Veterinary Health Care Team Research Articles

Formal instruction and continuing education engagement as factors improving small animal general practitioners discussing nutrition with clients.

Evaluate whether general practitioners' formal small animal (canine and feline) nutrition instruction in veterinary school and the amount and type of continuing education engagement affect perceived self-reported confidence and frequency in discussing nutrition with clients. 403 small animal veterinarians who responded to an online survey distributed through the American Animal Hospital Association. Veterinarians were surveyed regarding perceived amount of formal instruction received in veterinary school, interest, time committed to self-education, and confidence in both self and staff knowledge in small animal nutrition. Of those veterinarians who responded to the survey, 57.1% (201/352) reported they received "none" or "very little" formal instruction in small animal nutrition, while 151 of 352 answered "some" or "a significant amount." Veterinarians with more formal instruction and veterinarians who reported spending more time in self-education had increased confidence in their own nutritional knowledge (P < .01) and that of their staff (P < .01). Veterinarians with self-reported significant formal instruction and veterinarians with higher continuing education engagement were more confident in their knowledge and their staff's knowledge regarding therapeutic and nontherapeutic small animal nutrition. Therefore, it is important for the profession to address veterinary nutrition education gaps in order to increase the veterinary healthcare team's engagement in nutritional discussions with their clients for both healthy and sick pets.

Validation of the Burden Transfer Inventory-abbreviated and examination across veterinary medicine positions and settings in the United States.

Burden transfer, when veterinary client caregiver burden underlies stressful encounters with providers, elevates risk for occupational distress in veterinary medicine. To date, burden transfer has been primarily examined in veterinarians working in general practice, using methods that are time consuming. The current work validates an abbreviated Burden Transfer Inventory (BTI-A) and explores burden transfer across positions of employment and veterinary settings. Participants completed online measures of burden transfer, stress and burnout. A BTI-A with items representing each BTI domain was created with an initial validation sample (n = 1151 veterinarians). Confirmatory psychometric analyses were conducted in a cross-validation sample (n = 440 veterinarians and support staff), followed by exploration of the BTI and BTI-A across veterinary settings and position of employment. The BTI-A correlated with the full-length BTI (r = 0.89-0.96) shows good internal consistency (α = 0.72-0.88) and 1-month test-retest reliability (r = 0.69-0.74). The BTI-A correlated significantly (p < 0.001) with stress and burnout. Exploratory comparisons suggested group differences including greater reactivity in general compared to specialty referral/emergency practice (p = 0.02). The BTI-A can be used in place of the original measure when brevity is important. Use of the BTI-A may help guide allied mental health professionals in providing support for wellbeing in veterinary healthcare team members.

Veterinary nutritional assessment: the importance of an interprofessional approach

Few pet topics provoke more debate and discussion than pet nutrition. The veterinary healthcare team have a central role as the expert source of information for optimal pet nutrition, with each member capable of playing an important part in providing optimal nutritional support and recommendations. This article provides an important reminder of nutritional assessment and specific dietary recommendations as the fifth vital assessment and an essential part of patient care for every pet at every visit. It also presents the non-branded support materials and practical aids available in the WSAVA Global Nutrition Toolkit. Using a patient scenario, consideration is given to how nutritional care and support can be enhanced through interprofessional practice.

Commercial vs Homemade Cat Diets: What you need to know.

A feeding plan recommendation for cats, both healthy and with disease, should include diet choice, amounts to feed and the feeding method. Diet choice can be complex owing to the abundance of products, sometimes with conflicting marketing messages, and the prevalence of information with no scientific basis. It is important to be aware of the specific challenges of both commercial and homemade diets. Moreover, a nutritional assessment is a prerequisite when recommending a diet to ensure that it is safe, appropriate for the cat's life stage and nutritious for long-term feeding. There are a variety of commercial diets available, allowing considerable customisation. These products are regulated and can be tested to determine nutritional adequacy and safety, although as the industry is partly self-regulated, choice of manufacturer is important. Properly formulated homemade diets can be customised to the patient and are a good option when no commercial product that meets the patient's needs exists. Homemade diets can be an owner preference. A serious limitation is the lack of testing, potentially affecting safety and also resulting in a reliance on database information to determine nutritional adequacy. Generic homemade diet recipes (eg, sourced from the internet) have additional risks of deficiencies and imbalances, and are not recommended. Homemade diets should be devised by a veterinary nutrition specialist with consideration of both patient and owner factors. Dietary misinformation, which is all too readily available on the internet, may result in owners making questionable feeding choices for their pets. A homemade diet may be requested by owners based on the perception that there are poor ingredients in commercial foods. The veterinary healthcare team needs to have good evidence-based information to present to owners about diet choice. Several decades of research on feline nutrition forms the basis for nutritional requirements and dietary recommendations. There are varying degrees of evidence regarding requirements for each nutrient, and a lack of data on the effects of different types of processing on nutrient needs.

