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1

Stivers, Tanya. "Prediagnostic Commentary in Veterinarian-Client Interaction." Research on Language & Social Interaction 31, no. 2 (April 1998): 241–77. http://dx.doi.org/10.1207/s15327973rlsi3102_4.

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2

Cornell, Karen K., and Michelle Kopcha. "Client-Veterinarian Communication: Skills for Client Centered Dialogue and Shared Decision Making." Veterinary Clinics of North America: Small Animal Practice 37, no. 1 (January 2007): 37–47. http://dx.doi.org/10.1016/j.cvsm.2006.10.005.

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3

Kanji, Noureen, Jason B. Coe, Cindy L. Adams, and Jane R. Shaw. "Effect of veterinarian-client-patient interactions on client adherence to dentistry and surgery recommendations in companion-animal practice." Journal of the American Veterinary Medical Association 240, no. 4 (February 15, 2012): 427–36. http://dx.doi.org/10.2460/javma.2400.4.427.

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Objective—To explore the relationship between veterinarian-client-patient interactions and client adherence to dental and surgery recommendations and to test the a priori hypotheses that appointment-specific client satisfaction and relationship-centered care are positively associated with client adherence. Design—Cross-sectional study. Sample—A subsample of 19 companion-animal veterinarians and 83 clients from a larger observational study consisting of 20 randomly recruited veterinarians and a convenience sample of 350 clients from eastern Ontario. Procedures—Videotaped veterinarian-client-patient interactions containing a dentistry recommendation, surgery recommendation, or both were selected for inclusion from the larger sample of interactions coded with the Roter interaction analysis system. Client adherence was measured by evaluating each patient's medical record approximately 6 months after the videotaped interaction. The clarity of the recommendation, appointment-specific client-satisfaction score, and relationship-centered care score were compared between adhering and nonadhering clients. Results—Among the 83 veterinarian-client-patient interactions, 25 (30%) clients adhered to a dentistry recommendation, surgery recommendation, or both. The odds for adherence were 7 times as great for clients who received a clear recommendation, compared with clients who received an ambiguous recommendation from their veterinarian. Moreover, adhering clients were significantly more satisfied as measured after the interview. Interactions resulting in client adherence also had higher scores for relationship-centered care than did interactions leading to nonadherence. Conclusions and Clinical Relevance—Veterinarian use of a relationship-centered care approach, characterized as a collaborative partnership between a veterinarian and a client with provision of clear recommendations and effective communication of the rationale for the recommendations, has positive implications for client adherence.
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4

Clark, James J., and Cassandra M. Linder. "Evaluation of a novel communication and consultation skills model (WISE COACH) on dog owner perceptions of veterinarians and projected spending on veterinary care." Journal of the American Veterinary Medical Association 260, no. 2 (January 15, 2022): 257–68. http://dx.doi.org/10.2460/javma.21.02.0096.

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Abstract OBJECTIVE To assess the impact of a novel communication and consultation skills model (WISE COACH [WC]) on dog owner perceptions of veterinarians and projected spending on veterinary care. SAMPLE 1,200 US dog owners who had visited a veterinarian within the prior 18 months. PROCEDURES Video recordings of 2 staged client consultations were made, with the veterinarian following the WC recommendations in one video and not following them in the other (control). Participants were randomly assigned to view one of the videos and completed an online survey to assess their perceptions and projected spending. Qualitative responses were coded to identify themes. RESULTS The veterinarian was rated significantly higher in the WC video than in the control video for the characteristics first impression, skilled and knowledgeable, cares about me, cares about my pet, and communicates clearly, and was rated significantly lower for the characteristic rushed or abrupt. Participants who viewed the WC video were significantly more likely to follow the veterinarian’s recommendations, return to see the veterinarian, and recommend the veterinarian. They were also approximately 1.4 times as likely to approve the full recommended treatment plan, and their projected total spending was approximately 15% higher than projected spending for participants who viewed the control video. CLINICAL RELEVANCE Results showed improved client perceptions, client retention, quality of patient care, and financial metrics when the veterinarian followed the WC recommendations. Further study is needed to determine whether this model may also improve veterinarian well-being by improving client relationships and decreasing resistance to recommendations.
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Babcock, Sarah L., and Christine Pfeiffer. "Laws and regulations concerning the confidentiality of veterinarian-client communication." Journal of the American Veterinary Medical Association 229, no. 3 (August 2006): 365–69. http://dx.doi.org/10.2460/javma.229.3.365.

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6

Blaxter, Alison. "Improving veterinarian‐client communication in companion animal preventive healthcare consultations." Veterinary Record 190, no. 7 (April 2022): 282–84. http://dx.doi.org/10.1002/vetr.1653.

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7

Shaw, Jane R., Brenda N. Bonnett, Debra L. Roter, Cindy L. Adams, and Susan Larson. "Gender differences in veterinarian-client-patient communication in companion animal practice." Journal of the American Veterinary Medical Association 241, no. 1 (July 2012): 81–88. http://dx.doi.org/10.2460/javma.241.1.81.

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8

McDermott, Michael P., Victoria A. Tischler, Malcolm A. Cobb, Iain J. Robbé, and Rachel S. Dean. "Veterinarian–Client Communication Skills: Current State, Relevance, and Opportunities for Improvement." Journal of Veterinary Medical Education 42, no. 4 (December 2015): 305–14. http://dx.doi.org/10.3138/jvme.0115-006r.

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9

Janke, Natasha, Jason B. Coe, Theresa M. Bernardo, Cate E. Dewey, and Elizabeth A. Stone. "Pet owners’ and veterinarians’ perceptions of information exchange and clinical decision-making in companion animal practice." PLOS ONE 16, no. 2 (February 1, 2021): e0245632. http://dx.doi.org/10.1371/journal.pone.0245632.

