Chef to factory to veterinary practice: perseverance paid off for veterinary nurse.

At 16 Emily Stevenson was working full time in a restaurant, but this wasn't the career for her. After becoming a mum and several roles later, she started her journey to vet nursing in her 40s.

Qualitative analysis of small animal veterinarian-perceived barriers to nutrition communication.

OBJECTIVE: Nutrition is important in preventing and managing disease. Veterinarians are an important source of nutrition information; however, nutrition communication between veterinarians and pet owners is relatively infrequent. The purpose of this study was to conduct a qualitative review of barriers to nutrition communication and possible solutions, reported by small animal veterinarians. SAMPLE: 18 veterinarians from Maryland, Michigan, Virginia, Washington DC, and West Virginia. METHODS: In a qualitative focus group study, 5 virtual focus groups using the Zoom platform were conducted from February 3, 2021, to April 2, 2021. Each focus group was audio recorded, and transcripts were created using Otter.ai software. Transcripts were analyzed in Atlas.ti qualitative data analysis software using a hybrid of inductive and deductive thematic analysis. RESULTS: The 4 barriers to nutrition communication identified by veterinarians were as follows: (1) time, (2) misinformation and information overload, (3) pet owners' apprehension toward new information, and (4) veterinarians' confidence in nutrition knowledge and communication skills. Potential solutions include (1) improving communication and nutrition education, (2) improving and increasing access to client-friendly resources, and (3) empowering credentialed veterinary technicians and support staff to discuss nutrition. CLINICAL RELEVANCE: This study provides guidance for how to focus efforts to break down barriers to nutrition communication in small animal veterinary practice.

Questionnaire study suggests grave consequences of infectious laryngotracheitis, infectious coryza and mycoplasmosis in small chicken flocks.

BACKGROUND: A growing number of people in western countries keep small chicken flocks. In Sweden, respiratory disease is a common necropsy finding in chickens from such flocks. A respiratory real-time polymerase chain reaction (PCR) panel was applied to detect infectious laryngotracheitis virus (ILTV), Avibacterium paragallinarum (A. paragallinarum) and Mycoplasma gallisepticum (M. gallisepticum) in chickens from small flocks which underwent necropsy in 2017-2019 and had respiratory lesions. Owners (N = 100) of PCR-positive flocks were invited to reply to a web-based questionnaire about husbandry, outbreak characteristics and management. RESULTS: Response rate was 61.0%. The flocks were from 18 out of Sweden's 21 counties indicating that respiratory infections in small chicken flocks are geographically widespread in Sweden. Among participating flocks, 77.0% were coinfected by 2-3 pathogens; 91.8% tested positive for A. paragallinarum, 57.4% for M. gallisepticum and 50.8% for ILTV. Larger flock size and mixed-species flock structure were associated with PCR detection of M. gallisepticum (P = 0.00 and P = 0.02, respectively). Up to 50% mortality was reported by 63.9% of respondents. Euthanasia of some chickens was carried out in 86.9% of the flocks as a result of the outbreaks. Full clinical recovery was reported by 39.3% of owners suggesting chronic infection is a major challenge in infected flocks. Live birds had been introduced in many flocks prior to outbreaks, which suggested these as an important source of infection. Following the outbreaks, 36.1% replaced their flocks with new birds and 9.8% ceased keeping chickens. CONCLUSIONS: This study highlights the severity of respiratory outbreaks in small non-commercial chicken flocks and points to the need for more research and veterinary assistance to prevent and manage respiratory infections in small chicken flocks.

The potential role of veterinary technicians in promoting antimicrobial stewardship.

