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Thielmann B, Pohl R, Böckelmann I. Physical stress and musculoskeletal complaints of veterinarians - A narrative review. APPLIED ERGONOMICS 2024; 115:104180. [PMID: 38008038 DOI: 10.1016/j.apergo.2023.104180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 11/02/2023] [Accepted: 11/12/2023] [Indexed: 11/28/2023]
Abstract
INTRODUCTION Veterinarians have high physical workloads. The aim of this narrative review is to evaluate the literature on typical physical workloads, such as lifting/carrying and forced position (during surgery) and predictors of injuries. The health complaints of veterinarians were also examined. METHODS Diverse databases were used. Prevalence rates of total workloads (also including surgery), health complaints, musculoskeletal discomfort, and predictors of injury, musculoskeletal disorders, and precaution awareness were examined. RESULTS Thirteen studies were included. The most prevalent injury was animal attacks (9%-84%). Working in large and mixed practice types were predictors of injuries or musculoskeletal disorders (e.g., shoulder, lower back, head/neck) compared to other types of practice. CONCLUSION The study findings presented here clearly show a high need for intervention to minimize and prevent occupational risks. Ergonomic working conditions and occupational safety training can reduce the risk of musculoskeletal disorders.
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Affiliation(s)
- Beatrice Thielmann
- Institute of Occupational Medicine, Medical Faculty, Otto-von-Guericke-University, Leipziger Str. 44, (Building 20), 39120, Magdeburg, Germany.
| | - Robert Pohl
- Institute of Occupational Medicine, Medical Faculty, Otto-von-Guericke-University, Leipziger Str. 44, (Building 20), 39120, Magdeburg, Germany
| | - Irina Böckelmann
- Institute of Occupational Medicine, Medical Faculty, Otto-von-Guericke-University, Leipziger Str. 44, (Building 20), 39120, Magdeburg, Germany
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Jansen W, Lockett L, Colville T, Uldahl M, De Briyne N. Veterinarian-Chasing A Dream Job? A Comparative Survey on Wellbeing and Stress Levels among European Veterinarians between 2018 and 2023. Vet Sci 2024; 11:48. [PMID: 38275930 PMCID: PMC10820604 DOI: 10.3390/vetsci11010048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 12/22/2023] [Accepted: 01/18/2024] [Indexed: 01/27/2024] Open
Abstract
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.
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Affiliation(s)
- Wiebke Jansen
- Federation of Veterinarians of Europe, Rue Victor Oudart 7, 1030 Brussels, Belgium
| | - Lizzie Lockett
- Royal College of Veterinary Surgeons, The Cursitor, 38 Chancery Lane, London WC2A 1EN, UK;
| | - Tricia Colville
- Vets Now Emergency Limited, Penguin House, Castle Riggs, Dunfermline KY11 8SG, UK;
| | - Mette Uldahl
- Vejle Hestepraksis, Fasanvej 12, 7120 Vejle, Denmark;
| | - Nancy De Briyne
- Federation of Veterinarians of Europe, Rue Victor Oudart 7, 1030 Brussels, Belgium
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Chan CKY, Wong PWC. Predictors of Suicide Risk and Mental Health Outcomes among Hong Kong Veterinarians: A Cross-Sectional Study. Behav Sci (Basel) 2023; 13:770. [PMID: 37754048 PMCID: PMC10526002 DOI: 10.3390/bs13090770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 09/12/2023] [Accepted: 09/13/2023] [Indexed: 09/28/2023] Open
Abstract
The professional quality of life (ProQOL) in the veterinary profession has gained increasing attention, yet little is known about its association with the mental health status of Hong Kong veterinarians. This study aimed to examine the impact of elements that make up ProQOL on the risk of suicide, depression, and anxiety among Hong Kong veterinarians. All veterinarians registered and practicing in Hong Kong at the time of recruitment were eligible to take part in the e-survey study between 1 January and 31 March 2022. Binary logistic regression was used to analyze the data from 56 participants. The results showed that 22.0% of the participants were at risk of suicide, 19.6% had current suicidal ideation, 29.4% had depression, and 29.4% had anxiety symptoms. The findings suggested poor mental health status among Hong Kong veterinarians and were comparable to or more prevalent than those reported in Anglophone and European countries. Results from the binary logistic regression suggested that burnout was a predictor of depressive symptoms, and that secondary traumatic stress showed potential in predicting suicide risk. Our study, however, did not find conclusive evidence supporting compassion satisfaction as a predictor of reduced symptoms of common mental issues. Further investigation into contextual factors affecting the mental health of veterinarians in Hong Kong is warranted. Improving the profession's mental health literacy and self-efficacy should be prioritized as a suicide prevention strategy to enhance mental health awareness.