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One of the most complex aspects of the veterinarian-client-patient interaction is the clinical decision-making process. Research suggests that the approach to communication used by veterinarians can impact veterinary clients’ involvement in the decision-making process and their ultimate satisfaction. Using different approaches to the decision-making process may affect how information is exchanged and consequently how decisions are made. The objective of this study was to determine pet owners’ expectations with respect to information exchange and decision-making during veterinarian-client-patient interactions and to compare veterinarians’ perceptions of those expectations and the challenges they face in meeting them. Five pet owner focus groups (27 owners) and three veterinarian focus groups (24 veterinarians) were conducted with standardized open-ended questions and follow-up probes. Thematic analysis of the transcribed data was conducted to identify trends and patterns that emerged during the focus groups. Three pet owner-based themes were identified: 1) understanding the client; 2) providing information suitable for the client; and 3) decision-making. In addition, three barriers for veterinarians affecting information exchange and decision-making were identified: 1) time constraints; 2) involvement of multiple clients; and 3) language barriers. Results suggest that pet owners expect to be supported by their veterinarian to make informed decisions by understanding the client’s current knowledge, tailoring information and educating clients about their options. Breakdowns in the information exchange process can impact pet owners’ perceptions of veterinarians’ motivations. Pet owners’ emphasis on partnership suggests that a collaborative approach between veterinarians and clients may improve client satisfaction.
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Nogueira Borden, Leandra J., Cindy L. Adams, Brenda N. Bonnett, Carl S. Ribble, and Jane R. Shaw. "Comparison of veterinarian and standardized client perceptions of communication during euthanasia discussions." Journal of the American Veterinary Medical Association 254, no. 9 (May 2019): 1073–85. http://dx.doi.org/10.2460/javma.254.9.1073.

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Kuijk, Lotte Beirens-van, Madeleine Van Leeuwen, and Pia Keller. "When it’s time to say goodbye: veterinarian-client communication during pet euthanasia." Patient Education and Counseling 109 (April 2023): 143. http://dx.doi.org/10.1016/j.pec.2022.10.326.

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Shaw, Jane R., Cindy L. Adams, and Brenda N. Bonnett. "What can veterinarians learn from studies of physician-patient communication about veterinarian-client-patient communication?" Journal of the American Veterinary Medical Association 224, no. 5 (March 2004): 676–84. http://dx.doi.org/10.2460/javma.2004.224.676.

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Shaw, Jane R., Brenda N. Bonnett, Cindy L. Adams, and Debra L. Roter. "Veterinarian-client-patient communication patterns used during clinical appointments in companion animal practice." Journal of the American Veterinary Medical Association 228, no. 5 (March 2006): 714–21. http://dx.doi.org/10.2460/javma.228.5.714.

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Hussein Jamal, Noorjan, Mei Yuit Chan, Shameem Rafik-Galea, Ngee Thai Yap, Geok Imm Lee, and Puteri Azaziah Megat Abd Rani. "Question design in veterinary consultations: Question forms and client responses in accomplishing problem presentation in a Malaysian context." Discourse and Interaction 15, no. 1 (July 7, 2022): 51–76. http://dx.doi.org/10.5817/di2022-1-51.

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Question design by medical practitioners has been shown to have important consequences on how patients present their problems in clinical consultations. Linguistic structure of questions as part of question design implements different communicative and pragmatic functions, and hence, affects patients’ response in different ways. This study examined types of questions asked by veterinarians in the problem presentation phase of the clinical consultation in relation to their linguistic forms and functions. Veterinary illness consultations were video-recorded and veterinarians’ question types, their linguistic forms and clients’ response in the interaction were identified and examined. The results show that the general inquiry question implemented using the open-ended wh-question structure and the closed-ended declarative interrogative are the preferred forms used by veterinarians to solicit patients’ presenting problems from clients. Also, alignment of the linguistic form of questions with their pragmatic functions and the discourse goal of problem presentation affects clients’ ascription of veterinarians’ actions. The findings from the study can inform veterinarian communication training for more effective veterinarian-client communication to accomplish problem presentation in clinical consultations.
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Morgan, Stewart K., Susan Willis, and Megan L. Shepherd. "Survey of owner motivations and veterinary input of owners feeding diets containing raw animal products." PeerJ 5 (March 2, 2017): e3031. http://dx.doi.org/10.7717/peerj.3031.

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BackgroundThe practice of feeding of diets containing raw animal products (RAP) to pets (dogs and cats) is discouraged by veterinary organizations and governmental public health organizations. Nevertheless, the practice of feeding RAP to pets is increasing in popularity. Pet owner motivations for feeding RAP diets to pets have not been explored and the benefits of RAP diets remain largely anecdotal. We hypothesized that pet owners feeding RAP diets would not rely on veterinary advice in choosing their pet’s diet. We also hypothesized that these owners would have lower levels of trust in veterinary advice with respect to nutrition relative to pet owners not feeding RAP.MethodsAn anonymous web-based survey was developed to identify pet owner motivations for feeding RAP diets, and to characterize the veterinarian-client relationships of individuals feeding RAP diets.ResultsThere were 2,337 respondents and 2,171 completed surveys. Of survey respondents, 804 reported feeding RAP at the time of the survey. While 20% of pet owners feeding RAP relied on online resources to determine what or how much RAP to feed, only 9% reported consulting with a veterinarian in making decisions about feeding RAP. Pet owners feeding RAP reported lower levels of trust in veterinary advice both ‘in general’ and ‘with respect to nutrition’ than pet owners not feeding RAP. Most pet owners reported that a discussion regarding their pet’s nutrition does not occur at every veterinary appointment.DiscussionPet owners feeding a RAP diet have lower trust in veterinary advice than pet owners not feeding a RAP diet. Owners feeding RAP are more reliant on online resources than their own veterinarian in deciding what and how much RAP to feed. Pet owners perceive that nutrition is not discussed at most veterinary appointments. Therefore, there is room for improvement in the veterinarian-client communication with regards to nutrition.
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Bard, Alison M., David C. J. Main, Anne M. Haase, Helen R. Whay, and Kristen K. Reyher. "Veterinary communication can influence farmer Change Talk and can be modified following brief Motivational Interviewing training." PLOS ONE 17, no. 9 (September 12, 2022): e0265586. http://dx.doi.org/10.1371/journal.pone.0265586.

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Current veterinary communication skills training often focuses on the strategies necessary to successfully transfer information and promote shared decision making rather than inspiring client motivation to engage in behaviour change(s). One evidence-based communication methodology with a specific focus on enhancing conversations about change is Motivational Interviewing (MI), which is perceived by veterinarians to be highly relevant to their profession. We examined whether veterinarians who experienced brief (4–5 hours) MI training (BMIT) were able to change their communication behaviours to be more MI consistent. Fourteen veterinarians recorded 31 veterinary herd health consultations before (n = 15) and after (n = 16) BMIT to allow pre-post intervention analysis of veterinarian and farmer verbal behaviour. Additionally, using a sequential linguistic analysis of 3885 veterinarian-farmer communication events within these consultations, the influence of veterinarians’ verbal behaviours on farmers’ response language was explored. Analysis of veterinary consultations undertaken before and after BMIT revealed that veterinarians changed their communication style to be more consistent with the MI methodology, including more use of reflection statements, a more empathic and partnership-oriented consultation style and greater emphasis on clients’ own language in favour of change goals. In response, farmers contributed more to the conversation and discussed more herd health-related changes. Sequential linguistic analysis suggested that following a veterinarian emphasising something positive about the farmer (e.g. efforts, strengths), seeking collaboration or emphasising farmer choice, farmers were subsequently more likely to express arguments in favour of change (‘Change Talk’), especially phrases indicative of commitment. This study offers the first evidence of the potential value of a BMIT experience to enhance veterinary communication skills, although conscious and disciplined use of MI principles, strategies and Spirit–an ethos of compassion, acceptance, partnership and evocation—requires longer and more complex training. Further studies examining the longevity and consistency of these verbal behaviour changes following BMIT are required.
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Shaw, Jane R., Cindy L. Adams, Brenda N. Bonnett, Susan Larson, and Debra L. Roter. "Use of the Roter interaction analysis system to analyze veterinarian-client-patient communication in companion animal practice." Journal of the American Veterinary Medical Association 225, no. 2 (July 2004): 222–29. http://dx.doi.org/10.2460/javma.2004.225.222.

