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PhD Clinical Decision Making in Veterinary Practice

joker

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Iran Veterinary Intern-Resident
Clinical Decision Making in Veterinary Practice

SALLY EVERITT
Thesis submitted to the University of Nottingham
for the degree of Doctor of Philosophy
View attachment 2344
Abstract
Aim
The aim of this study is to develop an understanding of the factors which influence veterinary surgeons‟ clinical decision making during routine consultations.
Methods
The research takes a qualitative approach using video-cued interviews, in which one of the veterinary surgeon‟s own consultations is used as the basis of a semi-structured interview exploring decision making in real cases. The research focuses primarily on small animal consultations in first opinion practice, however small numbers of consultations from different types of practice are included to highlight contextual influences on decision making.
Findings
The study reveals differences between the way clinical decision making is taught and the way that it is carried out in practice. In comparison to human medicine, decision making in veterinary practice appears to be more a negotiated activity, relying on social context, which takes account of the animals‟ and owners‟ circumstances, as well as biomedical information.
Conclusions
Veterinary practice especially that provided for companion animals has similarities with medical practice, however there are also differences caused by the status of the animal; the contrast between predominately fee for service veterinary care and state funded medical provision; and the acceptability of euthanasia as a “treatment” option.
Clinical decision making in veterinary practice is affected by a range of factors including the resources of the owner, the value placed on the individual animal and the circumstances in which the decision making takes place. Veterinary surgeons in practice need teaching and evidence based resources to take account of these factors in order to provide the best care to their animal patients. Further sociologically informed research is required to provide a greater understanding of the contextual factors which influence clinical decision making.


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