BACKGROUND: A core principle of antimicrobial stewardship (AMS) in veterinary settings is the need for engagement of all stakeholders; however, no studies have addressed the role of veterinary technicians in AMS specifically. The objective of this study was to qualitatively assess knowledge, opinions, and practices related to AMS among technicians. Semi-structured interviews were conducted with 33 veterinary technicians with varied backgrounds, experience and roles. Interviews centered on participants work experience and interactions with their employer, perceptions of antimicrobial resistance and overuse in veterinary medicine, observed application of AMS principles, opinions on potential opportunities for technicians to contribute to AMS and concomitant potential barriers to these opportunities. Transcripts of interviews were coded thematically by two authors, then organized into a hierarchical framework, and the characterization of codes was compared across different categories of respondents. RESULTS: Most veterinary technicians were knowledgeable about antimicrobial drugs but could not provide a complete definition of antimicrobial resistance or AMS. Most veterinary technicians could identify examples of antimicrobial misuse. Participants identified areas of client education and discussion with veterinarians as potential areas to contribute to AMS. Barriers identified included hierarchical structures of veterinary practices and time-constraints. Most participants expressed a personal interest in participating in AMS. CONCLUSIONS: There is a possible appetite among some veterinary technicians to participate in AMS and they already play applicable roles in practices. Barriers such as educational needs, hierarchical structures of veterinary practices and time constraints will need to be addressed if technicians are included in AMS efforts.

Celebrating the UK's incredible veterinary nurses.

Veterinary Nursing Awareness Month takes place each May and is an opportunity to celebrate these fantastic members of Team Vet. BVA media officer Charlotte Austen-Hardy shares how BVA marked the occasion.

Identifying factors associated with UK veterinary nurse resignations through examination of veterinary practice data.

BACKGROUND: This study aimed to identify demographic, practice and job-specific factors that are associated with veterinary nurses resigning from UK companion animal veterinary practices. METHODS: Employment data from nurses working across a group of practices at the end of 2020 were included. Nurses were categorised into those who remained at, or resigned from, their practice in 2021. Proposed risk factors for future resignations were analysed using multivariable binary logistic regression modelling. RESULTS: In total, 278 of 1642 (16.9%) nurses across 418 practices resigned in 2021. The most frequently recorded reasons for nurses resigning included 'career progression' (n = 102; 36.7%), 'personal reasons' (n = 36; 12.9%) and 'better pay or benefits' (n = 33; 11.9%). Factors associated with lower odds of future nurse resignations included longer tenure (p < 0.001), higher practice property and facilities rating (p = 0.049) and being a head or student nurse (p = 0.008). LIMITATIONS: Data were collected retrospectively and were not recorded for research purposes. CONCLUSIONS: This study highlights key factors that are predictive of veterinary nurse resignations. With known difficulties in staff retention within veterinary practices, analysis of these data is an important addition to the evidence base surrounding the complex issue of nurse retention and could help steer future retention strategies.

Increased efficiency could lessen the need for more staff in companion animal practice.

OBJECTIVE: To evaluate technical efficiency of US companion animal practices. SAMPLE: 60 independently owned companion animal practices selected from the 2022 AVMA Veterinary Practice Owners Survey. PROCEDURES: A ratio of the weighted sum of outputs to weighted sum of inputs was computed for each practice (ie, decision-making unit [DMU]). Inputs included labor (hours worked) and capital (fixed costs and number of exam rooms). Outputs (or production) included annual gross revenue, number of patients seen per year, and number of appointment slots per full-time-equivalent (FTE) veterinarian per year. Data envelopment analysis was used to optimize the ratio and estimate relative efficiency (RE) scores. RESULTS: 25 (42%) practices were classified as having high efficiency (RE = 1 or 100% efficient), 26 (43%) as having moderate efficiency (RE > 0.7 but < 1.0), and 9 (15%) as having low efficiency (RE ≤ 0.7). Mean RE scores for moderate- and low-efficiency practices were 0.83 and 0.66, meaning they could have reached their current production levels with 17% or 34% less resources. Per the model, if all 60 practices were 100% efficient on the RE scale, 22 fewer FTE veterinarians, 47 fewer FTE veterinary technicians and assistants, and 43 fewer FTE nonmedical staff would be needed overall. CLINICAL RELEVANCE: These preliminary findings suggested that efforts to optimize efficiency could allow companion animal practices to meet demands for their services without necessarily needing to hire more staff. Such efforts might include engaging support staff to their full potential and implementing automated processes. Additional research is needed to identify routines or workflows that distinguish high-efficiency practices from others.