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Shaw, Jane R., Cindy L. Adams, Brenda N. Bonnett, Susan Larson, and Debra L. Roter. "Veterinarian-client-patient communication during wellness appointments versus appointments related to a health problem in companion animal practice." Journal of the American Veterinary Medical Association 233, no. 10 (November 15, 2008): 1576–86. http://dx.doi.org/10.2460/javma.233.10.1576.

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19

Coe, Jason B., Cindy L. Adams, and Brenda N. Bonnett. "A focus group study of veterinarians' and pet owners' perceptions of veterinarian-client communication in companion animal practice." Journal of the American Veterinary Medical Association 233, no. 7 (October 2008): 1072–80. http://dx.doi.org/10.2460/javma.233.7.1072.

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20

Brown, Bryan. "The Dimensions of Pet-Owner Loyalty and the Relationship with Communication, Trust, Commitment and Perceived Value." Veterinary Sciences 5, no. 4 (November 6, 2018): 95. http://dx.doi.org/10.3390/vetsci5040095.

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Loyalty is one of the greatest intangible assets that any organization can possess and improving client loyalty is a primary marketing goal that can have a significant financial impact on any business. This quantitative study examined the mediating role of communication on the relationship between satisfaction and loyalty (attitudinal and behavioral) in veterinary clinics, along with the moderating roles of trust, commitment, perceived value, and relational characteristics. Responses collected from 351 pet-owners through social media were analyzed using descriptive and inferential statistics. The results show that attitudinal loyalty (AL) has a strong positive relationship with communication at multiple points in a veterinary clinic, whereas the relationship with behavioral loyalty (BL) was not as clear. Additional findings suggest that AL, which is influenced by trust in the veterinarian, communication from staff members and commitment, has a strong positive relationship with behavioral intentions, increases the number of products and services that a pet-owner consumes at his or her primary veterinary clinic, and attenuates the role of cost in receiving veterinary care. These findings can help veterinary clinic owners and managers in developing and implementing relationship strategies that improve pet-owner loyalty.
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De Voogt, Charlotte, Lianie Williams, Lisa Stammeleer, Kathelijne Peremans, Eva Vandermeulen, Dominique Paepe, and Sylvie Daminet. "Radioiodine treatment in hyperthyroid cats: insights into the characteristics of owners and their cats, and owner motivation and perceptions." Journal of Feline Medicine and Surgery 25, no. 2 (February 2023): 1098612X2211501. http://dx.doi.org/10.1177/1098612x221150191.

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Objectives Radioiodine (131I) therapy is the most appropriate treatment option for many hyperthyroid cats, as it is minimally invasive and often curative. Nevertheless, 131I treatment is not always pursued by owners. Hence, it is important to obtain more insight into owner satisfaction during and after 131I treatment, and their decision-making process. In this study, we describe the characteristics of owners and their hyperthyroid cats referred for 131I therapy, and determine owners’ motivation and how they experienced the 131I treatment of their cat. Methods A survey was sent to owners whose cats underwent 131I therapy (n = 1071) between 2010 and 2017 at Ghent University. The survey contained 35 questions with tick-box or free-text answer options concerning family situation, pet insurance, previous therapy, comorbidities, motivation for 131I therapy and owner perception of this treatment. Results In total, 438 owners completed 94% or more of the questionnaire. Over half of the cats (55%) had received previous medical, dietary or surgical treatment. Motivations for changing the initial therapy to 131I therapy included difficulties in administering medication (31%), insufficient improvement in clinical signs (23%), side effects (16%) and following the referring veterinarian’s advice (16%). Almost a fifth of owners (18%) were not informed about the existence of 131I therapy by their veterinarian and found information on 131I treatment online or through friends. Hospitalising their cat was very distressing for 17% of owners. Most owners (92%) were satisfied with the treatment. Reasons for dissatisfaction were insufficient communication, iatrogenic hypothyroidism, persistent hyperthyroidism and comorbidities post-treatment. Conclusions and relevance Our study stresses the importance of communication regarding the possible outcome of 131I treatment, the importance of managing underlying comorbidities before treatment and anticipating the stress of owners during their cat’s hospitalisation period. The results of this study could help in improving client communication when advising on 131I treatment.
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Queck, Katherine E., Angela Chapman, Leslie J. Herzog, Tamara Shell-Martin, Anthony Burgess-Cassler, and George David McClure. "Oral-Fluid Thiol-Detection Test Identifies Underlying Active Periodontal Disease Not Detected by the Visual Awake Examination." Journal of the American Animal Hospital Association 54, no. 3 (May 1, 2018): 132–37. http://dx.doi.org/10.5326/jaaha-ms-6607.

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ABSTRACT Periodontal disease in dogs is highly prevalent but can only be accurately diagnosed by performing an anesthetized oral examination with periodontal probing and dental radiography. In this study, 114 dogs had a visual awake examination of the oral cavity and were administered an oral-fluid thiol-detection test prior to undergoing a a full-mouth anesthetized oral examination and digital dental radiographs. The results show the visual awake examination underestimated the presence and severity of active periodontal disease. The thiol-detection test was superior to the visual awake examination at detecting the presence and severity of active periodontal disease and was an indicator of progression toward alveolar bone loss. The thiol-detection test detected active periodontal disease at early stages of development, before any visual cues were present, indicating the need for intervention to prevent periodontal bone loss. Early detection is important because without intervention, dogs with gingivitis (active periodontal disease) progress to irreversible periodontal bone loss (stage 2+). As suggested in the current AAHA guidelines, a thiol-detection test administered in conjunction with the visual awake examination during routine wellness examinations facilitates veterinarian-client communication and mitigates under-diagnosis of periodontal disease and underutilization of dental services. The thiol-detection test can be used to monitor the periodontal health status of the conscious patient during follow-up examinations based on disease severity.
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Hanford, Rachel, and Deborah E. Linder. "Impact of Obesity on Quality of Life and Owner’s Perception of Weight Loss Programs in Cats." Veterinary Sciences 8, no. 2 (February 20, 2021): 32. http://dx.doi.org/10.3390/vetsci8020032.