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Affiliation(s)
- Camille K. Y. Chan
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China
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da Silva CR, Gomes AAD, dos Santos-Doni TR, Antonelli AC, Vieira RFDC, da Silva ARS. Suicide in veterinary medicine: A literature review. Vet World 2023; 16:1266-1276. [PMID: 37577194 PMCID: PMC10421543 DOI: 10.14202/vetworld.2023.1266-1276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 05/15/2023] [Indexed: 08/15/2023] Open
Abstract
Veterinarians are commonly exposed to occupational stressors, including excessive workload and financial constraints. These stressors can lead to psychological distress, which typically results in mental health disorders such as depression, anxiety, and burnout and can even culminate in suicide attempts or suicide deaths. Risk factors associated with poor mental health and high rates of suicide in veterinary practitioners include continuous exposure to challenging scenarios, such as interpersonal conflicts, performing euthanasia, and easy access to lethal means of suicide, such as opioids and anesthetics. The previous studies highlight the urgent need for a better understanding of predisposing factors, mental health-related improvements in the professional environment, and the subsequent establishment of primary mental health-related care policies. Effective ways to promote mental health and prevent suicide may include social support, resilience, developing coping skills, promoting a healthy work environment, and discouraging perfectionist behaviors. This review aimed to summarize findings in studies that have investigated mental health and suicide in veterinarians and veterinary students and highlight measures that could be implemented as options for mental health promotion and suicide prevention.
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Affiliation(s)
- Carina Rodrigues da Silva
- Department of Veterinary Medicine, Universidade Federal do Vale do São Francisco, Campus of Agricultural Sciences, Petrolina, Pernambuco, Brazil
- College of Veterinary Medicine, Department of Veterinary Preventive Medicine, Ohio State University, Columbus, OH, USA
| | - Ana Amélia Domingues Gomes
- Department of Veterinary Medicine, Universidade Federal do Vale do São Francisco, Campus of Agricultural Sciences, Petrolina, Pernambuco, Brazil
| | - Thaís Rabelo dos Santos-Doni
- Department of Veterinary Medicine, Universidade Federal do Vale do Jequitinhonha e Mucuri, Unaí, Minas Gerais, Brazil
| | - Alexandre Coutinho Antonelli
- Department of Veterinary Medicine, Universidade Federal do Vale do São Francisco, Campus of Agricultural Sciences, Petrolina, Pernambuco, Brazil
| | - Rafael Felipe da Costa Vieira
- Department of Public Health Sciences, College of Health, and Human Services, University of North Carolina, Charlotte, North Carolina, United States of America
- Center for Computational Intelligence to Predict Health and Environmental Risks, University of North Carolina, Charlotte, North Carolina, United States of America
| | - Alexandre Redson Soares da Silva
- Department of Veterinary Medicine, Universidade Federal do Vale do São Francisco, Campus of Agricultural Sciences, Petrolina, Pernambuco, Brazil
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Elte Y, Acton K, Martin J, Nielen M, van Weeren R, Wolframm I. Engage and enjoy-investigating predictors of employee engagement and work satisfaction in equine veterinary professionals. Front Vet Sci 2023; 10:1036388. [PMID: 36876013 PMCID: PMC9975571 DOI: 10.3389/fvets.2023.1036388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Accepted: 01/18/2023] [Indexed: 02/17/2023] Open
Abstract
Introduction Individuals working in the field of veterinary care are regularly affected by their profession. High levels of responsibility to often provide life-saving health care to animals combined with having to manage owners' expectations and irregular working hours can cause considerable levels of work-related stress among professionals in equine veterinary practice. On the positive side, research also shows that working in the veterinary profession can have a positive impact on personal wellbeing and feelings of fulfillment. A limited number of studies has investigated work satisfaction and engagement among veterinarians across the globe, and none specifically in the equine veterinary work field. The aim of the current study was to identify relevant predictors of employee engagement and work satisfaction in relation to demographic and work environment related factors in the equine veterinary profession. Methods A cross-sectional study design was used to investigate work satisfaction and employee engagement among equine veterinary professionals from the UK, the US and the Netherlands using an online survey. Results Results suggest that levels of work engagement and satisfaction in the veterinary profession may be gauged using four factors. These factors encompass Pride and purpose (the extent to which personal core values align with the mission of the employer, i.e., the veterinary practice), Company culture and relationship with management (the manner in which staff members interact with each other and the management), Working conditions and compensation (formal employment conditions relating to responsibilities and rewards and levels of collegiality) and Team culture and learning possibilities (encouragement to pursue personal and professional growth). Discussion Findings underline the importance of being particularly mindful of inexperienced colleagues, those with demanding family commitments and, where feasible, of providing employees with a modicum of autonomy in order to ensure a satisfied equine veterinary workforce.