Calf health veterinary services: Making them work for calves, farmers and veterinarians.

BACKGROUND: Despite an appetite among UK veterinarians (vets) and farmers to improve calf health, vets face challenges in delivering and sustaining proactive calf health services. METHODS: Forty-six vets and 10 veterinary technicians (techs) participated in a project to determine what makes calf health services successful while improving their own services. In four facilitated workshops and two seminars, carried out between August 2021 and April 2022, participants described their approaches to calf work, discussed measures of success, identified challenges and success factors, and addressed knowledge gaps. RESULTS: Many approaches to calf health services were described, and these could be categorised into three overlapping models. Success involved enthusiastic, knowledgeable vets/techs, supported by their practice team, fostering positive attitudes among farmers by providing the services they need, creating a tangible return on investment for farmers and the practice. Lack of time was identified as the most prominent challenge to achieving success. LIMITATIONS: Participants were self-selected from one nationwide group of practices. CONCLUSION: Successful calf health services depend on identifying the needs of calves, farmers and veterinary practices, and delivering measurable benefits to each. More calf health services embedded as a core part of farm veterinary practice could bring wide ranging benefits to calves, farmers and vets.

Suffering in silence.

Caring for research animals can take a severe mental toll. Is anyone listening?

Developing guidelines for pet rat housing through expert consultation.

BACKGROUND: Pet care guidelines play an important role in ensuring that owners are well informed about good husbandry practices, allowing them to provide the best care for their animals. However, the development of such guidelines is difficult when there is little appropriate empirical evidence on which to base guidelines, as in the case of pet rats. The consultation of multiple experts can help to surmount this challenge. METHODS: We developed a set of guidelines for pet rat housing by consulting with a group of experts, including veterinarians, veterinary nurses, animal welfare scientists and experienced pet rat owners. The consultation involved two rounds of online surveys (n = 13) and one online discussion (n = 8). RESULTS: The resulting guidelines cover a broad range of features within pet rat housing, including injury prevention, details of suitable refuges and substrates, and suitable cage sizing. The guidelines may evolve as more information about pet rats comes to light but may nonetheless provide a useful starting point for any future guidelines. CONCLUSIONS: At present, these guidelines may not only be useful for pet rat owners and those advising pet rat owners, such as veterinarians, but may also be useful in the design of housing, including for laboratory rodents.

Developing the SVN CLEI: A Novel Psychometric Instrument for Evaluating the Clinical Learning Environment of Student Veterinary Nurses in the UK.

Student veterinary nurses (SVNs) in the United Kingdom can spend over half their training time within the clinical learning environment (CLE) of a training veterinary practice before achieving clinical competency. Sociocultural complexities and poor management within the CLE may have a significant impact on the learning experiences of SVNs, as has been found in studies involving student human nurses. The aim of this research was to develop and validate the SVN CLE Inventory (CLEI) using principal component analysis (PCA), via a cross-sectional design, based on inventories already established in human nursing CLEs. The SVN CLEI was distributed to SVNs via an online survey over a 3-month period, generating 271 responses. PCA resulted in a valid and reliable SVN CLEI with 25 items across three factors with a total variance explained of 61.004% and an overall Cronbach's alpha (α) of .953 (factor 1: clinical supervisor support of learning [α = .935]; factor 2: pedagogical atmosphere of the practice [α = .924]; factor 3: opportunities for engagement [α = .698]). Gaining student feedback is a requirement set out by the Royal College of Veterinary Surgeons Standards Framework for Student Veterinary Nurse Education and Training, and the SVN CLEI can be used to complement the current evaluation of the training veterinary practice CLE. This will facilitate development of a more comparable, consistent, and positive experience for SVNs during clinical training in the UK.

Assessing veterinary professionals' ability to estimate length.

