RESUMEN
Agonistic behaviours are often directed at other animals for self-defence or to increase distance from valued resources, such as food. Examples include aggression and counter-predator behaviours. Contemporary diets may boost the value of food as a resource and create unanticipated associations with the humans who deliver it. At the same time the domestic horse is asked to carry the weight of riders and perform manoeuvres that, ethologically, are out-of-context and may be associated with instances of pain, confusion, or fear. Agonistic responses can endanger personnel and conspecifics. They are traditionally grouped along with so-called vices as being undesirable and worthy of punishment; a response that can often make horses more dangerous. The current study used data from the validated online Equine Behavioural and Research Questionnaire (E-BARQ) to explore the agonistic behaviours (as reported by the owners) of 2734 horses. With a focus on ridden horses, the behaviours of interest in the current study ranged from biting and bite threats and kicking and kick threats to tail swishing as an accompaniment to signs of escalating irritation when horses are approached, prepared for ridden work, ridden, and hosed down (e.g., after work). Analysis of the responses according to the context in which they arise included a dendrographic analysis that identified five clusters of agonistic behaviours among certain groups of horses and a principal component analysis that revealed six components, strongly related to the five clusters. Taken together, these results highlight the prospect that the motivation to show these responses differs with context. The clusters with common characteristics were those observed in the context of: locomotion under saddle; saddling; reactions in a familiar environment, inter-specific threats, and intra-specific threats. These findings highlight the potential roles of fear and pain in such unwelcome responses and challenge the simplistic view that the problems lie with the nature of the horses themselves rather than historic or current management practices. Improved understanding of agonistic responses in horses will reduce the inclination of owners to label horses that show such context-specific responses as being generally aggressive.
RESUMEN
Occupational therapists (OTs) are at the forefront of providing recovery-oriented care for older people through timely assessments of patient's engagement in daily living activities among many other interventions. This aids a timely, safe and successful discharge from hospital.This project built on the foundations of previous work while considering the context and requirements of two older adult wards, the rates of admission and staff retention. The specific aim agreed was for 90% of patients admitted to the older adults' inpatient units to be assessed by the occupational therapy (OTY) team within days of admission by December 2022.The OTs worked in collaboration to initiate two tests of change with a total of five PDSA cycles.Our tests of change resulted in an increase of patients engaging in OTY initial assessments within seven days of admission from 47.65% (May to November 2021) to 78% (December 2021 to December 2022).Our team embarked on a quality improvement project to improve standardisation, efficiency and timeliness of the OTY process in an older adult inpatient service by using a pragmatic measure and tests of change evidenced in a previous study. This evidenced the generalisability of the findings of this study. While we were able to improve the timeliness of OTY initial assessments, we concluded that the overall impact on outcomes such as timely discharge was also dependent on other clinical and social factors.