surgeries and was said by one participant to result in fear of litigation,"[-0.038992103189229965, 0.013155102729797363, 0.024471465498209, -0.01750859059393406, -0.02364673651754856, 0.014101512730121613, -0.02847342938184738, -0.00922073982656002, -0.012938780710101128, -0.02395769953727722, 0.001777899218723178, 0.021875597536563873, 0.0037687409203499556, 0.01594025269150734, -0.0018556400900706649, 0.01141776330769062, 0.050159744918346405, -0.007354959845542908, -0.01031587179750204, -0.015615769661962986, -0.021672794595360756, 0.004127024672925472, -0.007686203345656395, 0.021970238536596298, -0.015764491632580757, 0.005323557648807764, 0.012208692729473114, -0.03931658715009689, -0.02000981755554676, -0.01575097069144249, 0.007456360850483179, -0.01718410663306713, -0.01644049771130085, -0.013621547259390354, -0.03539574518799782, -0.026634689420461655, 0.010045468807220459, 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59,59,"For example: 

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60,60,"And so, as a result when you take more time in surgery and stuff like that, it’s not necessarily better for the patient","[0.008769587613642216, 0.0025626469869166613, 0.037225477397441864, -0.025364546105265617, -0.024601411074399948, 0.004455933813005686, -0.02603713981807232, -0.004048496950417757, -0.03986411541700363, 0.006347603630274534, 4.883277142653242e-05, 0.025079986080527306, -0.0011964407749474049, 0.01044460479170084, -0.006531920284032822, -0.023463174700737, 0.05675656720995903, 0.011977342888712883, -0.0005355689791031182, -0.021497132256627083, -0.0009611946879886091, 0.0007546469569206238, 0.0039708903059363365, 0.010884378105401993, -0.0053839837200939655, 0.026619192212820053, 0.010063037276268005, -0.03187059611082077, 0.014784128405153751, 0.01409860048443079, 0.01023765280842781, 0.0009353256900794804, -0.015392049215734005, -0.04255449026823044, -0.025817252695560455, -0.024096965789794922, 0.002793851075693965, -0.0001253029186045751, 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61,61,"I mean it’s good to double check things and stuff like that, but when you're hesitant and you have that much self-doubt, it doesn’t really translate to a good thing for your patients.” (DVM 8)","[0.0020616494584828615, 0.008733985014259815, 0.004961605649441481, -0.031972624361515045, -0.005487984046339989, 0.021133124828338623, -0.014387681148946285, -0.015011537820100784, -0.008435054682195187, -0.0023410848807543516, -0.0013638728996738791, 0.015726372599601746, -0.0028171001467853785, 0.02731969766318798, -0.0014800336211919785, -0.008116628043353558, 0.050090447068214417, 0.0078111980110406876, -0.017143046483397484, -0.03584573045372963, -0.031088829040527344, -0.013724833726882935, -0.006124837324023247, -0.007297816686332226, -0.0009292856557294726, 0.009741253219544888, 0.01601230725646019, -0.024837270379066467, -0.0020778956823050976, -0.017350997775793076, 0.015986312180757523, -0.0006254807231016457, -0.012860533781349659, -0.04133046790957451, 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62,62,"“But then if you're not mentally well, you're not focused, you're not concentrating on what you're supposed to do","[-0.027524657547473907, 0.0007019846816547215, 0.023261327296495438, -0.012696496210992336, -0.030142491683363914, 0.015208370052278042, -0.032934848219156265, -0.03128935024142265, -0.018225112929940224, -0.005690672900527716, 0.0035870561841875315, 0.03211209923028946, -0.013699999079108238, -0.007641582749783993, 0.005762351676821709, -0.027399998158216476, 0.025193538516759872, -0.009249680675566196, 0.0005286310915835202, -0.02371009811758995, -0.013326022773981094, 0.0028094970621168613, 0.0099602360278368, -0.016193173825740814, -0.01037784293293953, 0.005687556229531765, -0.014871791005134583, -0.03104003332555294, -0.02351064421236515, -0.008670017123222351, 0.0101596899330616, -0.009087624028325081, -0.00544758839532733, -0.04754485562443733, -0.018337305635213852, -0.009287078864872456, -0.00574676925316453, -0.009399271570146084, 0.008620154112577438, 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63,63,"If you're in a clinic setting it could be malpractice because if you're not, you know, if you’re sitting in a surgery doing surgery on an animal and your mind is somewhere else and you're not even looking at what you're tying off, cutting, you know, you're in trouble.” (DVM 10) 
