Being a vet: the veterinary profession in social science research

Assessing risk factors for drug storage practices in veterinary surgeries: A questionnaire study of UK veterinary professionals

Background

Safe drug storage practices are essential in veterinary practice to maintain optimal standards of animal care. Practical challenges in clinic may impact their uptake, which could affect drug efficacy and the success of treatment. The UK is presumed to provide high standards for animal care and welfare in the veterinary profession and may provide an interesting case study to assess veterinary drug storage practices.

Methods

An online survey with 184 practice participants assessed UK veterinary professionals' responses on drug storage practices. This included socio-demographic information and questions or statements that examined storage practices compliant with the requirements established by the Royal College of Veterinary Surgeons (RCVS), the regulatory body for veterinary practice in the UK.

Results

Overall, practices followed RCVS-recommended measures, though there was clear selectivity for stock temperature checks (72.2%), over other measures, particularly, replacing stock (54.4%) and returning medications to refrigerated storage (52.5%). Clinical experience and practice type impacted most on drug storage practices, with more experienced clinicians and small animal practices showing greater uptake of best measures.

Conclusions

We suggest that practices should adopt all of the RCVS measures in relation to veterinary drug storage practices. Socio-demographic factors should be considered because they can act as risk factors influencing best practice in clinics. Our findings may have wider implications for the veterinary profession in general, given similar demographic trends in veterinary practice in many European countries.

Factors related to resilience for mid- to late-career-stage veterinarians: a qualitative study

BACKGROUND

This study aimed to explore how resilience in mid- to late-career stage veterinarians in Australia is shaped by interactions between job demands, personal and contextual resources, strategies and outcomes.

METHODS

Semistructured interviews with 17 mid- to late-career stage veterinarians were conducted with questions modelled on prior research investigating veterinarians' experiences, teacher well-being and resilience. The Job Demands-Resources model guided thematic analysis.

RESULTS

Mid- to late-career stage veterinarians described how resilience is shaped by interactions between (1) demands of the job, (2) resources available, (3) strategies used and (4) resilience outcomes. Job demands and job resources categories were sub-divided into four and seven themes respectively according to whether characteristics were based on personal or contextual factors. Strategies were grouped into seven themes representing intentional ways that veterinarians made effective use of resources. Three themes in the Outcomes category represented positive outcomes that were enabled through dynamic interaction between demands, resources and strategies undertaken to realise outcomes.

LIMITATIONS

This study did not explore relationships between perceptions of resilience and veterinary work type, practice location, age or gender. Interviews were conducted before the global COVID-19 pandemic, and results do not reflect any associated psychological impacts from that event.

CONCLUSION

Resilience in mid- to late-career veterinarians is a dynamic process driven by the interplay of demands, resources, intentional actions and outcomes. Although personal resources can be developed over time, job demands are largely contextual. Effective management practices can mitigate challenges and foster resilience.

Evaluation and spatiotemporal evolution of veterinary talent competitiveness: a new perspective of veterinary education

Introduction

Improving the quantity and quality of veterinary talent cultivation is an urgent issue to address in current veterinary education and is key to enhancing veterinary talent competitiveness. Starting from an industrial perspective, the introduction of scientific analytical methods for studying veterinary talent competitiveness offers a new view on veterinary education and helps to improve the quality of veterinary education and talent cultivation.

Methods

This study develops a veterinary talent competitiveness evaluation index based on the characteristics of veterinary talent. It proposes a visual method to analyze the level and spatiotemporal evolution of veterinary talent competitiveness using the Entropy method and ArcGIS tools, with Western China as a case study. Data is collected from 12 regions in Western China, spanning 2015 to 2021.

Results

The results show that the method not only evaluates the current state of veterinary talent competitiveness but also considers temporal and spatial evolution, achieving good evaluation effectiveness and high accuracy, thereby guiding the improvement of veterinary education and talent cultivation.

Discussion

Based on the research findings, the study suggests improving the quality of veterinary education and talent cultivation through measures such as strengthening talent resource development, addressing regional imbalances, and promoting spatial integration to achieve a virtuous cycle between veterinary education and industrial development.