Assessing body condition scores assigned to images of dogs by veterinary nurses working in urban, rural and suburban settings in New Zealand

Background: Canine obesity is a growing problem, both in New Zealand and overseas. Veterinary nurses play a vital role as part of the veterinary healthcare team in ensuring clients are provided with timely, accurate, and consistent advice, and this includes advice relating to a pet's nutritional status and body condition. Aim: To investigate if there were any differences in body condition scores assigned to images of canines by veterinary nurses working in urban, suburban, and rural settings. Methods: Veterinary nurses (restricted to those with a minimum of 2 years formal training) in New Zealand were recruited online and asked to complete a short, online survey providing a body condition score for 10 dogs of varying morphology, via a photograph. Results: There were 77 useable responses and results showed no significant difference to the score assigned by veterinary nurses in different geographical settings. Conclusion: These results provide assurances to the consistency of body condition score being assigned by veterinary nurses in New Zealand, showing that geographical setting is not a confounding factor in a veterinary nurse's interpretation of body condition. While this result is optimistic, further research is needed to determine if this consistency is present across other members of the healthcare team.

Knowledge, attitudes and application of nutrition assessments by the veterinary health care team in small animal practice.

To assess the impact of the WSAVA Global Nutrition Committee's work in promoting nutrition as the fifth vital assessment and enhancing knowledge of nutrition. Further objectives were to ascertain use of existing Global Nutrition Committee assessment tools, identify potential new tools and determine which members of the veterinary health care team are responsible for carrying out nutrition assessments, planning and intervention in practice. A 16-question online questionnaire on the awareness, use and frequency of nutritional assessment was completed by 2740 veterinary health care team members. Statistical association was tested between the reported frequency of nutritional assessment in practice and the likely establishment of normal dietary regime, calculation of energy requirements and creation of nutritional plans. Most respondents (95%) currently had responsibility for providing small animal nutrition education, yet only 27% were aware of the WSAVA guidelines. Over half (64%) recognised nutritional evaluation as the fifth vital assessment. Only 4% consistently used WSAVA tools to perform a systematic nutritional assessment. Veterinarians and veterinary nurses/technicians were the most frequent source of nutritional advice in practice, with the consultation recognised as the most important contact point with clients. Awareness of nutritional assessment is apparent, yet implementation in practice is inconsistent. These findings will help the WSAVA Global Nutrition Committee prioritise future activities to support the veterinary health care team and pet owners with nutrition-related knowledge, tools and resources.

Investigation of the effects of a practice-level communication training program on veterinary health-care team members' communication confidence, client satisfaction, and practice financial metrics.

To investigate effects of an intensive 2-day practice-level communication skills training program (CSTP) with a 3-month follow-up communication in practice program (CIPP) on veterinary health-care team members' communication confidence, client satisfaction, and practice financial metrics. 5 US companion animal veterinary practices. Following pilot testing at 1 veterinary practice, communication skills training was performed on-site at 4 practices. The 2-day CSTP focused on veterinary communication-specific content. The CIPP included in-practice training sessions every other week to reinforce and build upon communication skills. Team members' communication skills confidence (before and after the CSTP and after the CIPP) and client satisfaction with veterinary visits (2 months before and 3 months after the CSTP) were assessed with surveys. Practice-level financial metrics were collected for 18 months. Variables of interest were compared among time points. Measures of team member communication skills confidence and initiation of client conversations regarding the value of goods and services were significantly greater after the CIPP than before the CSTP. Composite communication skills confidence scores 3 months after the CSTP were positively correlated with the mean practice transaction charge and percentage change in the number of heartworm tests performed in the 3 months after the CSTP, compared with results for the same 3 months in the previous year. Measurements of client satisfaction were high before and after the CSTP. There was no significant change in financial metrics in the 3 months after CSTP, compared with the same 3 months in the previous year. This study highlighted opportunities to increase veterinary health-care team members' communication confidence and identified future considerations for communication training in veterinary workplaces.

Assessing Differences in Understanding of Companion-Animal Preventive Care between a Veterinary Health Care Team and Pet Owners in a Veterinary Teaching Hospital.

