Attitudes of veterinarians and veterinary students to recommendations on how to improve dog and cat welfare in veterinary practice

'All I do is fight fires': Qualitative exploration of UK veterinarians' attitudes towards and experiences of pre-purchase consultations regarding brachycephalic dogs

BACKGROUND

Demand for brachycephalic dogs has dramatically increased over the past decade, despite growing evidence of strong associations between brachycephaly and severe, chronic disease. Positive post-purchase attitudes of owners towards brachycephalic dogs are highly intractable, facilitated by normalisation of breed-related disease and strong dog-owner bonds. Veterinarian-led pre-purchase consultations (PPCs) have been promoted as an opportunity to influence acquisition decisions regarding brachycephalic dogs.

METHODS

Using reflexive thematic analysis, this qualitative study investigated veterinarians' attitudes towards, and experiences of, engaging in PPCs for brachycephalic dogs.

RESULTS

Veterinarians described significant structural barriers, such as lack of time and staff, and perceptual barriers, such as perceived futility, negative outcomes of PPCs and public distrust in the profession, that combine to inhibit many veterinarians from offering or delivering brachycephalic PPCs. Some of these barriers are intractable at an individual-veterinarian level and lead to moral distress due to conflicts between veterinarians' responsibilities to animal welfare versus clients' and business needs, with resultant censorship of authentic views on brachycephalic ownership compromising professional integrity and autonomy.

LIMITATIONS

Wider views and/or experiences may exist outside of the sampled population.

CONCLUSION

Stronger veterinary leadership, including from the RCVS, BVA and veterinary corporates, is now urgently required to build profession-wide solutions that overcome the barriers identified to create public-facing consensus and innovative solutions to the 'brachycephalic crisis'.

A global survey of companion animal veterinary practitioners on animal welfare teaching - Focus on undergraduate and continuing education, and clients' sources of information

As part of a wider research on animal welfare, a global survey was developed to gain insight into the opinion of companion animal veterinarians about animal welfare education, namely to investigate i) their exposure to animal welfare teaching during their undergraduate education, ii) their access to continuing professional education on animal welfare, and iii) their opinions on clients' sources of information on animal welfare. The survey was distributed to companion animal veterinarians around the world. The results were highly influenced by the large numbers of respondents who trained in the Russian Federation, Australia, Israel, the Netherlands, the United Kingdom of Great Britain and Northern Ireland, or the United States of America. Worldwide, 58.4% of the respondents thought that animal welfare was poorly covered or not taught at all when they were students. The best coverage of animal welfare was in the Netherlands and the United Kingdom of Great Britain and Northern Ireland. Most companion animal veterinarians (65.3%) had access to continuing education on animal welfare, but there were small differences between the six above-mentioned countries. Companion animal veterinarians get information on animal welfare mainly from the internet and veterinary conferences/meetings, and thought that their clients obtained animal welfare information from various sources. The findings show that there is a need to improve education on animal welfare in veterinary curricula and the provision of relevant continuing education, so that companion animal practitioners can keep abreast of developments and societal expectations.

Attitudes to acute pain and the use of pain assessment scales among Spanish small animal veterinarians

Evaluation of acute pain in dogs and cats is the basis for an appropriate treatment and improved well-being. The difficulties involved in pain assessment pose a challenge for veterinarians, and recent findings indicate that the most effective tools available-validated pain assessment scales-may not be widely utilized.

Objectives

This study aimed to characterize the level of concern among Spanish veterinarians regarding acute pain in companion animals. Additionally, it sought to determine whether this concern correlates with the utilization of optimal assessment tools.

Methods

A survey was conducted to explore Spanish veterinarians' attitudes toward pain and its assessment. The survey was distributed through two most prominent small animal veterinary associations, the Spanish association for veterinary anesthesia and analgesia, as well as key industry players committed to proactive pain management. Descriptive analysis of the collected data was performed using Excel and SPSS.

Results

A total of 292 veterinarians participated in the study. A high level of concern regarding pain in dogs and cats was determined where 44% of surveyed veterinarians assessed pain in all patients. Despite an awareness of validated pain scales, only 28% used them. The preferred scales were the Glasgow CMPS for dogs (94%) and the Feline Grimace Scale for cats (93%). Among respondents who do not use these validated tools, there was a considerable interest in incorporating these scales into practice (85%) and considered lack of training was the most relevant issue (32%). Other challenges to scale utilization were identified, including constraints related to time, staffing, and the need to establish a habit.

