Exploring the motivations, challenges, and barriers for implementing evidence-based veterinary medicine (EBVM) in general practice

Laura Haddock, S. Baillie, Ellie Sellers, S. Warman
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Abstract

An evidence-based veterinary medicine (EBVM) training resource, ‘EBVM Learning’, was created in 2015 and updated in 2019. Following feedback from users, it was decided that a more concise practitioner-focused version was needed. Seven online focus groups, with a total of 22 veterinary practitioners, explored the motivations of practitioners to engage with EBVM. They considered the challenges and barriers to implementing EBVM in practice, and specific supportive measures they felt would increase adoption of EBVM in practice. Participants identified time, support from colleagues and management, and accessing and appraising evidence as being the most important challenges and barriers to the use of EBVM in general practice. However, the value of EBVM was appreciated, and there was an appetite amongst the participants to utilise more EBVM to inform their clinical decision-making. At a workshop attended by experts in EBVM, educators and practitioners, the results of the focus groups were presented and discussed to inform the development of a new online training resource. This study has been used to produce ‘EBVM for Practitioners’, to attempt to reduce some of the barriers and challenges faced by practitioners and support them in increasing their use of EBVM. Further work by the leaders in the veterinary profession will be needed to expand and improve the quality of the evidence base on which EBVM relies, and to ensure practitioners have the skills, access, and motivation to utilise it.
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探索在全科实践中实施循证兽医学(EBVM)的动机、挑战和障碍
基于证据的兽医学(EBVM)培训资源“EBVM学习”于2015年创建,并于2019年更新。根据用户的反馈,决定需要一个更简洁的以从业者为中心的版本。共有22名兽医从业人员参加了7个在线焦点小组,探讨了从业人员参与EBVM的动机。他们考虑了在实践中实施EBVM的挑战和障碍,以及他们认为具体的支持措施将增加EBVM在实践中的采用。与会者认为时间、同事和管理层的支持以及获取和评估证据是在一般实践中使用EBVM的最重要的挑战和障碍。然而,EBVM的价值得到了认可,并且参与者有兴趣利用更多的EBVM来告知他们的临床决策。在一个由EBVM专家、教育工作者和从业人员参加的研讨会上,讨论了焦点小组的结果,为开发新的在线培训资源提供了信息。这项研究被用来制作“从业者EBVM”,试图减少从业者面临的一些障碍和挑战,并支持他们增加EBVM的使用。兽医行业的领导者需要进一步开展工作,以扩大和提高EBVM所依赖的证据基础的质量,并确保从业人员拥有利用它的技能、途径和动机。
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