A qualitative survey approach to investigating beef and dairy veterinarians' needs in relation to technologies on farms

Globally, farmers are being increasingly encouraged to use technologies. Consequently, veterinarians often use farm data and technologies to provide farmers with advice. Yet very few studies have sought to understand veterinarians' perceptions of data and technologies on farms. The aim of this study was to understand veterinarians' experiences and opinions on data and technology on beef and dairy farms. An online qualitative survey was conducted with a convenience sample of 36 and 24 veterinarians from the United Kingdom and Ireland, respectively. The data were analysed using reflexive thematic analysis to generate four themes: (1) Improving veterinary advice through data; (2) Ensuring stock person skills are retained; (3) Longevity of technology; and (4) Solving social problems on farms. We show that technologies and data can make veterinarians feel more confident in the advice they give to farmers. However, the quality and quantity of data collected on cattle farms were highly variable. Furthermore, veterinarians were concerned that farmers can become over-reliant on technologies by not using their stockperson skills. As herd sizes increase, technologies can help to improve working conditions on farms with multiple employees of various skillsets. Veterinarians would like innovations that can help them to demonstrate their competence, influence farmers' behaviour, and ensure sustainability of the beef and dairy industries.

Veterinarian-Chasing A Dream Job? A Comparative Survey on Wellbeing and Stress Levels among European Veterinarians between 2018 and 2023

Whilst recognizing the abundantly positive aspects within the different domains of the veterinary profession, the challenging socio-economic and cultural working climate has been identified as a source of veterinary mental wellbeing issues. This mixed methods study provides an overview of the mental state of veterinarians across Europe via two cross-sectional surveys in 2018/2019 (n = 14,559 veterinarians) and in 2022/2023 (n = 12,393 veterinarians). Mental wellbeing was assessed using 3 indicators: self-reported stress levels, the need for medical leave due to reduced mental wellbeing (22% and 23%, resp., in 2018/2019 and 2022/2023) and the seven-question Warwick-Edinburgh Mental Wellbeing Scale (2018/2019: 25, 2022/2023: 24.8). In both surveys, important differences were spotlighted between countries, but early-career veterinarians and female veterinarians were most at risk of decreased mental wellbeing all over Europe for all indicators. In conclusion, stress levels and need for medical leave due to reduced mental wellbeing remained at comparatively high levels across the two surveys and standardized mental wellbeing scores remained equally low. Notwithstanding the increased attention given to veterinary wellbeing in the last decade, our results underline that major efforts remain necessary, by creating more supportive and attractive workplaces that prioritize wellbeing, a good work/life balance, and providing job satisfaction.

Justifying Euthanasia: A Qualitative Study of Veterinarians' Ethical Boundary Work of "Good" Killing

(1) Veterinarians are regularly required to euthanize their "objects of care" as part of their work, which distinguishes them from other healthcare professionals. This paper examines how veterinarians navigate the ethical tensions inherent in euthanasia, particularly the collision between the routine practice of killing animals within their profession and the broader social and moral implications. (2) Using the sociological concept of ethical boundary work as a theoretical framework, this research observes how veterinarians draw boundaries by positioning their euthanasia practices on the ethical "good" spectrum. A grounded theory study of 17 qualitative interviews with veterinarians was conducted. (3) The findings highlight differences in ethical boundary work within veterinary medicine, particularly in the distinction between farm animals and companion animals. Economic and emotional reasoning play differing roles in explanation and justification. Ethical boundary work is a tool for distinguishing normative frameworks in different areas of veterinary medicine. (4) In conclusion, veterinarians grapple with the realities of an imperfect world and often rely on boundary work to assert diverse interests and navigate multiple contexts. By exploring the complexities of ethical boundary work, this study contributes to a more comprehensive understanding of the moral landscape within veterinary practice.

Veterinary anthropology: Samples from an emerging field

We contribute to the growing field of veterinary humanities by promoting collaboration between veterinarians and anthropologists. Veterinary anthropology as we propose it analyzes the role of animal diseases in social life while questioning notions of animal health and human health. We distinguish three ways for veterinarians to collaborate with anthropologists, which more or less follow a chronological order. One form of collaboration requires anthropologists to bring risk perception or local knowledge on zoonoses identified by veterinarians. A more recent form of collaboration integrates veterinarians and anthropologists around the view of animals as actors in infrastructures of security. Finally, we suggest that, as veterinary expertise and its roles in contemporary societies is becoming an object of anthropological enquiry, a new space for collaboration is unfolding that enables veterinarians to see themselves through that reflexive lens of anthropological attention. Veterinary anthropology can therefore be defined as an anthropology of veterinarians and with veterinarians.