⦁	Theme 4: Difficulty in Decision-Making 
Participants readily described difficulty in making decisions when experiencing poor mental health and/or high stress","[-0.01602226309478283, -0.011362066492438316, 0.032977864146232605, -0.04988161101937294, -0.030333412811160088, 0.025692660361528397, -0.019483383744955063, -0.01201669778674841, -0.008853727020323277, -0.0290371123701334, 0.004640752915292978, 0.025653770193457603, -0.004164362791925669, 0.007842613384127617, 0.0029928318690508604, 0.001782412058673799, 0.05029642581939697, -0.011874104849994183, -0.015866708010435104, -0.024422286078333855, -0.040003806352615356, 0.023553764447569847, -0.0011634289985522628, -0.01503707654774189, 0.01330003421753645, 0.017888935282826424, -0.003733342979103327, -0.024163026362657547, -0.011258362792432308, -0.025640808045864105, 0.007486130576580763, -0.009871321730315685, -0.0171111561357975, -0.030411189422011375, -0.002936118748039007, 0.004157881252467632, 0.023631542921066284, -0.0016576432390138507, 0.013896332122385502, 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66,66,"One participant illuminated: 
“…when I'm feeling stressed, I think I feel, my decision-making just feels disjointed, I guess","[-0.02814839966595173, -0.015574019402265549, 0.04601232334971428, -0.025363020598888397, -0.03184438496828079, 0.028389442712068558, 6.44976826151833e-05, -0.017140794545412064, -0.018078181892633438, -0.03912921994924545, 0.011121430434286594, 0.012219511903822422, -0.014114373363554478, -0.018520094454288483, -0.003177073085680604, 0.012902465648949146, 0.030826648697257042, 0.004482719581574202, -0.001158342813141644, -0.016056103631854057, -0.014944630675017834, -0.0009097678121179342, 0.016377493739128113, -0.000644872197881341, -0.004188112448900938, -0.01608288660645485, 0.013531854376196861, -0.03093377873301506, -0.005503802094608545, -0.006963448133319616, -0.008202138356864452, -0.009454219602048397, -0.005617627874016762, -0.024934500455856323, -0.017247924581170082, -0.012473945505917072, -0.0023551853373646736, -0.009193090721964836, 0.015493672341108322, 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68,68,"So that I think I double-think everything, like I don’t trust my judgment, and so then I revisit it, I guess, I think I spend more time spinning my wheels.” (DVM 23) 
Poor mental health leading to second-guessing was described as a ‘vicious cycle’ that fed itself","[-0.011799595318734646, 0.01227157935500145, 0.008754966780543327, -0.021671369671821594, -0.0325203500688076, 0.020474789664149284, -0.004945858381688595, -0.013827131129801273, -0.012550780549645424, -0.020913535729050636, -0.0005696212756447494, 0.026377912610769272, -0.0011550307972356677, -0.005065516103059053, -0.007950600236654282, -0.004709866363555193, 0.041109126061201096, 0.021684665232896805, -0.005155259743332863, -0.0336371548473835, -0.0332648865878582, -0.0068404413759708405, 0.007983839139342308, -0.03565804287791252, 0.017908794805407524, -0.006690869107842445, 0.006192294415086508, -0.025673259049654007, -0.013208898715674877, -0.01583472453057766, 0.012351350858807564, -0.022083524614572525, 0.0005920571275055408, -0.03361056372523308, 0.015994267538189888, -0.009173769503831863, -0.009539390914142132, -0.0099050123244524, 0.010410234332084656, -0.012225044891238213, 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69,69,"Unless someone intervened ‘to help you break the cycle’ or ‘for you to realize there’s an issue and seek help’ then the cycle was described to persist and for ‘[veterinarians to] continue to go further and further and further, deeper into depression, or deeper into self-doubt’","[-0.008808550424873829, -0.010612711310386658, 0.013756726868450642, -0.007448796648532152, -0.02040293626487255, 0.024648021906614304, 0.001171543844975531, -0.025868482887744904, -0.023799004033207893, 0.0005998669075779617, 0.0017527556046843529, 0.010606078431010246, 0.01355773862451315, 0.005757395643740892, -0.004500452894717455, -0.005425748415291309, 