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Obese dogs have been shown to have a diminished quality of life; however, there is less evidence characterizing the impact of obesity on the quality of life of cats. A cross-sectional survey study was conducted among cat owners with either healthy weight cats (body condition scores of 4–5/9) or obese cats (body condition scores of 8–9/9) as determined by a veterinarian. Exclusion criteria included medical conditions (determined by physical exam and screening bloodwork). Cat owners completed surveys on quality of life and perceptions of feline obesity. Quality of life scores for obese cats had a wider range and were numerically lower compared to scores of healthy weight cats with a moderate effect size of 0.68, though this was not a statistically significant difference (71.2 ± 8.8 vs. 75.9 ± 4.1, p = 0.0881; n = 33). Owners of obese cats less frequently reported that obesity was a high risk to their cat’s health (77% [10/13]) vs. 100% [20/20]) and less frequently cited the primary caretaker as a cause of cat obesity (30% [3/10] vs. 55% [11/20]) compared to the owners of healthy weight cats. Interestingly, 97% (32/33) of all owners believed veterinarians should play a role in feline weight loss. These results suggest that some obese cats can have a potentially diminished quality of life but highlights the need for more data surrounding the impact of feline obesity and enhanced client communication strategies to best address obesity in the feline population.
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Solhjoo, Niloofar, Nader Naghshineh, and Fatima Fahimnia. "Veterinarians' information Prescription and Clients' eHealth Literacy." Journal of the Canadian Health Libraries Association / Journal de l'Association des bibliothèques de la santé du Canada 40, no. 2 (July 9, 2019): 32–44. http://dx.doi.org/10.29173/jchla29377.

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Introduction: The aim of this study is to investigate the relationship between pet owner’s combined knowledge, comfort, and perceived skills at finding, evaluating, applying online pet health information, and the application of the information prescription (IP) provided for pet owners education on the internet. Methods: Thirty telephone interviews were conducted followed by a questionnaire of eHealth Literacy Scale (eHEALS) with pet owners after receiving an IP with a suggested websites in addition to their customary veterinary services in a vet clinic at the center of Tehran, Iran. Qualitative and quantitative data were merged to explore differences and similarities among respondents with different eHealth literacy levels. Results: Results indicate that pet owners with higher score of eHealth literacy more accessed the suggested websites and reported positive feelings about this addition to their veterinary services. Similarly, among the eight-item self-reported eHealth Literacy skills, perceived skills at evaluating and applying, were significantly associated with the use of IPs. Lastly eHealth literacy level was significantly associated with the outcomes of prescribed information, such as veterinarians-client communication outcome and learning outcomes. Conclusion: Disparities in application of the veterinarian’s IPs for online pet healthcare information, and its outcomes are associated with different eHealth literacy skills. Veterinarians should collaborate with information specialists and librarians to perform education efforts to raise awareness on online pet health information quality and impact of veterinarian directed information prescription especially among low health literate owners.
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Vidić, Vaso. "MARKETING IN MODERN VETERINARY PRACTICE SERVICES." Archives of Veterinary Medicine 5, no. 2 (December 26, 2012): 67–75. http://dx.doi.org/10.46784/e-avm.v5i2.172.

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In some ways, marketing techniques have been used for the passed hundreds of years, but marketing as a scientific discipline emerged only recently. The basic concepts of marketing were discovered and developed in the U.S.A. and then spread worldwide. Starting in the 1950s, marketing underwent a full affirmation due to new developments such as increased supply compared to the demand, growing competition, changes in consumer’s needs and desires, as well as their education level and improved standard of living. An overview of available literature indicated a lack of an integral definition of marketing, that is, various authors have diverse approaches to marketing concept. The basic element of all definitions is the idea that marketing is a range of business activities aimed at gaining new customers and keeping the existing ones by satisfying their needs. The main goals of marketing are the following: firstly, to attract new customers by emphasizing the potential value of the product or service offered and secondly, to keep the existing customers by keeping them satisfied with the product or service by constantly producing superior value and exceeding their expectations. Contrary to the U.S.A., where greatest achievements were accomplished in the field of marketing theory and application and its implementation into veterinary practice, as well as in appropriate perception of importance of marketing idea and philosophy, this issue has not been appropriately addressed in our country. The main goal of marketing in veterinary practice is not only to sell a product or service, but also to create mutual profitable long-term relations with clients. To that aim, it is essential to know the client, his requirements, demands and problems. This is the way to provide conditions for selling appropriate product or service. Disregarding personal reasons for practicing veterinary medicine, particularly in small-animal practice, the veterinarian should approach such practice as any other business activity that should provide profits. In that respect, it is of key importance to adopt marketing approach and management concept. The four basic marketing instruments are product, price, promotion and place that make so-called marketing mix, which is applicable also in the veterinary practice. In veterinary medicine, the product pertains to spent items (e.g. drugs, food) or veterinary services. By determining the price, the basis is the cost price and added profit margin, depending on the product or service offered. The promotion encompasses communication with the owners, presenting them products and services offered, describing the features of the clinic or infirmary, etc. Contrary to other business branches, position of veterinary unit is not so important, yet it must provide good communication with animal owner. The overall experience of the customer, starting from entering the clinic or practice until leaving it, must be professional, pleasant and effective. Only accomplishing this goal will enable competitiveness or justify even a higher price for a superior service.
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Janke, Natasha, Jane R. Shaw, and Jason B. Coe. "On-site communication skills education increases appointment-specific client satisfaction in four companion animal practices in Texas." Journal of the American Veterinary Medical Association, August 17, 2022, 1–10. http://dx.doi.org/10.2460/javma.22.06.0242.

