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Rooke, Freya (2023) Excellence is expected : quality monitoring and improvement in veterinary medicine. PhD thesis, University of Nottingham.

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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:	Thesis (University of Nottingham only) (PhD)
Supervisors:	Burford, John Brennan, Marnie Freeman, Sarah Mair, Tim Suther, Jo
Keywords:	Quality improvement, Quality monitoring, Improveing quality care
Subjects:	S Agriculture > SF Animal culture
Faculties/Schools:	UK Campuses > Faculty of Medicine and Health Sciences > School of Veterinary Medicine and Science
Item ID:	73907
Depositing User:	Rooke, Freya
Date Deposited:	19 Jul 2023 04:40
Last Modified:	19 Jul 2023 04:40
URI:	https://eprints.nottingham.ac.uk/id/eprint/73907

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