Excellence is expected : quality monitoring and improvement in veterinary medicine
Publication Date
July 19, 2023
Creator
Abstract
Introduction: There is significant need for further theoretical and practical development in the field of quality improvement (QI) for use in veterinary medicine. The central aim of this thesis was to investigate the potential benefits and application of QI methods in UK veterinary practice, including how these methods could uphold and improve the quality of care delivered, and any barriers that may prevent the use of QI in practice.
Materials and Methods: Using a mixed methods approach (questionnaires, focus groups and review of available literature), information was gathered from professionals regarding their current knowledge, and use of QI methods and quality veterinary care (QVC) in practice. Following this, infrastructure changes that could address some of the barriers to QI were investigated using e-Delphi methods. A QI planning framework and information document was designed and tested in practice. Analysis included thematic analysis of qualitative data and statistical analysis of quantitative data.
Results: The veterinary sector faces particular challenges and barriers when it comes to successfully implementing QI methods in practice. Ten veterinary specific QI terms were created and defined by a panel of veterinary professionals. There were significant discrepancies in the level of knowledge and understanding between different job roles. Many things can alter the landscape of QVC and how QI is applied; COVID-19 undoubtedly placed enormous strain on the veterinary sector and its ability to provide QVC to patients in times of extreme stress. Creation of veterinary specific planning framework and training documents received
overwhelmingly positive feedback from veterinary practices.
Conclusion: The results of this thesis draw specific attention to the importance of inclusivity among all practice staff with regards to training and information available about QI, and open communication with colleagues. Motivation is high among veterinary staff to implement QI methods, particularly those that typically would be overlooked for such tasks (vet nurses, administrators, and auxiliary staff). Development of veterinary specific QI terms, and a standardised model for the education, training, and utilisation of these methods in veterinary medicine needs to continue. A fully planned model for QI use, that embraces a more flexible and personalised approach to improvement, forms an essential first step to helping veterinary professionals use these methods in their work.
Item Type
ethesis
Thesis Type
PhD
Subjects (LC)
Associated Schools / Departments
School of Veterinary Medicine and Science
eprints ID
73907
UoN Repository URI
Except where otherwise noted, this item's license is described as
File(s)![Thumbnail Image]()
![Thumbnail Image]()
Name
excellence is expected full thesis with corrections 310523.docx
Type
Full-text
Description
Examined. Excellence is expected - thesis with corrections suggested in second review
Size
9 MB
Format
Adobe PDF
Checksum (MD5)
e3df94cc8aefddb8fc441e25a2dde9e8
Name
excellence is expected full thesis with corrections 310523.pdf
Type
Full-text
Description
Examined. Excellence is expected - thesis with corrections suggested in second review
Size
8.24 MB
Format
Adobe PDF
Checksum (MD5)
f89dca93ce17c478946f80ec180255ba