Reviewing a Decade of Change for Veterinarians: Past, Present and Gaps in Researching Stress, Coping and Mental Health Risks

Veterinary medicine is a highly complex profession that includes a very specific set of stressors that range from individual to social aspects, with several of them being relevant risk factors for a variety of conditions. The aim of this systematic review was to identify and cluster the material on stressors and suicidality in the veterinarian practice published during the last 10 years. The systematic review was conducted employing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using PubMed, PsycNet, Google Scholar, Medline, PsycINFO, PSYNDEX and Web of Science (2012-present) by two independent researchers resulting in the inclusion of 30 quantitative and mixed methods studies. Results of these studies on stressors were categorized using the bio-psycho-social model showing that social stressors play a prominent role. This category includes the largest number of stressors indicating that the human-human interactions in the veterinarian practice are the main stressor, underlining that training in communication techniques is a potential starting point for interventions. In addition to stressors, the results showed an additional category "psychological consequences" describing mental health disorders and suicide. Although there are still gaps in research there is enough evidence to establish more tailored health promotion measures for veterinarians.

Medicine, Value, and Knowledge in the Veterinary Clinic: Questions for and From Medical Anthropology and the Medical Humanities

The welcome development of the veterinary humanities, and veterinary anthropology specifically, raises the question of its potential relationship with the now well-established field(s) of the medical humanities, and of medical anthropology. Although there are national variations, the term “medical humanities” generally refers to either the tapping of the humanities to improve medical education by developing, through engagement with the humanities like literature and visual art, skills in empathy, visualization and expressivity, or alternatively, it refers to the application of humanities approaches of cultural critique to the presumptions, practices and institutions of the human medical world to denaturalize the ideologies of knowledge that contemporary human medicine professions depend upon. This article reflects on the potential impact that the development of a veterinary medical humanities could have on the field of (human) medical humanities and vice versa. Could such a development force a re-conception of notions of agency, of consent, and of the position of “patient” when the (human based) medical humanities is expanded to include both human and veterinary medicine? What would the potential usefulness, or limitations, both in conceptual and in applied terms, be of constructing a multi-species notion of “medical humanities?” What can such a comparative approach offer to veterinary medicine, in practice and in terms of the curricula of veterinary training? To reflect on these questions, this article draws on my multiple years of fieldwork in veterinary clinics and classrooms to first lay out the constituent components of the formal practice of contemporary veterinary medicine (at least in the U.S.) in terms of the roles that species specificity and relations to humans play in the delivery of care, and then seeks to center the animal in these practices to ask questions about consent, resistance, veterinary obligation, and the role of finance in comparison with human medicine. These similarities and differences will form the basis for a consideration of the effects of enlarging the medical humanities to encompass more than one species.

The antimicrobial landscape as outlined by Danish dairy farmers

Limiting antimicrobial use (AMU) in dairy farming is an important step toward reducing antimicrobial resistance (AMR). Therefore, it is relevant to understand dairy farmers' choices and the potential for change in relation to AMU, even in countries with low usage. Furthermore, there is an increasing recognition of the need to focus on both the individual farmer's behavior as well as the context surrounding and influencing the farmer's decisions in relation to AMU if the goal is further reduction. To date, no studies have taken into account both the individual farmer and their context in both conventional and organic dairy farms under Danish conditions. For this study, 15 Danish dairy farmers were interviewed using qualitative semi-structured research interviews, and the notion of landscape was used to describe the context of their AMU. We found that AMR was considered a distant element of the farmers' antimicrobial landscape. Daily challenges such as acutely diseased animals and poor housing conditions seemed more urgent and overruled the threat of AMR. We also found that interviewed farmers had differing opinions on farm management, partly shaped by changes in legislation and ways of farming over time. At one end of the scale, some organic farmers had rethought the current way of farming; keeping robust animals in a natural setting was expected to prevent disease. They were positive about legislation, and the numerous restrictions on AMU over time were thought to contribute to ensuring quality for consumers. At the other end of the scale, some conventional farmers perceived disease as something that should be controlled through treatment, and the currently eased legislation and intensification of farming have legitimatized AMU for this purpose, leading to an expectation among these farmers of certain rights to handle medicines themselves. These contrasting views might lead to inspiration and competition in terms of reducing AMU, as the farmers appeared to value the opinions of other farmers, and they were found to continuously assess each other. Through such ongoing assessment, pioneers of AMU reduction-whether organic or conventional-might motivate their colleagues to change their AMU. Future research should address the potential of experience- and attitude-sharing among farmers as motivation to reduce AMU.