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Affiliation(s)
- Yteke Elte
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
| | - Kate Acton
- The Royal (Dick) School of Veterinary Studies and the Roslin Institute, The University of Edinburgh, Edinburgh, United Kingdom
| | - Jessica Martin
- The Royal (Dick) School of Veterinary Studies and the Roslin Institute, The University of Edinburgh, Edinburgh, United Kingdom
| | - Mirjam Nielen
- Department of Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
| | - René van Weeren
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
| | - Inga Wolframm
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
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Hilton KR, Burke KJ, Signal T. Mental health in the veterinary profession: an individual or organisational focus? Aust Vet J 2023; 101:41-48. [PMID: 36369713 PMCID: PMC10100510 DOI: 10.1111/avj.13215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 09/26/2022] [Accepted: 10/24/2022] [Indexed: 11/15/2022]
Abstract
The veterinary profession is experiencing a shortage of veterinarians, with attrition recognised as a substantial contributor. Research has also indicated increased levels of mental ill health and alarming suicide rates in practitioners. The primary aim of this study was to investigate the impact of eleven modifiable workplace factors on mental health outcomes, job appreciation and intention to leave the veterinary profession. The second aim was to ascertain whether workplace factors influence mental health outcomes after controlling for individual resilience. An online survey was completed by 73 practising Australian veterinarians. Unfavourable workplace factors correlated with adverse outcomes including depression, stress, reduced job appreciation and increased likelihood of leaving both the role and the profession. Workplace factors remained linked with the outcomes of job appreciation, depression and stress whilst controlling for practitioner resilience. Job appreciation was a significant predictor of intention to leave both the current role and the profession. Via multiple linear regression, two categories were identified as associated with improved psychological outcomes and job appreciation. These were workplace factors that represent breaks from workload and control or decision latitude in the workplace. Whilst resilience represents a key area for intervention, workplace factors potentially represent an easier-to-modify area for intervention.
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Affiliation(s)
- K R Hilton
- College of Psychology, School of Health, Medical & Applied Sciences, Central Queensland University, Adelaide, South Australia, Australia
| | - K J Burke
- College of Psychology, School of Health, Medical & Applied Sciences, Central Queensland University, Adelaide, South Australia, Australia
| | - T Signal
- College of Psychology, School of Health, Medical & Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
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Timmenga FSL, Jansen W, Turner PV, De Briyne N. Mental well-being and diversity, equity, and inclusiveness in the veterinary profession: Pathways to a more resilient profession. Front Vet Sci 2022; 9:888189. [PMID: 35967992 PMCID: PMC9372717 DOI: 10.3389/fvets.2022.888189] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 07/04/2022] [Indexed: 11/23/2022] Open
Abstract
Mental well-being (MWB) and diversity, equity, and inclusiveness (DEI) continue to be critical within the veterinary profession but there is less information regarding how professional associations around the world tackle these issues. A mixed-method study including an international online survey in English (n = 137 responses via snowball sampling), fourteen interviews, and two webinars was used to identify the availability and impact of MWB and DEI support programs for veterinarians. Survey results showed that more veterinary organizations designated MWB and DEI challenges (54%, n = 43/79 and 58%, n = 45/78, respectively) as a key priority area than veterinary clinics (26%, n = 15/57 and 33%, n = 19/57, respectively). Whereas, MWB support programs were available in a moderate number of mainly English-speaking countries, DEI support programs were available in only a few countries and focused primarily on specific groups, with an unknown impact due to their recent implementation. Universally, survey respondents believed activities for specific groups, such as MWB webinars, training, and awareness campaigns, as well as MWB/DEI helplines and DEI peer-to-peer support programs had a high impact (median 3.5–4/5) yet were underemployed by both veterinary organization and veterinary clinics. Further feedback from respondents during focused interviews indicated that requiring initial and continuing training as well as tailored group activities would be most beneficial to improve MWB/DEI throughout the veterinary professional career. There are many areas of the intersection between MWB and DEI that remain to be elucidated in the future studies. Having a sufficient sample size, improving accessibility, and addressing varying cultural perceptions are the main challenges, as seen in our study. To truly address MWB and DEI disparities, change is also needed in veterinary workplace culture and environment. In conclusion, raising awareness for an inclusive profession, including increasing openness and acceptance to enhance DEI and destigmatizing MWB challenges, is needed to ensure a thriving, modern veterinary profession.