Preventive health care visits to primary care veterinary practices in the United States have been on the decline over the past decade. One of the main factors that has been identified is a lack of understanding by pet owners regarding the importance of preventive care. The Partners for Healthy Pets Opportunity Survey was adapted for use in this study to determine whether there were differences in perceptions of a veterinary health care team between team members and clients, specifically regarding preventive care specifically within the Community Practice service of the Virginia-Maryland College of Veterinary Medicine. Results of this cross-sectional study revealed that the clients and veterinary health care team tended to be aligned in most areas regarding companion-animal preventive care. There were some specific areas that differed, including a disconnect regarding components of feline wellness visits, reliable sources of medical information, and strength of recommendations from the veterinary health care team. The Partners for Healthy Pets Opportunity Survey could be adapted for use in other university-based companion-animal general-practice teaching environments to better understand differences between clients and the veterinary health care team regarding preventive care and thereby improve educational and service goals of primary care veterinary education. Efforts to better understand and mitigate potential communication gaps between pet owners and veterinary health care teams have the potential to improve preventive care not only in university-based practice but also in private clinical practice.

How to approach weight loss in the obese canine

The terms ‘obese’ and ‘overweight’ are based on an animal's current bodyweight relative to an ideal bodyweight. According to a 2010 UK veterinary practice survey, slightly over 59% of dogs were classified as overweight or obese. Canine obesity increases risk and prevalence of metabolic disorders, endocrine disease, reproductive disorders, cardiopulmonary disease, urinary disorders, dermatological disease, and neoplasia. A successful obesity treatment protocol should incorporate a plan for both weight loss and weight maintenance. Weight rechecks and ongoing nutritional coaching by the veterinary healthcare team are vital components of a successful canine weight loss programme.

Trauma Management of Military Working Dogs.

There are about 2,500 war and military service dogs in service, with about 700 serving at any given time overseas. Military Working Dogs (MWDs) are critical assets for military police, special operations units, and others operating in today's combat environment. The expectation, given the significant combat multiplier impact of these dogs and the intense bond between the handler and dog, is that injured working dogs will receive the same level of care as any injured U.S. military personnel. Veterinary care is available at multiple locations throughout theater, and the veterinary healthcare team is the MWD's primary provider. Yet, human healthcare providers (HCPs) may be the only medical personnel available to MWDs that are gravely ill or injured. As most HCPs are unfamiliar with medical care of dogs, the Joint Trauma System published a Clinical Practice Guideline (CPG), a set of detailed clinical guidelines for managing life-threatening problems of MWDs encountered in combat operations. The CPG is available at the JTS website. This article is covers the most common urgent MWD care challenges HCPs may face.

The case of veterinary interprofessional practice: From one health to a world of its own

Abstract Background Research regarding the veterinary professions' involvement in interprofessional practice and education (IPE), either with health care professionals as part of One Health, or specifically within the veterinary health care team, is sparse. Purpose To investigate veterinary interprofessional working and learning in veterinary practices; then ultimately to make recommendations for IPE. Method Two case studies in typical but contrasting practices were conducted. The study consisted of three sequential and complementary weeks: 1) observing the whole team, 2) shadowing selected focus individuals from each profession and 3) interviewing focus individuals regarding teamwork. Triangulation was achieved by synthesis of emergent themes from observational field notes and interview transcripts. Discussion Facilitators to interprofessional practices included hierarchy, trust and value, different perspectives, formal infrastructure and professionalization. Challenges included hierarchy, spatial and temporal work patterns, professional motivations, and error and blame. Conclusion The veterinary and human health care fields face similar interprofessional challenges. Real life observations, as described here, can provide important insight relevant to the design of IPE initiatives.

Nutrition Education in European Veterinary Schools: Are European Veterinary Graduates Competent in Nutrition?

Knowledge of nutrition is vital for veterinarians to inform owners about care of healthy pets and management of disease. Owners wish to have information from the veterinary health care team (VHT), and graduate veterinarians should be sufficiently educated to provide evidence-based information. Many veterinary practitioners feel that their veterinary school education in small-animal nutrition was insufficient. This survey presents the information on nutrition education in 63 European veterinary schools, including attitudes about teaching of nutrition, importance of nutrition, satisfaction of graduate performance and skills in nutrition, existing and required curriculum hours in nutrition, existing and required teaching staff, and barriers to achieving adequate teaching. The questionnaire was provided online to university deans and faculty members. The majority of schools felt that nutrition was important, but lacked staff numbers or knowledge to teach adequately. Many were also restricted by a crowded curriculum. Potential solutions include hiring a nutritionist, outsourcing nutrition education, and/or using online materials.

Exploring the Impact of Toxic Attitudes and a Toxic Environment on the Veterinary Healthcare Team.