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Abstract Objective To assess the impact of a 15-month, in-practice communication skills intervention on client visit satisfaction. Sample 4 purposely selected veterinary clinics, 9 veterinarians, and 930 appointment-specific client satisfaction surveys. Procedures The study was designed as a multipractice, preintervention-postintervention study. Practice teams participated in a 15-month communication skills intervention that included interactive group workshops and one-on-one communication coaching with the entire practice. Client Satisfaction Questionnaires were completed 3 months before (mean, 55 questionnaires/veterinarian) and after (mean, 48 questionnaires/veterinarian) the intervention. The impact of the intervention and factors associated with client visit satisfaction were evaluated with mixed logistic regression. Results Client satisfaction scores were dichotomized owing to extreme negative skewness. In total, 57% (284/496) of clients were completely satisfied on pretest questionnaires, and 67% (290/434) were completely satisfied on postintervention questionnaires. The odds of clients being completely satisfied were significantly higher after the communication skills intervention (OR = 1.56; P = .002). When controlling for the intervention, predictors of client visit satisfaction included appointment type (odds of being completely satisfied were significantly higher for recheck appointments than for preventative care appointments [OR = 1.71; P = .02] and health problem appointments [OR = 1.99; P = .003]) and duration of the veterinarian-client relationship (probability increased by 0.52 with each 1-year increase in relationship duration; P = .008). Clinical Relevance Results suggested that the client-centered, skills-based communication intervention resulted in increased client visit satisfaction. Findings contribute to current evidence that client-centered communication and duration of the veterinarian-client relationship promote client satisfaction during veterinary visits.
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Baxter, Isabella, and Ann Viera. "Evaluating the Readability of Veterinary Client Handouts from Vetlexicon, Veterinary Partner, and ClientEd." Issues in Science and Technology Librarianship, no. 94 (April 30, 2020). http://dx.doi.org/10.29173/istl52.

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Ready-to-use animal health information handouts are a valuable service that have the potential to enhance veterinarian-client relationships and animal healthcare. Evaluating the readability of handouts is integral to ensure the information needs of veterinary clients are met. In this study, we describe the significance of client handout readability and review readability studies in veterinary medicine. We then present our analysis of the readability of 150 client handouts from three services: Vetlexicon from Vetstream, Veterinary Partner from VIN, and ClientEd from Lifelearn. With a few exceptions, the handouts scored were found to be written at a 9th through 11th grade reading level, above the recommended 6th grade reading level for human medical handouts, limiting the value and potential for enhancing communication about pet health and supporting the veterinarian-client bond.
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Hasan, Kanaan Khudhair. "Discourse Organization Of History-Taking Stage Of Veterinarian-Client-Patient Communication." مجلة آداب الفراهيدي, 2021, 491. http://dx.doi.org/10.51990/2228-013-045-073.

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Janke, Natasha, Jane R. Shaw, and Jason B. Coe. "Veterinary technicians contribute to shared decision-making during companion animal veterinary appointments." Journal of the American Veterinary Medical Association, October 13, 2022, 1–8. http://dx.doi.org/10.2460/javma.22.08.0380.

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Abstract OBJECTIVE To describe and compare veterinary professionals’ use of shared decision-making during companion animal appointments. DESIGN Multi-practice cross-sectional study. SAMPLE A purposive sample of 4 companion animal veterinary clinics in a group practice in Texas. PROCEDURES A convenience sample of veterinary appointments were recorded January to March 2018 and audio-recordings were analyzed using the Observer OPTION5 instrument to assess shared decision-making. Each decision was categorized by veterinary professional involvement. RESULTS A total of 76/85 (89%) appointments included at least 1 decision between the client and veterinary professional(s), with a total of 129 shared decisions. Decisions that involved both a veterinary technician and veterinarian scored significantly higher for elements of shared decision-making (OPTION5 = 29.5 ± 8.4; n = 46), than veterinarian-only decisions (OPTION5 = 25.4 ± 11.50; P = .040; n = 63), and veterinary technician-only decisions (OPTION5 = 22.5 ± 7.15; P = .001; n = 20). Specific elements of shared decision-making that differed significantly based on veterinary professional involvement included educating the client about options (OPTION5 Item 3; P = .0041) and integrating the client’s preference (OPTION5 Item 5; P = .0010). CLINICAL RELEVANCE Findings suggest that clients are more involved in decision making related to their pet’s health care when both the veterinary technician and veterinarian communicate with the client. Veterinary technicians’ communication significantly enhanced client engagement in decision-making when working collaboratively with the veterinarian.
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da Costa, Judith C., Jason B. Coe, Shauna L. Blois, and Elizabeth A. Stone. "Veterinarians’ use of the Talking Physical Exam as a communication tool." Journal of the American Veterinary Medical Association, May 11, 2022, 1–8. http://dx.doi.org/10.2460/javma.22.01.0048.

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Abstract OBJECTIVE To describe veterinarians’ communication of the companion animal physical exam (CAPE) to veterinary clients and to identify factors associated with the number of physical exam components communicated by veterinarians to clients. SAMPLE 376 video-recorded veterinarian-client-patient interactions, involving 60 veterinarians. PROCEDURES 18 CAPE components were studied in relation to veterinarians’ use of 7 communication-related parameters. A mixed linear regression model was used to assess veterinarian, patient, and appointment factors associated with the number of components conveyed by a veterinarian. RESULTS Veterinarians conveyed 1,566 of 2,794 (56.1%) of the components that they examined to clients, as having been examined. Of those components that were examined and conveyed by veterinarians, the impact of the finding was communicated for 496 of 1,566 (31.7%) of the components. Visual aids and take-home literature were each used in relation to an examined component during 15 of the 376 interactions (4%). A significant association was found between number of CAPE components conveyed and gender of the veterinarian (females conveyed 1.31 more), as well as the type of appointment (2.57 more were conveyed in wellness appointments and 1.37 more in problem appointments, compared to rechecks). CLINICAL RELEVANCE Findings identify an opportunity for veterinarians to further emphasize components of the CAPE, which may in turn increase clients’ perceived value of the CAPE due to understanding the benefits for their pet. This may be accomplished with the Talking Physical Exam, in which veterinarians discuss CAPE components findings with clients in real time, and the relevance of the findings to the patient’s health.
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Groves, Catherine N. H., Natasha Janke, Alexandra Stroyev, Jordan D. Tayce, and Jason B. Coe. "Discussion of cost continues to be uncommon in companion animal veterinary practice." Journal of the American Veterinary Medical Association, September 7, 2022, 1–9. http://dx.doi.org/10.2460/javma.22.06.0268.