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Affiliation(s)
| | - Wiebke Jansen
- Federation of Veterinarians of Europe, Brussels, Belgium
| | - Patricia V. Turner
- Global Animal Welfare and Training, Wilmington, MA, United States
- Department of Pathobiology, University of Guelph, Guelph, ON, Canada
| | - Nancy De Briyne
- Federation of Veterinarians of Europe, Brussels, Belgium
- *Correspondence: Nancy De Briyne
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Is Pet Health Insurance Able to Improve Veterinary Care? Why Pet Health Insurance for Dogs and Cats Has Limits: An Ethical Consideration on Pet Health Insurance. Animals (Basel) 2022; 12:ani12131728. [PMID: 35804627 PMCID: PMC9264770 DOI: 10.3390/ani12131728] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 06/27/2022] [Accepted: 07/01/2022] [Indexed: 11/24/2022] Open
Abstract
Simple Summary The standards of veterinary medicine are increasingly approaching those of human medicine. As a result, the cost of veterinary medicine is also rising noticeably. For many veterinarians and also pet owners, the question therefore arises as to whether animal health insurance is a possible solution. Based on a thought model, we have classified pet owners into four groups according to their willingness to pay and their dispensable funds. We found that animal health insurance can reduce price discussions, but reaches its limits as soon as an animal owner can afford neither the veterinary costs nor a monthly insurance premium. Abstract Background: Owners often feel the cost of veterinary care is too high, as there remains a limited understanding of the cost of health care in human and veterinary medicine alike. Pet health insurance is often seen as a universal solution. However, especially for patient owners with few financial resources, both the bill at the vet and the monthly premium for pet health insurance can become a challenge. Hypothesis: Pet health insurance can prevent or ease many price discussions at the vet, but it does not offer a solution for patient owners with little financial means. Methods: In order to verify for which patient owners pet health insurance can be a solution, four theoretical groups were formed depending on the patient owner’s willingness to pay and his/her dispensable funds based on a theoretical model. Results: Dispensable funds are a factor that cannot be influenced by the veterinary surgeon. However, low dispensable funds as a result of an insufficient willingness to save (whether due to a lack of financial education or a lack of will) can be solved by pet health insurance. Willingness to pay, on the other hand, can be influenced by empathetic communication from the veterinary surgeon and thus also from pet health insurance. Nevertheless, situations remain where pet health insurance is not a solution either, because owners can neither afford the veterinary costs nor a premium for a pet health insurance.
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Ryan EG, Beatty SH, Gray E, Field N, Liston R, Rhodes V, Donlon J. Factors affecting retention of veterinary practitioners in Ireland: a cross-sectional study with a focus on clinical practice. Ir Vet J 2022; 75:13. [PMID: 35668510 PMCID: PMC9172024 DOI: 10.1186/s13620-022-00222-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 05/23/2022] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Retention of veterinary practitioners has arisen as a significant problem in recent years in Ireland. No prior Irish peer-reviewed publications have addressed this problem. An online questionnaire was available through social media and via email to Irish vets from January to November 2019. The aim of this survey was to ascertain the factors contributing to the problem of vet retention in Ireland. RESULTS A total of 370 eligible responses were received. The median age of respondents was 31 and the gender balance was 250 females (68%) to 118 males (32%). The majority of respondents worked in clinical practice 322 (89%), with 138 (42.8%) in mixed practice, 115 (35.7%) in small animal practice, 49 (15.2%) solely with farm animals and 20 (6.2%) in equine practice. Fifty-four percent of respondents described themselves as likely to be leaving their current job within two years and 32.8% as being likely to leave the profession. In total, 44 variables were assessed by univariate analysis and 27 variables were significantly (P < 0.05) associated with the likelihood of a respondent leaving their current job within 2 years (LCJ2), as a proxy measure of the problem of retention. All variables significant on univariate analysis at P < 0.2 were included in a multivariable logistic regression model. Factors associated with LCJ2 included satisfaction with work-life balance (Odds Ratio (OR) 0.33); satisfaction with working hours (OR 0.2); number of years qualified (OR 0.91); position as a practice owner/partner/director (OR 0.15); and log10salary (OR 0.03). Four variables were retained in a separate multivariable linear regression model as significant (P < 0.05) predictors of log10salary. Log10salary increased with years qualified. Males had an increased salary compared to females irrespective of years qualified. Part-time employees, vets on maternity leave or postgraduate vets had a lower log10salary. Compared to veterinary employees, self-employed or locum vets had a higher log10salary. CONCLUSIONS Veterinary employers should consider salary, working hours and the facilitation of a good work-life balance in order to successfully retain veterinary employees. The significant difference in salaries currently offered to male and female vets, and the high percentage of respondents considering leaving the profession, are important findings and warrant further investigation.