The objective of this qualitative study was to compare veterinarians’ and Registered Veterinary Technicians’ (RVT’s) perceptions of the veterinary healthcare team with respect to the impact of toxic attitudes and a toxic environment. Focus group interviews using a semi-structured interview guide and follow up probes were held with four veterinarian groups (23 companion animal veterinarians) and four Registered Veterinary Technician groups (26 RVTs). Thematic analysis of the discussions indicated both veterinarian and RVT participants felt team members with manifestations of toxic attitudes negatively impacted veterinary team function. These manifestations included people being disrespectful, being resistant to change, always wanting to be the “go to person,” avoiding conflict, and lacking motivation. When conflict was ignored, or when people with toxic attitudes were not addressed, a toxic environment often resulted. A toxic environment sometimes manifested when “broken communication and tension between staff members” occurred as a result of employees lacking confidence, skills, or knowledge not being managed properly. It also occurred when employees did not feel appreciated, when there was difficulty coping with turnover, and when there were conflicting demands. The presence of people manifesting a toxic attitude was a source of frustration for both veterinarian and RVT participants. Prompt and consistent attention to negative behaviors is recommended to reduce the development of a toxic environment.

Nutritional calculations: a guide for the veterinary healthcare team

Nutrition is one of the most important considerations in the maintenance of health and plays a critical role in the management of many diseases; a reflection of its acknowledgement as the fifth vital assessment (after temperature, pulse, respiration and pain). With the plethora of commercial diets now available, it can be particularly challenging for pet owners to decide what, and how much, to feed and they may approach the veterinary team for advice. To assist in the process of diet choice, this paper provides a selection of simple calculations relating to the nutrient and energy requirements of dogs and cats and comparison of different diets. These are designed to be used on a practical level in a clinical setting by all members of the veterinary healthcare team.

Guidelines for recognition, assessment and treatment of pain: WSAVA Global Pain Council members and co-authors of this document:.

Karol Mathews DVM DVSc DACVECC (Canada) Peter W Kronen Dr Vet Med, DVM DECVAA (Switzerland) Duncan Lascelles BSc BVSc PhD DSAS DECVS DACVS MRCVS (USA) Andrea Nolan MVB DVA PhD DECVAA DECVPT MRCVS (UK) Sheilah Robertson BVMS (Hons) PhD DACVAA DECVAA DECAWBM (WSEL) DACAW MRCVS (USA) Paulo VM Steagall MV MS PhD DACVAA (Brazil/Canada) Bonnie Wright DVM DACVAA (USA) Kazuto Yamashita DVM MS PhD DJCVS (Japan)

Making client communication appetising: talking with clients about nutrition

Nutrition is an integral component of pet health, and the veterinary healthcare team is best equipped to guide owners seeking information about pet nutrition. Veterinary nurses have an integral role in client communication about nutrition, especially when obtaining a dietary history and ensuring owner comprehension. Communication strategies, including open-ended questions, reflective listening, non-verbal communication, and empathy, can be practiced by the entire veterinary healthcare team. In order to improve client satisfaction and optimise patient care, the team can use these methods in giving and receiving information from pet owners, working with pet owners to create a plan, and ensuring ongoing compliance.

WSAVA Nutritional Assessment Guidelines

WSAVA Nutritional Assessment Guidelines

Effectively Communicating with Your Clients

The successful ability to efficiently collect diet histories, convey appropriate health messages, and discuss client concerns about the safe feeding of pets requires excellent communication skills. In addition to understanding what the client wants for their pet, thorough nutritional interviewers gather information pertaining to animal factors, dietary factors, and feeding management factors. With the expansion of the Internet, increasing advances in medical care, and the health concerns associated with pet food recalls, small animal clients are looking to veterinarians for guidance and information on dietary recommendations in ever increasing numbers. Evaluating current information on changes in the pet food industry should be a periodic learning objective for all members of the veterinary health care team. Consistent, effective communication between veterinarians, their staff, and their clients can improve compliance, increase satisfaction levels, and improve patient outcomes.

Technician Utilization

The veterinary technician is an integral member of the veterinary health care team. We have been educated in the care and handling of animals, the basic principles of normal and abnormal life processes, and routine laboratory and clinical procedures. All veterinary technicians work under the supervision of a licensed veterinarian. While a veterinary technician can assist in performing a wide variety of tasks, they cannot diagnose, prescribe, perform surgery, or engage in any activity prohibited by a state's practice act.

Understanding Compassion Fatigue: Keys for the Caring Veterinary Healthcare Team

Have you ever wondered, “Do I care too much?” Do you leave the hospital or clinic exhausted and carrying the burden of the daily office stresses coupled with a tiring sense of emotional connection to your patients, your clients, and staff? Veterinary medicine has been well recognized as one of