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Abstract OBJECTIVE To determine the prevalence and nature of cost conversations occurring during veterinarian-client-patient interactions within companion animal practice. SAMPLES 60 randomly selected, practicing veterinarians working in 55 practices across southern Ontario, Canada, and 909 of their clients, sampled by convenience. PROCEDURES A cross-sectional descriptive study including 917 video-recorded appointments. Associations between veterinarian, client, or appointment-level factors and occurrence of a cost conversation were evaluated using multi-level logistic regression. RESULTS 215 of 917 (23.4%) videos included a discussion of cost between the veterinarian and client. Cost conversations involving veterinarians primarily focused on conveying the price in relation to the time or service being offered (74.0% [159/215]), whereas the benefit to the future health and wellness of the patient was conveyed in 14.4% (31/215) of veterinarians’ cost conversations. Costs were most frequently discussed by veterinarians in relation to diagnostic testing (44.2% [96/215]). The odds of a cost discussion occurring were greater during problem appointments versus wellness (P = .011) or recheck (P = .029) appointments, for feline versus canine patients (P = .037), as appointment duration increased (P < .001), and as a client’s number of visits in the past year decreased (P = .049). CLINICAL RELEVANCE Discussing cost of care in veterinary practice continues to be relatively uncommon. Opportunities exist for veterinary professionals to frame their communication of the cost of veterinary care in relation to the benefits offered to the future health and wellbeing of the veterinary patient.
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Bonvicini, Kathleen A. "Client Perception = Your Reality." American Association of Bovine Practitioners Conference Proceedings, September 10, 2009, 168–69. http://dx.doi.org/10.21423/aabppro20094296.

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Despite a consensus of the importance of technical competence in veterinary care, clients rate the most important characteristics for choosing a veterinarian to be the ability to communicate understanding, compassion, and respect, and provide information in clear and simple language. Similarly, veterinarians value the importance of communication skills as necessary for practice success, yet many veterinarians state inadequate training in this area. Providing quality animal care involves more than just technical competency. Regardless of the health care needs of the patient, clear and compassionate communication on the part of the veterinary team is critical to enhancing the overall experience for both animal and client, before, during and after the clinical visit. Effective communication is considered to be the essence of quality veterinary care and one of the necessary skills required in clinical practice and expected by clients.
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May, M. L., A. L. Shreck, and R. D. Rademacher. "Myth." American Association of Bovine Practitioners Conference Proceedings, September 14, 2017, 63–65. http://dx.doi.org/10.21423/aabppro20173280.

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Nutritionists and veterinarians play an important role in helping feedlots with protocol generation and implementation, training, use of new technologies, and monitoring of outcomes. In general, nutritionists are judged on growth performance, feed efficiency, feed-only cost ofgain, and metabolic disorders/mortalities, while veterinarians are judged on morbidity and mortality outcomes, as well as pharmaceutical costs. In some cases, the protocols or recommendations that could be implemented to optimize these outcomes in 1 realm may conversely result in negative impacts on outcomes in another realm, thus reflecting poorly on either the nutritionist or the veterinarian. If these professionals can work cooperatively to optimize outcomes, this is the best case scenario for the client, the cattle, and ultimately the consumer. However, the client also needs to have clear communication and more importantly, realistic expectations to hold these professionals accountable for the right reasons. As technology continues to improve through monitoring tools, data collection, new products, and research, opportunities for collaboration between professionals does exist. Clear expectations from all 3 parties (feedlot, veterinarian, and nutritionist) are required for success.
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Enlund, Karolina Brunius, Ebba Jennolf, and Ann Pettersson. "Small Animal Veterinarians' Communication With Dog Owners From a Motivational Interviewing Perspective." Frontiers in Veterinary Science 8 (November 25, 2021). http://dx.doi.org/10.3389/fvets.2021.772589.

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Veterinary communication skills are fundamentally important in animal practice. Despite client-centered communication being recommended as the optimal medical communication style, a paternalistic approach is still common in veterinary medical encounters with pet owners. Motivational interviewing (MI) is a client-centered, evidence-based counseling method aiming to strengthen a person's motivation and commitment to behavior changes. In this exploratory study, the aim was to investigate Swedish small animal veterinarians' use of client centered communication with dog owners regarding dental home care in dogs. This was achieved by analyzing the use of MI-techniques among veterinarians without previous training or knowledge of the method. Individual telephone calls, reflecting a veterinary clinical scenario, between small animal veterinarians (n = 8) and a trained professional actor playing a dog owner were recorded and coded according to an MI coding protocol (MITI 4.2.1). In the present study, the degree of spontaneously used MI was low. From an MI-communication perspective, with a simulated dog owner, the veterinarians predominantly relied on asking questions, giving information, and persuasive talk. The veterinarians dominated the conversations and made minimal attempts to involve the dog owner resulting in a power imbalance between veterinarian and client. As the degree of spontaneously used MI was found to be low, MI-training may be required in order to apply the method in professional counseling. The veterinarians' communication pattern suggested a paternalistic communication style, when attempting to motivate a client to brush his or her dog's teeth. We suggest that Motivational Interviewing (MI) has a potential to improve veterinary communication and adherence to medical recommendations if introduced and implemented in veterinary practice.
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Powell, Lauren, Meriel Walsh, Chelsea L. Reinhard, Kristin Jankowski, and Brittany Watson. "One Health clinic promotes veterinarian-client trust among underserved pet owners and provides learning opportunities for veterinary students." Journal of the American Veterinary Medical Association, March 16, 2022, 1–9. http://dx.doi.org/10.2460/javma.21.06.0274.

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Abstract OBJECTIVE To determine the impact of a free One Health clinic with human and veterinary services on the veterinary-client relationship for underserved pet owners. A secondary aim was to understand the experience of veterinary students and volunteers who participated in the clinic. SAMPLE 78 pet owners, 55 students and 32 volunteers who attended the Delaware Humane Association One Health Clinic between December 2018 and November 2019. PROCEDURES Pet owners completed an anonymous questionnaire prior to and following their veterinary appointment regarding their trust in the veterinary profession, feelings of enablement and veterinarian-client concordance. Students and volunteers completed a questionnaire within 72 hours of clinic participation about their perceptions of the educational value of the clinic. RESULTS Following the One Health clinic, client trust in the veterinary profession increased significantly (t = –5.50, P < 0.001). Clients also reported high levels of enablement and veterinarian-client concordance. Students and volunteers agreed the clinic was a valuable educational experience (97.7%) and reported increased compassion, enhanced leadership, communication and teamwork skills, and an improved ability to identify social issues and think critically. CLINICAL RELEVANCE The results support the utilization of One Health clinics to improve access to veterinary care for underserved pet owners. Clients reported high levels of trust, enablement and concordance following the clinic which could have long-lasting effects on their willingness to seek veterinary care and comply with veterinarians’ recommendations. The positive experiences of students and volunteers also highlights the potential of low-cost veterinary clinics as unique educational experiences.
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PUN, Jack K. H. "An integrated review of the role of communication in veterinary clinical practice." BMC Veterinary Research 16, no. 1 (October 19, 2020). http://dx.doi.org/10.1186/s12917-020-02558-2.