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Affiliation(s)
- Eoin G Ryan
- Progressive Veterinary Network (PVN), Dublin, Ireland.
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
| | | | | | - Niamh Field
- Progressive Veterinary Network (PVN), Dublin, Ireland
- Teagasc, Moorepark, Fermoy, Co. Cork, Ireland
| | - Rory Liston
- Progressive Veterinary Network (PVN), Dublin, Ireland
| | - Victoria Rhodes
- Progressive Veterinary Network (PVN), Dublin, Ireland
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
| | - John Donlon
- Progressive Veterinary Network (PVN), Dublin, Ireland
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
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Vivian SR, Holt SL, Williams J. What Factors Influence the Perceptions of Job Satisfaction in Registered Veterinary Nurses Currently Working in Veterinary Practice in the United Kingdom? JOURNAL OF VETERINARY MEDICAL EDUCATION 2022; 49:249-259. [PMID: 34156909 DOI: 10.3138/jvme.2020-0119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The Royal College of Veterinary Surgeons is dedicated to empowering registered veterinary nurses (RVNs) and ensuring that they are valued members of the workforce within the United Kingdom. However, this is not always reported by the RVNs themselves, who state that although they derive satisfaction from working with animals and within a profession that makes a difference, there are areas in which they are not currently satisfied, such as pay scale and recognition. Responses to a questionnaire were analyzed using a mixed-methods design to determine current factors affecting job satisfaction utilizing a deductive and inductive approach. The questionnaire reached 205 RVNs currently working in practice within the UK; respondents were divided between remaining at their current practice (n = 101) and finding alternative employment (n = 80). Those who stated that they were happy in their job role were more likely to want to remain there. Themes relating to positive and negative job satisfaction were reported and used to devise strategies employers and employees could use to increase or maintain RVNs' overall satisfaction. More focus is needed on support and communication within veterinary practices, support for appropriate delegation linked to recognition of the RVN role, and support from educators to prepare students for the RVN role. Although the questionnaire did not reach the targeted sample size, responses agree with previous data indicating that changes made to the RVN role in the UK have not sufficiently improved job satisfaction scores.
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Dalum HS, Tyssen R, Hem E. Prevalence and individual and work-related factors associated with suicidal thoughts and behaviours among veterinarians in Norway: a cross-sectional, nationwide survey-based study (the NORVET study). BMJ Open 2022; 12:e055827. [PMID: 34980627 PMCID: PMC8724721 DOI: 10.1136/bmjopen-2021-055827] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
OBJECTIVES Several studies have shown increased suicide rates among veterinarians. We investigated the self-reported prevalence of suicidal thoughts and behaviours and contributing and independent factors associated with suicidal thoughts and behaviours among veterinarians in Norway. DESIGN Cross-sectional, nationwide survey. PARTICIPANTS 2596 veterinarians in Norway (response rate: 75%). MAIN OUTCOME MEASURE Paykel's five-item questionnaire. RESULTS In total, 27% (n=682/2567) of veterinarians in Norway felt that life was not worth living during the last year, 5% (n=139/2562) had serious suicidal thoughts, and 0.2% (n=6/2537) had attempted suicide. Female veterinarians reported significantly higher prevalence of suicidal feelings and thoughts than males. For serious suicidal thoughts, women had nearly twice the prevalence as their male colleagues (6.2% (n=108/1754) vs 3.6% (n=28/766), χ2: 6.5, p=0.011). Independent factors associated with serious suicidal thoughts were being single (OR 1.76, 95% CI 1.13 to 2.72, p<0.05), negative life events (OR=1.43, 95% CI 1.22 to 1.68, p<0.001) and the presence of mental distress (OR 2.75, 95% CI 2.14 to 3.52, p<0.001). The veterinarians related their serious suicidal thoughts to work and personal problems, and a lesser degree to family, social and other problems. Nearly twice as many women (53%, n=57/108) as men (28%, n=7/25) reported work problems as the most important contributing factor to their serious suicidal thoughts (χ2: 4.99, p=0.03). 4% (n=6/139) reported work problems as the only factor of importance. CONCLUSIONS Veterinarians in Norway have relatively high prevalence of suicidal feelings and thoughts, including serious suicidal thoughts. In multivariable analyses, the individual factors were more important than work-related ones, while work problems were the most reported contributing factor to serious suicidal thoughts by the veterinarians themselves. The role of gender and specific work-related factors should be further investigated to better understand the complexity of suicidal behaviour among veterinarians.