0.04624488949775696, -0.0018887309124693274, 0.005754079204052687, -0.03568524122238159, -0.026399118825793266, 0.0058469404466450214, 0.007263074163347483, -0.011362234130501747, -0.004208603408187628, 0.012065325863659382, 0.01278168335556984, -0.040354833006858826, 0.008583029732108116, -0.008171787485480309, -0.011780109256505966, 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70,70,One veterinarian described ‘break[ing] this cycle’ when he sought help for his poor mental health,"[-0.021491553634405136, 0.005639533046633005, 0.02705109305679798, -0.010445801541209221, -0.012812272645533085, 0.029090924188494682, 0.0013357227435335517, -0.029384233057498932, -0.022918101400136948, -0.015225405804812908, 0.013758860528469086, 0.032557304948568344, 0.017985178157687187, 0.0004155905917286873, 0.008792605251073837, 0.001221565529704094, 0.05092911422252655, -0.005599536467343569, 0.00785268284380436, -0.02299809455871582, -0.02495793253183365, 0.01082576997578144, 0.013538878411054611, 0.005382887553423643, 0.00010769941582111642, 0.015838688239455223, 0.0012390640331432223, -0.027544384822249413, -0.0012723946711048484, -0.007506045047193766, -0.004029666073620319, 0.0008499296382069588, -0.01803850568830967, -0.011472383514046669, -0.008905929513275623, -0.007032751105725765, 0.006286146119236946, 0.0032164002768695354, 0.007806020323187113, 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71,71,"He stated:
“It allowed me the ability to make decisions again, because during that time before medication I wasn’t really able to make effective decisions, but when I was on the meds I could, and that allowed the business to be saved, although we did have to let people go, and I still felt bad about that … It didn’t depress me as much.” (DVM 13)
⦁	Theme 5: Reduced Quality of Care 
Poor mental health outcomes, such as ‘stress’ and being ‘depressed’ were described to impact the quality of care that veterinarians provided","[-0.01312720961868763, -0.02243775501847267, 0.03283122926950455, -0.04688289016485214, -0.03380850702524185, 0.026914741843938828, -0.0033247233368456364, -0.019651195034384727, -0.0185418538749218, -0.02971450798213482, 0.009620897471904755, 0.0390910878777504, -0.007012623827904463, 0.0025752573274075985, -0.0068277339451014996, 0.0009954359848052263, 0.05155797302722931, -0.01522703468799591, -0.010102933272719383, -0.018555060029029846, -0.018106041476130486, 0.0011704214848577976, -0.008339871652424335, 0.013028161600232124, -0.011918819509446621, 0.015332686714828014, 0.006154204718768597, -0.027522237971425056, -0.00280637014657259, -0.014289377257227898, 0.00627636443823576, 0.00550048565492034, -0.031140804290771484, -0.030771024525165558, -0.015081764198839664, -0.002788211451843381, -0.0009822295978665352, 0.0005947028985247016, 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72,72,"Some participants expressed an inability to ‘really fully assess everything about the [patient]’, ‘doing a quick, short exam, just to get through it’, or not giving the patient ‘extra attention’ as needed when the veterinarians were in a ‘bad frame of mind’ or ‘absorbed in [their] own family trauma’","[-0.022934960201382637, 0.012944300659000874, 0.0463327020406723, -0.03269422799348831, -0.03340201452374458, 0.017395179718732834, 0.0021829046308994293, -0.019736316055059433, -0.01544877141714096, -0.026541942730545998, 0.01071205548942089, 0.018524914979934692, 0.0067886123433709145, 0.009793296456336975, -0.0005920894909650087, 0.0045393528416752815, 0.04739437997341156, -0.014019589871168137, -0.02067549154162407, -0.044127680361270905, -0.01780351810157299, 0.010827750898897648, -0.03266700729727745, 0.01668739505112171, -0.0021148482337594032, 0.00916037242859602, 0.006022979039698839, -0.01889241859316826, -0.020348822697997093, -0.01946409046649933, 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74,74,"One veterinarian elaborated:
