Excellence is expected : quality monitoring and improvement in veterinary medicine

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, includi...

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Main Author: Rooke, Freya
Format: Thesis (University of Nottingham only)
Language:English
English
Published: 2023
Subjects:
Online Access:https://eprints.nottingham.ac.uk/73907/
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author Rooke, Freya
author_facet Rooke, Freya
author_sort Rooke, Freya
building Nottingham Research Data Repository
collection Online Access
description 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.
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spelling nottingham-739072023-07-19T04:40:11Z https://eprints.nottingham.ac.uk/73907/ Excellence is expected : quality monitoring and improvement in veterinary medicine Rooke, Freya 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. 2023-07-19 Thesis (University of Nottingham only) NonPeerReviewed application/pdf en cc_by https://eprints.nottingham.ac.uk/73907/1/excellence%20is%20expected%20full%20thesis%20with%20corrections%20310523.docx application/pdf en cc_by https://eprints.nottingham.ac.uk/73907/2/excellence%20is%20expected%20full%20thesis%20with%20corrections%20310523.pdf Rooke, Freya (2023) Excellence is expected : quality monitoring and improvement in veterinary medicine. PhD thesis, University of Nottingham. Quality improvement Quality monitoring Improveing quality care
spellingShingle Quality improvement
Quality monitoring
Improveing quality care
Rooke, Freya
Excellence is expected : quality monitoring and improvement in veterinary medicine
title Excellence is expected : quality monitoring and improvement in veterinary medicine
title_full Excellence is expected : quality monitoring and improvement in veterinary medicine
title_fullStr Excellence is expected : quality monitoring and improvement in veterinary medicine
title_full_unstemmed Excellence is expected : quality monitoring and improvement in veterinary medicine
title_short Excellence is expected : quality monitoring and improvement in veterinary medicine
title_sort excellence is expected : quality monitoring and improvement in veterinary medicine
topic Quality improvement
Quality monitoring
Improveing quality care
url https://eprints.nottingham.ac.uk/73907/