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Affiliation(s)
- Helene Seljenes Dalum
- Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Reidar Tyssen
- Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Erlend Hem
- Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway
- Institute for Studies of the Medical Profession, Oslo, Norway
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Merle R, Küper AM. Attitude of Veterinarians Toward Self-Informed Animal Owners Affects Shared Decision Making. Front Vet Sci 2021; 8:692452. [PMID: 34746272 PMCID: PMC8564114 DOI: 10.3389/fvets.2021.692452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 09/20/2021] [Indexed: 11/13/2022] Open
Abstract
The aims of this study were to investigate the role of the veterinarian characteristics (e.g., age, gender, self-estimation, use of the internet), and their attitudes concerning animal owners seeking self-information. A particular focus was laid on any association between shared decision making (SDM), age and gender. In an online survey, 527 German veterinarians were asked about their attitude regarding SDM principles and their experiences with self-informed animal owners. The factors associated with veterinarians' perception of SDM were investigated in a multivariable linear regression model. A recently published structural equation model consolidated the application of SDM, empathic behavior, and veterinarians' evaluation of self-education as latent factors. Interconnected questionnaire items were processed using an exploratory factor analysis to 11 interpretable factors. Veterinarians who assumed therapy failure was associated with themselves had significantly higher rates of SDM (p = 0.002). In contrast, SDM was significantly lower (p = 0.002) if they assumed that therapy failure was due to the animal's owners. SDM was negatively associated with the perceived quality of the pet owners' self-information (p < 0.001) and if skepticism was perceived as the reason for seeking the self-information (p = 0.001). Veterinarians who advised against self-information (p = 0.006) and those who assumed that self-information of animal owners goes along with uncertainty (p = 0.001) had low SDM values (p = 0.006). Asking the animal owner for self-information (p = 0.001), and recommendations of good information sources (p = 0.022) were positively associated with SDM. Looking at the influence of age and gender on the application of SDM, older people and males rated higher. However, the evaluation of the latent factor SDM was based on the self-estimation of the participants. Assuming that younger women were less self-confident, we cannot exclude that young female participants self-evaluated their SDM skills lower than older male participants, although both groups would objectively have the same SDM level. Practitioners who have a positive attitude toward animal owners, who enjoy contact with animal owners and welcome their interest in further (self-)information, show empathic behavior, and have a positive attitude toward SDM are more likely to have better veterinarian-animal owner-relationships.
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Affiliation(s)
- Roswitha Merle
- Department of Veterinary Medicine, Institute for Veterinary Epidemiology and Biostatistics, Freie Universität Berlin, Berlin, Germany
| | - Alina M Küper
- Department of Veterinary Medicine, Institute for Veterinary Epidemiology and Biostatistics, Freie Universität Berlin, Berlin, Germany
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Arbe Montoya AI, Hazel SJ, Hebart ML, McArthur ML. Risk factors associated with veterinary attrition from clinical practice: a descriptive study. Aust Vet J 2021; 99:495-501. [PMID: 34389973 DOI: 10.1111/avj.13111] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 07/07/2021] [Accepted: 07/14/2021] [Indexed: 11/30/2022]
Abstract
A sustainable workforce is important for the veterinary profession to meet the demands of society. To maintain a sustainable workforce, it has been recommended to retain veterinary clinicians. However, there seems to be an increasing issue with retention of veterinarians in clinical practice. In the following study, the researchers sought to understand the associations between demographic and work-related factors and attrition of veterinarians from clinical practice. Responses to an online cross-sectional survey of 881 current and former Australian veterinary clinicians were analysed. A logistic regression model was used to identify and describe associations between attrition from veterinary clinical practice and salary, working hours, role in practice, years of experience, field of work, interaction with regulatory authorities, region of work and on-call duties. Lower salary, longer working hours, having on-call duties and having worked in both rural and metropolitan regions were found to significantly (P < 0.05) increase the likelihood of leaving clinical practice. The results may inform intervention strategies to assist the industry to retain veterinarians in clinical practice.