Alternative Medicines on the Farm: A Study of Dairy Farmers' Experiences in France

Despite being of debatable efficacy, alternative medicines are in regular use on both organic and conventional dairy farms as part of a strategy for limiting the on-farm use of antibiotics. The study presented here examined French dairy farmers' understanding of and experiences with these medicines, focusing on homeopathy, aromatherapy and phytotherapy. Adopting an interdisciplinary approach combining animal science and sociology, we considered how dairy farmers' use of alternative medicines fits into a holistic approach to herd health management, on the one hand, and into farmers' networks of professional relationships, on the other. Our findings show that farmers are interested in alternative medicines for reasons that are at once technical, ethical, and economic. In the absence of local veterinarians specializing in homeopathy and aromatherapy, farmers enroll in short-term training courses to learn how to use these medicines. Alternative medicines are not a substitute for conventional medicine for these farmers; rather, they constitute one part of a holistic approach to herd health that combines preventive measures with a variety of curative treatments, and which is grounded in close attention to the animals' state of health. Farmers make use of guidelines for observing livestock that are central to the veterinary alternative medicine approach. Interestingly, women farmers appear to play an important role in introducing these practices into the management of the farm operation. Finally, farmers' interest in alternative medicines is indicative of their broader expectations for advice and support in moving toward the integrated management of livestock health, a key element of the agroecological transition. Recognizing these expectations offers useful insights for rethinking the role of veterinarians in dairy farming.

Veterinary Interventions to Improve Neonatal Survival on British Beef and Sheep Farms: A Qualitative Study

Neonatal lamb and calf deaths are a major issue in UK agriculture. Consistent mortality rates over several decades, despite scientific advances, indicate that socioeconomic factors must also be understood and addressed for effective veterinary service delivery to improve lamb and calf survival. This qualitative study utilised semi-structured interviews with vets and farmers to explore the on-farm mechanisms and social context, with a particular focus on the role of the vet, to manage and reduce neonatal losses in beef calves and lambs on British farms. Data were analysed using a realist evaluation framework to assess how the mechanisms and context for veterinary service delivery influence survival as the outcome of interest. A lack of a clear outcome definition of neonatal mortality, and the financial, social and emotional impact of losses on both vets and farmers, are barriers to recording of losses and standardisation of acceptable mortality levels at a population level. Despite this, there appears to be an individual threshold on each farm at which losses become perceived as problematic, and veterinary involvement shifts from preventive to reactive mechanisms for service delivery. The veterinarian-farmer relationship is central to efforts to maximise survival, but the social and economic capital available to farmers influences the quality of this relationship. Health inequalities are well-recognised as an issue in human healthcare and the findings indicate that similar inequalities exist in livestock health systems.

Veterinary Herd Health Consultancy and Antimicrobial Use in Dairy Herds

The globally increasing level of antimicrobial resistance affects both human and animal health, why it is necessary to identify ways to change our current use of antimicrobials. The veterinary herd health collaboration between veterinarians and dairy farmers provides a useful setting for changing antimicrobial use in livestock. However, farmers and veterinarians work in a complex agricultural setting influenced by socio-economic factors, which complicates their choices regarding antimicrobial usage. It is therefore necessary to be aware of the range of potential influencing factors and to integrate this knowledge in the relevant local settings. This manuscript presents a literature review of relevant factors relating to antimicrobial use within the veterinary herd health consultancy setting, including knowledge gaps of relevance for changing the use of antimicrobials. An enriched version of the framework of the Theory of Planned Behaviour was used to organise the literature review. We identified diverging attitudes on correct treatment practices and perceptions of antimicrobial resistance among veterinarians and farmers, influenced by individual risk perception as well as social norms. Furthermore, disagreements in terms of goal setting and in the frequency of herd visits in relation to herd health consultancy can negatively influence the collaboration and the intention to change antimicrobial use. Farmers and veterinarians emphasise the importance of legislation and the role of the dairy industry in changing antimicrobial use, but the relevance of specific factors depends on the country-specific context. Overall, farmers and veterinarians must communicate better to understand each other's perspectives and establish common goals within the collaboration if they are to work efficiently to reduce antimicrobial use. Farmers and veterinarians both requested changes in individual behaviour; however, they also called for national and structural solutions in terms of balanced legislation and the availability of better diagnostics to facilitate a change in antimicrobial use practices. These various paths to achieving the desired changes in antimicrobial use illustrate the need to bridge methodological research approaches of veterinary science and social sciences for a better understanding of our potential to change antimicrobial use within the dairy farm animal sector.