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Abstract Background There is a growing interest in exploring the nature of communication in veterinary medicine and understanding how veterinary practitioners communicate with their clients and other professionals. This is the first integrative review of literature on veterinary communication. Applying the PRISMA model, the PubMed, PsychInfo and ERIC databases were searched using keywords such as ‘veterinary’, ‘vet’, ‘communication’ and ‘interaction’ for related articles published between 1 January 2000 and 31 December 2018. Results Keyword searching through the databases yielded 1572 related studies. Only 48 of these studies were included in our analysis after an in-depth review by two independent reviewers using the critical appraisal skills Programme frameworks with high inter-rater reliability (Cohen’s kappa coefficient κ > 0.8). The existing body of research on veterinary communication can be classified into three major areas: (a) client–veterinarian communication, (b) cross-disciplinary communication in a professional veterinarian team and (c) training of veterinary communication skills. This review details the complexity and heterogeneity of agenda in the field of veterinary communication. The included studies indicate that veterinary practitioners are not equipped with specific communication skills to address different agendas in veterinary communication. The veterinary curriculum should include a component on communication training that can help veterinary students acquire necessary communication skills that allow them to effectively communicate with clients and other professionals Conclusion This review detailed the complexity of agendas in the field of veterinary communication. The results indicate that veterinary practitioners can further benefit from training on specific communication skills that address the agendas found in veterinary communication research. Furthermore, the veterinary curriculum should include a component on communication training that equips veterinary students with the necessary communication skills that allow them to effectively communicate with different stakeholders such as clients and colleagues with and across the field of veterinary science.
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Sutherland, Katja A., Jason B. Coe, Natasha Janke, Terri L. O’Sullivan, and Jacqueline M. Parr. "Veterinary professionals’ weight-related communication when discussing an overweight or obese pet with a client." Journal of the American Veterinary Medical Association, April 15, 2022, 1–10. http://dx.doi.org/10.2460/javma.22.01.0043.

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Abstract OBJECTIVE Pet weight may be difficult for veterinary professionals to address with clients, particularly when pets are overweight or obese. The objective of this study was to characterize the communication processes and content of weight-related conversations occurring between veterinary professionals and clients. SAMPLE Audio-video recordings of 917 veterinarian-client-patient interactions involving a random sample of 60 veterinarians and a convenience sample of clients. PROCEDURES Companion animal veterinarians in southern Ontario, Canada, were randomly recruited, and interactions with their clients were audio-video recorded. Interactions were reviewed for mentions of weight, then further analyzed by means of a researcher-generated coding framework to provide a comprehensive assessment of communication specific to weight-related interactions. RESULTS 463 of 917 (50.5%) veterinary-client-patient interactions contained an exchange involving the mention of a single patient’s (dog or cat) weight and were included in final analysis. Of the 463 interactions, 150 (32.4%) involved a discussion of obesity for a single patient. Of these, 43.3% (65/150) included a weight management recommendation from the veterinary team, and 28% (42/150) provided clients with a reason for pursuing weight management. CLINICAL RELEVANCE Findings illustrate opportunities to optimize obesity communication to improve the health and wellbeing of veterinary patients.
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Kim, Jeffrey, Elliott J. Rinke, Michelle E. Matusicky, and Laurie M. Millward. "Outreach Medicine as an Experiential Teaching Tool to Improve Veterinary Student and Client Education." Journal of Veterinary Medical Education, August 2, 2021, e20200128. http://dx.doi.org/10.3138/jvme-2020-0128.

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Outreach medicine is used to improve students’ medical, technical, behavioral, and communication training among health professional schools; it is also used in veterinary schools, but little has been described on its educational impacts among pre-clinical veterinary students. Aiming to train practice-ready graduates, we established a monthly nonprofit vaccine clinic serving low-income clients to provide pre-clinical veterinary students with a realistic experiential learning environment. We developed surveys to assess the educational impacts of outreach medicine on pre-clinical veterinary student and client education. We received 101 student surveys, 26 educator (i.e., veterinarians and registered veterinary technicians) surveys, and 96 client surveys. Veterinarians, students, and technicians reported that students improved in important veterinary skills such as client communication, subcutaneous injection, patient handling, and physical examination. They also reported improved confidence in students’ clinical decision making. Veterinarians valued the vaccine clinic as a favorable educational tool to teach behavior assessment and low-stress handling, and they highlighted that experiential learning via the vaccine clinic provided students with a clinical experience representative of most veterinarian practices (i.e., small animal general practitioner). Clients reported that the clinic’s students and veterinarians greatly improved their knowledge of their pets’ care and vaccines—notably, their knowledge of rabies and leptospirosis improved. Outreach medicine in the form of a vaccine clinic creates valuable experiential learning opportunities that increase veterinary student preparedness and complement didactic, laboratory, and case-based teaching.
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Schultz, Mei A., James K. Morrisey, Leni K. Kaplan, Jorge L. Colón, Dani G. McVety-Leinen, and Ariana L. Hinckley-Boltax. "A Scalable and Effective Course Design for Teaching Competency-Based Euthanasia Communication Skills in Veterinary Curricula." Journal of Veterinary Medical Education, June 8, 2021, e20200133. http://dx.doi.org/10.3138/jvme-2020-0133.

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Veterinary staff must be able to navigate end-of-life care with sensitivity and skill to create the best possible outcome for the patient, client, and veterinary team collectively. Despite the clear importance of euthanasia communication and procedural skills in veterinary practice, recent graduates of veterinary programs identified gaps between skills deemed important in clinical practice and skills emphasized in the curriculum. Little time is allocated to euthanasia procedural or communication training across the board in US veterinary programs. Thus, it is of paramount importance to establish intentional and well-designed instruction and assessment of euthanasia communication skills for veterinary trainees. A course on veterinary euthanasia communication skills was designed to emphasize themes and topics essential for a competent veterinarian. Through course evaluations, students expressed the sentiments that this course improved their euthanasia communication skills, that euthanasia communication skills are essential for their careers, and that the course content should be integrated into the core curriculum. This article presents a scaffold for the instruction and assessment of veterinary euthanasia communication skills in alignment with a competency-based veterinary education (CBVE) framework and outlines specific learning interventions used in the course that are scalable and may be extracted and incorporated into existing courses.
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40

Cary, Julie A. "Why is change so hard?" American Association of Bovine Practitioners Conference Proceedings, September 15, 2016, 17–20. http://dx.doi.org/10.21423/aabppro20163416.

