PDF(Pubmed)
Abstract：
Horse owners seek the advice and support of a number of equestrian professionals in carrying out their duty of care for their animal. In some instances, these professionals form a multi-disciplinary team (MDT). The aim of this study was to explore the experiences of the Society of Master Saddlers\' qualified saddle fitters (SMSQSFs) working with other professionals and to understand the nature of inter-disciplinary working from an SMSQSF perspective. Semi-structured, one-to-one online interviews with fourteen SMSQSFs were completed. Areas explored included the nature of the participant\'s client base; the frequency and nature of their interactions with other professionals; their perceptions of horse owner expectations of an MDT approach; and any benefits, challenges, and barriers to an MDT approach within an equestrian setting. Interviews were video and audio recorded (MS Teams), transcribed verbatim (Otter ai), and imported into qualitative data analysis software (NVivo, version 12). Data were analysed using thematic analysis. Six themes were identified: (1) effective communication; (2) multidisciplinary expectations; (3) horse welfare; (4) professionalism; (5) relationships; (6) working together. Communication was recognised as a crucial component of an effective MDT. Most participants valued and desired an MDT approach. They felt they had a key role to play within the equestrian MDT, not only in the prevention of deterioration in horse welfare but also in improving the functionality and performance of the horse-rider partnership. Effective MDT working was also seen as having benefits to SMSQSFs and other professional stakeholders alike, although time and financial constraints were identified as barriers to MTD working. The role of the horse owner within the MDT was unclear and potentially complex, and this and other factors such as the professional identity of the SMSQSF, personal relationships, and input from others outside of the MDT team were identified as challenges to effective MDT working. This present study found that SMSQSFs experience similar benefits and challenges to an MDT approach as seen in human healthcare settings. The role of the horse owner, communication, and professional recognition are indicated as pivotal to MDT effectiveness in achieving optimal saddle fit.
摘要：
马主寻求一些马术专业人士的建议和支持，以履行他们对动物的照顾义务。在某些情况下,这些专业人员组成了一个多学科团队（MDT）。这项研究的目的是探索马鞍大师协会（SMSQSF）与其他专业人员合作的经验，并从SMSQSF的角度了解跨学科工作的性质。半结构化,完成了对14个SMSQSF的一对一在线采访。探索的领域包括参与者客户群的性质；他们与其他专业人士互动的频率和性质；他们对马主人对MDT方法的期望的看法；以及任何好处，挑战,以及马术环境中MDT方法的障碍。访谈是视频和音频录制的（MS团队），逐字转录(Otterai)，并导入定性数据分析软件(NVivo，版本12)。采用专题分析法对数据进行分析。确定了六个主题：（1）有效的沟通；（2）多学科的期望；（3）马福利；（4）专业精神；（5）关系；（6）共同努力。通信被认为是有效的MDT的重要组成部分。大多数参与者都重视并希望采用MDT方法。他们认为他们在马术MDT中可以发挥关键作用，不仅可以防止马匹福利的恶化，而且可以改善马匹伙伴关系的功能和绩效。有效的MDT工作也被认为对SMSQSF和其他专业利益相关者都有好处，尽管时间和财政限制被认为是MTD工作的障碍。马主在MDT中的角色尚不清楚，并且可能很复杂，以及其他因素，例如SMSQSF的专业身份，个人关系,MDT团队之外的其他人的投入被认为是有效MDT工作的挑战。本研究发现，SMSQSF与人类医疗保健环境中的MDT方法具有相似的好处和挑战。马主人的角色，通信,和专业认可被认为是MDT有效性在实现最佳鞍座配合方面的关键。