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75,75,"You can’t just look at the numbers on the page, you’ve got to take the patient and family situation, and where they’ve been in the last week or two","[-0.002827286720275879, 0.012529651634395123, 0.041756849735975266, -0.016269071027636528, -0.008653899654746056, 0.020891409367322922, -0.015204375609755516, 0.0023647283669561148, -0.037238385528326035, -0.009121326729655266, -0.006109016481786966, 0.023786861449480057, -0.010043197311460972, 0.022267723456025124, 0.0015662064542993903, -0.020346077159047127, 0.039731331169605255, -0.0005554758245125413, 0.002875976962968707, -0.04949536919593811, -0.02685110829770565, -0.004531449172645807, -0.011361083015799522, -0.006173937115818262, -0.023358386009931564, 0.03059052862226963, -0.0004016954335384071, -0.020826488733291626, -0.0006788247264921665, -0.02168343774974346, -0.00027104298351332545, -0.01452920213341713, -0.010250942781567574, -0.04274364188313484, -0.027266599237918854, 0.010211991146206856, 0.006326500326395035, 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77,77,"And if you’re depressed and don’t care, then you’re going to miss stuff.” (DVM 2)
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78,78,"As one participant spoke about their colleague who was experiencing a mental health challenge: 
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79,79,And I’d look at cases and she just did the bare minimum,"[-0.011689947918057442, 0.012433239258825779, 0.027299068868160248, -0.019082320854067802, -0.013196802698075771, 0.01594698056578636, -0.0012044700561091304, -0.02014995738863945, 0.008324865251779556, -0.03578610718250275, 0.030623609200119972, 0.010622311383485794, 0.016947045922279358, 0.010196607559919357, -0.013129230588674545, 0.005473328288644552, 0.03719160333275795, 0.012615684419870377, 0.0016360859153792262, -0.03967825323343277, -0.03275888413190842, 0.003544148989021778, -0.007155870087444782, -0.0017855889163911343, 0.0059530893340706825, -0.009277629666030407, 0.02867753803730011, -0.0052199335768818855, -0.0014595541870221496, 0.012108894065022469, 0.022906892001628876, -0.018528230488300323, -0.011385874822735786, -0.03616451099514961, -0.01883906126022339, -0.00010626745643094182, 0.005054382141679525, 0.0071355984546244144, -0.007284256629645824, -0.01767682284116745, 0.0009096874273382127, 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80,80,And then she’d have days where she was fantastic again,"[-0.018039420247077942, 0.01126341987401247, 0.02446283958852291, -0.014436664991080761, -0.026488589122891426, 0.012718625366687775, -0.0002279768668813631, -0.01568032056093216, -0.020244667306542397, -0.011180081404745579, 0.02633473463356495, 0.03428387641906738, 0.011833962984383106, -0.0022100533824414015, -0.014141777530312538, -0.011064691469073296, 0.04259200766682625, 0.03423259034752846, -0.0009215233731083572, -0.038155876100063324, -0.01785992458462715, -0.0024584641214460135, -0.011776267550885677, 0.007314491551369429, -0.02651423029601574, 0.005061166826635599, 0.013577645644545555, -0.017090652137994766, -0.014654625207185745, 0.0027180933393538, 0.0033783847466111183, -0.005288742948323488, -0.0059105707332491875, -0.008333776146173477, -0.004567550495266914, -0.025385964661836624, -0.022731978446245193, -0.006756769493222237, -0.012942995876073837, -0.006356107071042061, 0.015577751211822033, 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81,81,"And we did bring it up, and that’s when [my colleague] said, you know, “I'm struggling with this stress in my life…” Like we had a patient in hospital over the weekend, and was on three times a day antibiotics, and she decided it was okay just to do it twice, because that was when someone was coming into the building.” (DVM 17)","[0.011128020472824574, 0.00406859815120697, 0.029261574149131775, -0.028102966025471687, 0.0106901740655303, 0.030527958646416664, -0.015668144449591637, -0.010784479789435863, -0.0023711035028100014, -0.005755988880991936, -0.00032291130628436804, 0.01960202120244503, 0.021366877481341362, 0.015196618624031544, -0.007045949809253216, -0.0008942159474827349, 0.05151761323213577, 0.01254933513700962, -0.004428979009389877, -0.024788809940218925, -0.026903942227363586, 0.008622194640338421, 0.011451352387666702, 0.018389524891972542, -0.02264673449099064, 0.013519331812858582, 0.021245626732707024, -0.01564120128750801, -0.009774066507816315, 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