Conclusions and relevance

Spanish small animal veterinarians demonstrated a strong awareness to pain in their patients and employed various methods for pain assessment. However, a limited use of validated tools was identified and likely attributed to challenges such as a lack of established routine, time constraints, insufficient personnel, and, notably, a knowledge gap among veterinarians who do not employ pain assessment scales. The most commonly used scales were the Glasgow CMPS for dogs and the FGS for cats. Overall, these results suggest a window of opportunity for the implementation of training programs in small animal pain assessment at a national level.

A Global Survey of the Views of Practicing Companion Animal Veterinarians on Their Undergraduate Curriculum and Their Access to Continuing Education Resources

A global survey was developed to gain insight into the opinion of companion animal veterinarians about their undergraduate education and their access to continuing education on the following topics: client communication, animal welfare, surgical techniques, human-animal bond, dentistry, animal behavior, and zoonotic disease/epidemiology. In 2016, the survey was distributed via SurveyMonkey® in five languages to companion animal veterinarians around the world. A total of 1,167 respondents returned the survey. The distribution of survey responses differed by geographic region (number of respondents in parentheses; where respondents work/have been trained): Europa (including the Russian Federation, 359/423), Asia (311/205), North America (77/89), South America (24/16), Africa (46/41), and Oceania (147/167). The results were strongly influenced by a large number of respondents (in parentheses) who graduated in the Russian Federation (180/162), Australia (133/154), Israel (136/82), the Netherlands (64/64), the United Kingdom of Great Britain and Northern Ireland (36/46), and the United States of America (46/44). On the basis of the responses, all topics were poorly covered or not taught, except for surgical techniques and zoonotic disease/epidemiology, which were covered adequately or well. However, there were country and geographic regional differences. This was also true for continuing education resources, which were-in addition to countries and geographic regions-also influenced by the educational topic. As already stated by Dhein and Menon in 2003, time away from the practice, travel distance, and expense may be reasons why companion animal veterinarians do not follow continuing education. Online continuing education could fill in the gap and is more time and cost-efficient.

Cats' and dogs' welfare: text mining and topics modeling analysis of the scientific literature

Animal welfare is a field with increasing significance and has been raising huge concerns of the public and the political stage. Cats and dogs possess an important role in human life, but their welfare is not always secured from a legal aspect. This review aimed to describe the evolution and geographical distribution of "cats and dogs" and "puppies and kittens" welfare literature over the last 40 years, distinguish the main research topics studied and highlight gaps in knowledge. A search using Scopus® was performed with different search strings and predetermined filters as time range, language, and subject area. A total of 2,725 scientific literature records were retrieved but only the ones that referred to cats and dogs' welfare aspects were retained. The final 1,775 records were processed through descriptive statistics, and text mining and topic analysis procedures were performed on their titles and abstracts. The results showed that the number of studies has been increasing, especially in Europe and North America. "Shelter" was the most frequent word, followed by "behavior," "owner" and "adopt." The nine topics that emerged from the analysis were breeding, stress and housing conditions, welfare and pain assessment, public health, shelter management and euthanasia, behavioral problems, health issues and management, human-animal interaction, and owners' and veterinarians' perceptions. While stress and housing conditions, public health, and owners' and veterinarians' perceptions were the most studied topics, human-animal interaction was the least studied. This review confirmed the increasing research and interest in cats' and dogs' welfare and showed gaps in knowledge where further studies are needed.

The Science and Social Validity of Companion Animal Welfare: Functionally Defined Parameters in a Multidisciplinary Field

Social validity refers to the social significance and acceptability of intervention goals, procedures, and outcomes. Animal practitioners, who are often guided by the principles of ABA, lack the benefit of verbal participants (at least with respect to target animals) with which to assess a client's needs and preferences. The study of a learner's welfare is useful for determining areas where intervention is needed or how the learner feels about an intervention that is underway. Three tenets of animal welfare measurement include physiological function, naturalistic behavior, and affect, where affect refers to private events, including emotions, which are a function of the same variables and contingencies responsible for controlling public behavior. The development of new technologies allows us to look "under the skin" and account for subjective experiences that can now be observed objectively. We introduce the reader to tools available from the animal welfare sciences for the objective measurement of social validity from the learner's perspective.

