Study: Veterinarians struggle as they balance the needs of pets and owners.
Study: Veterinarians struggle as they balance the needs of pets and owners - The Boston Globe
Lisa Moses, a bioethicist and veterinarian at Angell Animal Medical Center in Boston, distinctly remembers the difficult situation early on in her career: A Rhode Island family’s beloved young pug had a brain condition for which treatment was rare.
Moses had to break the news that treating Popeye could only be done on the West Coast — a situation that put the family in an awkward financial position.
“They were very working class, from a humble situation and not a lot of money to spend on veterinary care, even though they desperately loved their dog,” she said.
That scene weighed not only on the family, but also on Moses as the animal’s health care provider. And she isn’t alone: Balancing the medical needs of animal patients with the financial and emotional ones of their human owners is not only a common quandary for veterinarians, but also can have a negative impact on their mental health, according to a new study coauthored by Moses and J. Wesley Boyd, a Cambridge Health Alliance psychiatrist and Harvard Medical School researcher.
The study, the first to investigate moral distress among veterinarians in North America, is being published by the Journal of Veterinary Internal Medicine this month. The survey of 889 veterinarians found that those who responded reported widespread ethical conflict and moral distress, which might be “an important source of stress and poor well-being,” the study states.
https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.15315
[OA] Moses L, Malowney MJ, Wesley Boyd J. Ethical conflict and moral distress in veterinary practice: A survey of North American veterinarians. Journal of Veterinary Internal Medicine 2018;0. https://doi.org/10.1111/jvim.15315
Background Concerns about ethical conflicts, moral distress, and burnout in veterinary practice are steadily increasing. Root causes of these problems have not been rigorously identified. Little research has been done to evaluate the existence of moral distress in North American veterinarians or to explore its impact on career sustainability and poor well-being.
Hypothesis/Objectives Ethical conflict and resultant moral distress are common occurrences in contemporary veterinary practice and negatively impact daily practice life, but may not be identified or labeled by veterinarians as such.
Animals No animals were used in this study.
Methods Mixed methods sequential explanatory design; confidential and anonymous on-line sampling of 889 veterinarians in North America.
Results A majority of respondents reported feeling conflict over what care is appropriate to provide. Over 70% of respondents felt that the obstacles they faced that prevented them from providing appropriate care caused them or their staff moderate to severe distress. Seventy-nine percent of participants report being asked to provide care that they consider futile. More than 70% of participants reported no training in conflict resolution or self-care.
Conclusions and Clinical Importance Veterinarians report widespread ethical conflict and moral distress across many practice types and demographics. Most veterinarians have little to no training on how to decrease the impact of these problems. Ethical conflict and resulting moral distress may be an important source of stress and poor well-being that is not widely recognized or well defined. Well-researched and effective tools used to decrease moral distress in human healthcare could be adapted to ameliorate this problem.