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Awareness of the importance of communication in veterinary medicine has been heightened in the last 2 decades. Formal communication instruction is now a core requirement for all AVMA-accredited Colleges of Veterinary Medicine. The profession as a whole is realizing the importance of communication as it relates to business success, professional satisfaction, and patient outcomes. Clinicians, clients, and patients benefit from the use of evidence-based clinical communication skills; assuring accurate, efficient, and effective transfer of information. While the initial efforts for communication in veterinary medicine seemed to focus on companion animal practice, few would dispute that communication is critical for production animal veterinarians. The complexity of the contexts in which production animal veterinarians work to effect change requires even greater understanding of how people make decisions and how to influence those decisions effectively. Veterinarians are encouraged to be curious: Take the time to understand your clients and stakeholders; what extrinsic and intrinsic motivators are present? How does their organization run and why is it run that way? To ensure accurate understanding, consider demonstrating an understanding of the client through summarizing and empathy. Once there is clear understanding that has been communicated, only then can the veterinarian begin to make recommendations.
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Siess, Samantha, George A. Kramer, Dar Ozer, Nikki Gaudette, Brienne Williams, Brittany Antal, and Anne Moyer. "Predictors of Opting for Advanced Medical Care versus Euthanasia for Companion Animals with Severe Cardiac Disease." Human-animal interaction bulletin 2021 (December 2021). http://dx.doi.org/10.1079/hai.2021.0013.

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Abstract This study examined predictors of opting for advanced medical care versus euthanasia for a critically ill companion animal. These included holding an optimistic bias for poor prognostic information, level of attachment to one’s companion animal, and satisfaction with one’s veterinarian. Eighty owners of companion animals with a diagnosis of a severe cardiac disease were asked to indicate what they believed their companion animal’s chance of survival and quality of life would be if they opted for intensive treatment. Participants showed an optimistic bias in their interpretation of the chance of survival (but not quality of life) of a companion animal with more severe prognoses, suggesting that this may serve as a self-protective strategy in the face of losing a beloved companion animal. Client satisfaction with communication and with the cost of care, but not attachment to one’s companion animal, significantly increased the likelihood of approving the recommended course of hospitalization and intensive treatment. This is of particular importance in that, of those who did not approve the recommended treatment, the majority elected to take their companion animals home against medical advice, rather than opt for humane euthanasia, this likely resulted in undue suffering and an uncomfortable death. These findings support the need for training in communication in veterinary schools.
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Freeman, Lisa, Iveta Becvarova, Nick Cave, Clayton MacKay, Patrick Nguyen, Betina Rama, Gregg Takashima, Ross Tiffin, Peter Van Beukelen, and S. Yathiraj. "2011 Nutritional Assessment Guidelines : information." Journal of the South African Veterinary Association 82, no. 4 (May 3, 2011). http://dx.doi.org/10.4102/jsava.v82i4.84.

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Careful assessment of nutritional needs of dogs and cats must be taken into consideration in order to maintain optimum health, be part of a treatment regimen for a diseased state, or to maximise the quality of life in all animals. Therefore, the goal of these WSAVA Guidelines is that a nutritional assessment and specific nutritional recommendation be made on every patient on every visit. This will become known as the 5th Vital Assessment (5VA), following the four vital assessments of temperature, pulse, respiration and pain that are already addressed on each patient interaction. Routinely doing a brief screening evaluation of the nutritional status during history taking and the physical examination can be seamlessly performed as part of every patient exam. Nutrition-related risk factors that can be easily identified from the history and physical examination include age (growing or old), suboptimal body condition score (overweight or thin), muscle loss, atypical or homemade diet, medical conditions, or changes in appetite. An extended evaluation would follow, if one or more risk factors is identified on screening. These guidelines provide criteria to evaluate the animal and the diet, as well as key feeding and environmental factors. In addition, recommendations for interpretation, analysis, and action are included so that a plan for optimising the animal's nutritional status can be instituted. Client compliance with nutritional recommendations requires input from the veterinarian, veterinary technicians/nurses, and the hospital staff. A team approach to continuous nutritional education, implementation of appropriate protocols, and focused client communication, utilising these WSAVA Nutritional Guidelines, are key components to reach this 5VA goal.
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Hoummady, S., M. Fantinati, D. Maso, A. Bynens, D. Banuls, N. R. Santos, M. Roche, and N. Priymenko. "Comparison of canine owner profile according to food choice: an online preliminary survey in France." BMC Veterinary Research 18, no. 1 (May 4, 2022). http://dx.doi.org/10.1186/s12917-022-03258-9.

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Abstract Background Nowadays, more people are treating dogs as family members. This reflects their increased attention towards their nutrition, with renewed interest for non-conventional diets such as Biologically Appropriate Raw Food/ Bones and Raw Food in United States (BARF) or homemade. In previous studies, owners feeding their dog non-conventional diets reported lower levels of trust in veterinary advice. The aim of the study was to identify differences in lifestyle between owners feeding dogs non-conventional diets and those feeding conventional diets (i.e., dry/wet pet food) to give further insight for improving communication between veterinarians and owners. Results A total of 426 surveys were usable. Fifteen percent of the participants lived in the metropole of Paris and had more than one dog (mean 1.72 dogs). Thirty-eight percent of the survey respondents stated that their dogs were fed exclusively with non-conventional diets, while 55% declared using conventional diets alone (not considering treats). The study canine population was for the most part neutered (63%) and purebred (68%). Amongst owners feeding conventional diets exclusively, 47% determined how much food to feed by consulting the feeding guidelines on the packaging, and only 28% said that the amount of food was prescribed by their veterinarian or veterinary nurse. Out of the participants feeding non-conventional diets, 65% declared that the information for formulating the recipes was gathered on the internet or in non-veterinary books. When compared with owners feeding exclusively conventional diets, those feeding non-conventional diets were living more frequently outside the metropole of Paris, had fewer children (0.23 ± 0.57 vs 0.37 ± 0.78; p = 0.03) and had more frequently other animals. They also dewormed less often their pets, walked their dog more each day (91 vs 78%; p < 0.001) and without leash for more than 6 h per week (46 vs 31%; p = 0.003). Conclusions This survey described differences in the habits of owners feeding dogs non-conventional diets in comparison with those feeding conventional diets. Data suggest that owners using non-conventional diets may be more attentive to the ethological needs of their dog which could be a starting point for practitioners for achieving better client-veterinarian communication.
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"Thoughts on veterinarian-client communications . . . . Concurs with findings on heart murmurs in cats." Journal of the American Veterinary Medical Association 225, no. 6 (September 2004): 838. http://dx.doi.org/10.2460/javma.2004.225.838.

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