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Affiliation(s)
- A I Arbe Montoya
- School of Animal and Veterinary Science, The University of Adelaide, Roseworthy, South Australia, 5371, Australia
| | - S J Hazel
- School of Animal and Veterinary Science, The University of Adelaide, Roseworthy, South Australia, 5371, Australia
| | - M L Hebart
- School of Animal and Veterinary Science, The University of Adelaide, Roseworthy, South Australia, 5371, Australia
| | - M L McArthur
- School of Animal and Veterinary Science, The University of Adelaide, Roseworthy, South Australia, 5371, Australia
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Gaida S, Dilly M, Tipold A, Härtl A. Motivation and Experience Matters: What Veterinary Mentors Think About Learning Communication Skills: A Qualitative Study. JOURNAL OF VETERINARY MEDICAL EDUCATION 2021; 48:441-450. [PMID: 33493095 DOI: 10.3138/jvme.2019-0068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Communication skills are a core competence in veterinary medicine. These skills play a pivotal role in professional success in the animal health professions. Over the last few decades, there has been an increased focus on communication skills in veterinary curricula. Conversely, we know less about the knowledge and motivation behind the communication skills of those veterinarians in different work domains who are acting as mentors outside the university. In 2016, semi-structured interviews (n = 16) were conducted with German practitioners in workplaces ranging from companion to farm animal practice, and throughout the veterinary industry, veterinary research, and government service. We combined two qualitative methods: a thematic analysis approach and the generation of types to identify characteristics associated with the acquisition of communication skills. In the current study, three main themes were developed: "Motivation," "Experiences with the acquisition of communication skills," and "Communication skills training during formal education." Within the identified themes, we recognized three types of communicators: "self-experienced," "extrinsic-experienced," and "unexperienced." We found that acquisition of communication skills was closely linked to motivation; therefore, motivation must be considered when developing communication skills curricula for learners and educators. By extrapolating the findings of this explorative study, we determined that intrinsically motivated mentors from the field should be a main source of veterinary education to promote further development in communication training. This qualitative study also determined that most non-university veterinary mentors had only a basic knowledge of teaching and learning communication skills, leading us to recommend formal training. Interchange between practicing veterinarians and veterinary educators and curriculum coordinators can foster relevant curricular modifications.
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Clise MH, Matthew SM, McArthur ML. Sources of pleasure in veterinary work: A qualitative study. Vet Rec 2021; 188:e54. [PMID: 33818770 DOI: 10.1002/vetr.54] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 09/27/2020] [Accepted: 12/03/2020] [Indexed: 11/06/2022]
Abstract
BACKGROUND Despite the rise in positive psychology within organisational settings, less is known about the positive factors associated with veterinary work and veterinarian well-being. This qualitative study investigated sources of pleasure for veterinarians. METHOD A subset of archival data from a larger study on veterinary well-being was analysed. The current study was based on data from 273 veterinarians responding to a Ten Statements Test (TST) and demographic questions. In the TST, participants provided up to 10 responses to the prompt, 'I derive pleasure in my work as a veterinarian when…'. RESULTS Using the job demands-resources model as a framework, a total of 2536 responses were manually coded into themes relating to resources (positive responses) or demands (responses indicating a negative factor). In order of frequency, job resources are related to professional expertise (22%), positive outcomes (20%), job characteristics (19%), relationships (16%), recognition (10%), helping (7%) and personal resources (3%). Top job demands are related to stress and fatigue (17%) and poor work-life balance (16%). CONCLUSION The results suggest that there are an abundance of positive factors in veterinary work associated with feelings of pleasure, which may support veterinarian well-being.
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Affiliation(s)
- Madeleine H Clise
- School of Psychology, University of Adelaide, Adelaide, South Australia, Australia
| | - Susan M Matthew
- College of Veterinary Medicine, Washington State University, Washington, USA
| | - Michelle L McArthur
- School of Animal and Veterinary Science, University of Adelaide, Adelaide, South Australia, Australia
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16
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Clise MH, Kirby N, McArthur ML. Is veterinary work more than satisfying? A critical review of the literature. Vet Rec 2021; 188:e77. [PMID: 34018567 DOI: 10.1002/vetr.77] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 11/26/2020] [Accepted: 12/24/2020] [Indexed: 11/12/2022]
Abstract
Despite the rise of positive psychology in recent times, research continues to emphasise the risks and negative outcomes associated with veterinary work. Understanding these challenges and risks is imperative in helping those affected and preventing or limiting exposure for future veterinarians. However, it is vital that positive factors associated with their well-being are concomitantly addressed. Drawing on an organisational psychology perspective and associated theories, this review critically analyses the literature on veterinary well-being, job satisfaction and the role of positive emotions at work. This perspective prompts a call to researchers to investigate the positive aspects of veterinary work and offers many suggestions for future research and associated implications. Drawing on an extensive evidence base of research pertaining to positive emotions and well-being in veterinarians, the development, implementation and validation of workplace interventions should follow. The veterinary profession is a highly rewarding one and a focus on pleasure in veterinary work and ways to encourage this, will only help veterinarians flourish and help to promote the profession in the way it deserves.