Animal Welfare Worldwide, the Opinion of Practicing Veterinarians

The objective of this study was to investigate the animal welfare issues considered the most important by companion animal veterinarians worldwide. For this purpose, a global survey of several potential animal welfare issues was distributed via SurveyMonkey® in multiple languages. The distribution of survey responses differed by region. The main animal welfare concern reported worldwide was obesity, although there were differences across regions, possibly due to cultural and socioeconomic factors. Anthropomorphism (attributing human qualities or characteristics to an animal) was an issue in western countries but less so in Asia, Africa, and Oceania. There were significant differences between Asia and Europe, Africa, and Oceania in the importance and prevalence of convenience euthanasia. There were also age and sex differences in participant responses, with older veterinarians reporting fewer welfare problems than younger veterinarians, and female veterinarians reporting more welfare issues than their male counterparts.

Veterinary Professionals' Understanding of Common Feline Behavioural Problems and the Availability of "Cat Friendly" Practices in Ireland

Simple Summary

Veterinary behavioural medicine, which includes being able to understand animal behaviour and treat behaviour problems, is an important part of veterinary practice. However, many veterinary practitioners and veterinary nurses in Ireland and elsewhere feel that they have received inadequate training in this subject. The purpose of this study was to survey veterinary practitioners and veterinary nurses in Ireland about treating common behavioural problems in cats and the availability of “cat friendly” practices. An online survey was developed, consisting of 21 questions on professional roles and experience, scenarios presenting advice given on common cat behaviour problems, and “cat friendly” practice management options. For each piece of advice participants were asked to score how likely it would be to solve the behavioural problem in a kind way. The online survey was shared via professional organisations, social media and at the University College Dublin Hospital Conference. The survey was completed by 42 veterinary practitioners and 53 veterinary nurses. Most of these correctly recognised both good and bad advice, but some mistakes and uncertainties were found. The scores of veterinary practitioners and veterinary nurses differed for the advice on urine spraying, self-mutilation (self-injury), and resource-based aggression (aggression related to sharing items), and we found that relatively few “cat friendly” measures were available in respondents’ clinics. Our findings could be used to improve training in veterinary behavioural medicine.

Abstract

Veterinary behavioural medicine (VBM) is an integral aspect of veterinary practice. However, Golden and Hanlon (Ir. Vet. J. 71:12, 2018) found that the majority of professionals surveyed felt they had received inadequate VBM education and were commonly asked to give advice on feline behavioural problems. The purpose of this study was to explore understanding of feline VBM and the availability of “cat friendly” provisions in clinical practice in Ireland. An online survey comprised 21 questions on professional role and experience, vignettes of common feline behavioural problems, and “cat friendly” practice management. Using a Likert Scale, participants were requested to score whether the advice depicted in vignettes supported best outcome based on the definition by Shalvey et al. (Ir. Vet. J. 72:1, 2019). The survey was distributed via professional organisations, social media, and at the University College Dublin Hospital Conference. Forty-two veterinary practitioners (VPs) and 53 veterinary nurses (VNs) completed the survey. The majority of veterinary professionals agreed with our classification of best outcome, but some areas of disagreement and uncertainty were identified. In addition, there were significant differences between VPs and VNs regarding spraying (p = 0.033), self-mutilation (p = 0.016), and resource-based aggression (p = 0.013). Relatively few “cat friendly” measures were implemented in respondents’ clinics. Our findings support the need for increased education in feline VBM, in particular, implementation of cat friendly practice initiatives.

The Impact of Equine-Assisted Therapy on Equine Behavioral and Physiological Responses

Equine-assisted therapies (EATs) have been widely used in the treatment of patients with mental or physical conditions. However, studies on the influence of equine-assisted therapy (EAT) on equine welfare are very recent, and the need for further research is often highlighted. The aim of this study was to investigate whether EAT creates negative or positive emotions in horses, and the influence of patients' expectations (one group of patients had physical and psychological expectations and one group of patients had only psychological expectations) on horses' emotional responses. Fifty-eight pairs (patient-horse) were involved in this study. Behaviors and heart rate variability (HRV) data were collected during a resting phase, a preparation phase in which the patients brushed and saddled the horse, and a working phase. Behaviors and HRV were compared between phases and among the groups of patients. Our results suggested that the EAT in this study was neither a negative nor a positive event. EATs with patients who had both physical and psychological expectations were more challenging for horses than those with patients who had only psychological expectations. Further research should focus on providing horses with positive stimulation and reinforcement to understand whether a positive association with EAT can be achieved.