BACKGROUND: This study aimed to assess the accuracy of veterinary professionals' psychomotor and visual estimation of lengths. METHODS: Members of staff at a single veterinary referral hospital were asked a series of demographic questions. Respondents were first asked to draw lines of a specified length, while being blinded to their previous responses. Respondents were then shown lines on separate non-standard-size laminated sheets of paper and asked to estimate their length. A total of five estimations were made in each section, with lengths varying from 3 to 120 mm. RESULTS: A total of 101 respondents were assessed. The median absolute percentage error was 24.4% for psychomotor estimation and 33.3% for visual estimation. Respondents were significantly more accurate at psychomotor than visual estimation (p = 0.00024). Respondents tended to underestimate with psychomotor estimation and overestimate with visual estimation. There was no significant difference between the accuracy of veterinarians and veterinary nurses. LIMITATION: When divided by demographic, not all sample sizes met the power calculation threshold, thus limiting their interpretation. CONCLUSION: Veterinary professionals must recognise the limitations of estimating length using visual appraisal alone. Measuring devices should be utilised where appropriate.

Body condition and hair coat length impact weight estimation in dogs and cats presented to an emergency department.

OBJECTIVE: To examine weight estimations by veterinarians, veterinary nurses, and veterinary students to determine the accuracy of weight estimation in a veterinary emergency department. Secondary objectives included an initial evaluation of how body condition score (BCS), hair coat length, and hospital position of the estimator impacted accuracy of weight estimation. ANIMALS: 101 dogs and 28 cats that presented to the emergency department from October 17, 2017, to September 3, 2019. PROCEDURES: A written form was prospectively distributed to veterinarians, veterinary nurses, and veterinary students asking them to estimate a patient weight. Additional information about the patient, including estimated hair length and BCS, was recorded. RESULTS: As dogs' weights increased, all estimators underestimated the patients' weight. As BCS increased, dogs' weights were underestimated by veterinary students. Longer hair coat statistically significantly impacted accurate weight estimation in dogs. In cats, as BCS increased, veterinarians and veterinary nurses overestimated patient weight. Only 32% (32/101) and 20% (6/28) of weight estimations in dogs and cats, respectively, were within 10% of the patient's actual weight. CLINICAL RELEVANCE: Veterinarians, veterinary nurses, and veterinary students may not be reliable estimators of patient weight in the emergency department, especially with overweight animals. Prompt measurement of weight, if possible, is important for appropriate patient care.

Can shelter dog observers score behavioural expressions consistently over time?

A substantial number of dogs live in animal shelters worldwide. Stressors within the shelter environment can compromise their welfare, and scientific evaluations of feasible welfare assessment methods are therefore needed. Qualitative Behaviour Assessment (QBA) is a "whole-animal" approach used to assess welfare by observing animals' expressive behaviour. To investigate whether observers can score dogs' behavioural expressions consistently over time, this study replicated and extended previous research, by evaluating intra- and inter-observer reliability of QBA based on video recordings of shelter dogs. In Part I, nine veterinary nurse students received theoretical and practical training, and then scored 12 2 min video recordings of shelter dogs using a fixed list of behavioural descriptors. Three of the students undertook further practice and calibration using direct observations of dog behaviour in a local shelter. In Part II, the videos from Part I were scored by these three observers a second time, 15 months later. QBA data were analysed using principal component analysis (PCA), and reliability was assessed using Kendall's coefficient of concordance (W). In Part I, the inter-observer reliability was high for both components (0.78 for PC1 and 0.85 for PC2). In Part II, the inter-observer reliability was very high and moderate for PC1 and PC2, respectively (0.90 for PC1 and 0.65 for PC2). The intra-observer reliability was high for both components (W ≥ 0.86). Our results indicate that the fixed list of behavioural descriptors for shelter dogs can be used reliably when assessing videos, and that observers can score dogs' behavioural expressions consistently after a break of 15 months following the initial assessment. Nevertheless, the reduction in inter-observer-reliability of PC2 in Part II can indicate that some retraining and calibration may be required to avoid observer drift.