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Affiliation(s)
- Madeleine H Clise
- School of Psychology, University of Adelaide, Adelaide, South Australia, Australia
| | - Neil Kirby
- School of Psychology, University of Adelaide, Adelaide, South Australia, Australia
| | - Michelle L McArthur
- School of Animal and Veterinary Science, University of Adelaide, Adelaide, South Australia, Australia
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Arbe Montoya AI, Hazel SJ, Matthew SM, McArthur ML. Why do veterinarians leave clinical practice? A qualitative study using thematic analysis. Vet Rec 2021; 188:e2. [DOI: 10.1002/vetr.2] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Alejandra I. Arbe Montoya
- School of Animal and Veterinary Science The University of Adelaide Roseworthy South Australia Australia
| | - Susan J. Hazel
- School of Animal and Veterinary Science The University of Adelaide Roseworthy South Australia Australia
| | - Susan M. Matthew
- College of Veterinary Medicine Washington State University Pullman Washington USA
| | - Michelle L. McArthur
- School of Animal and Veterinary Science The University of Adelaide Roseworthy South Australia Australia
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Yang HH, Ward MP, Fawcett A. DVM students report higher psychological distress than the Australian public, medical students, junior medical officers and practicing veterinarians. Aust Vet J 2019; 97:373-381. [PMID: 31310017 DOI: 10.1111/avj.12845] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 05/14/2019] [Accepted: 05/30/2019] [Indexed: 11/27/2022]
Abstract
AIM To measure the stress levels of Doctor of Veterinary Medicine (DVM) students at the University of Sydney using the Kessler Psychological Distress Scale (K10) questionnaire. METHODS DVM students in years 1 to 4 were surveyed in semester 2 of 2018. The voluntary online survey consisted of 6 demographic questions and the K10 scale, a standardised measure of stress commonly used in Australia by medical practitioners for evaluation and referral to mental health professionals. Academic year cohorts were compared to identify differences in stress levels. Cohorts were compared to published K10 scores from various populations including the Australian public, medical students, practicing veterinarians, and Junior Medical Officers (JMOs). RESULTS The response rate was 54.4% (n = 237). DVM students experienced a higher level of psychological distress (mean 24, median 23, range 10-50) than the Australian population (mean 14.5, median 13, range 10-50), medical students (mean 18.4, median 16, range 10-50), practicing veterinarians (mean 16.7, median 15.5, range 10-30), and JMOs (mean 18.1, median 16, range 10-50). Female students (median 23) had a significantly higher level of psychological distress compared to male students (median 18) (p = 0.0005). International students (median 23) had a higher level of psychological stress than domestic students (median 22) (p = 0.0488). Different year cohorts, age range, work hours, and exercise were not associated with difference in stress levels. CONCLUSION Based on higher levels of stress in DVM students than that of the general population, practicing veterinarians, JMOs and medical students, there is an urgent need for evidence-based interventions to target stress in DVM students.
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Affiliation(s)
- H H Yang
- Sydney School of Veterinary Science, University of Sydney
| | - M P Ward
- Sydney School of Veterinary Science, University of Sydney
| | - A Fawcett
- Sydney School of Veterinary Science, University of Sydney
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Gaida S, Härtl A, Tipold A, Dilly M. Communication identity in veterinary medicine: a grounded theory approach. Vet Rec Open 2018; 5:e000310. [PMID: 30613405 PMCID: PMC6307623 DOI: 10.1136/vetreco-2018-000310] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Revised: 11/04/2018] [Accepted: 11/09/2018] [Indexed: 11/17/2022] Open
Abstract
It is well established that communication skills are a core competence in veterinary medicine. Most studies in the field of veterinary medicine have focused on communication as an interpersonal skill. Much less is known about communication in the context of professional identity formation. Semistructured interviews with practitioners from companion and farm animal practice, veterinary industry, veterinary research and government service were conducted in Germany in 2016. A grounded theory approach as described by Strauss and Corbin was used to identify characteristics associated with professional communication identity formation in veterinarians. According to the current study, the identity formation process occurs in three steps: existing personal communication identity, socialisation and professional communication identity. Essentials of interpersonal communication, communication interaction experiences at work, acquisition of communication skills and subjective clarification of veterinary communication ability and skills are the key factors associated with this formation process. Since communication skills are of uttermost importance for all fields of veterinary medicine, communication education, and supporting undergraduate students in the process of communication identity formation, should be an important part of the veterinary curriculum. Furthermore, integrating communication skills training in continuing education courses could foster professionalism in veterinary medicine.
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Affiliation(s)
- Silke Gaida
- Clinical Skills Lab, University of Veterinary Medicine Hannover, Hannover, Germany
| | - Anja Härtl
- Institute for Medical Education, University Hospital, LMU Munich, Munich, Germany.,Faculty of Medicine, University of Augsburg, Augsburg, Germany
| | - Andrea Tipold
- Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Hannover, Germany
| | - Marc Dilly
- Scil Vet Academy, Scil Animal Care, Viernheim, Germany
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