A focus group study exploring necessary competencies and contextual factors for effective antimicrobial stewardship on dairy farms

ABSTRACT: There is a need for improved antimicrobial stewardship on dairy farms, and changes will be largely enacted by the farm workers who are responsible for carrying out farm procedures. For this reason, efforts directed at educating and enabling farm workers in antimicrobial stewardship are nec...

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Main Authors: Devon J. Wilson, Elizabeth M. Parker, Rafael Portillo-Gonzalez, Pamela L. Ruegg, Gregory G. Habing
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Journal of Dairy Science
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Online Access:http://www.sciencedirect.com/science/article/pii/S0022030225001134
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author Devon J. Wilson
Elizabeth M. Parker
Rafael Portillo-Gonzalez
Pamela L. Ruegg
Gregory G. Habing
author_facet Devon J. Wilson
Elizabeth M. Parker
Rafael Portillo-Gonzalez
Pamela L. Ruegg
Gregory G. Habing
author_sort Devon J. Wilson
collection DOAJ
description ABSTRACT: There is a need for improved antimicrobial stewardship on dairy farms, and changes will be largely enacted by the farm workers who are responsible for carrying out farm procedures. For this reason, efforts directed at educating and enabling farm workers in antimicrobial stewardship are necessary for compliance with farm-level antimicrobial usage policies. Therefore, the objectives of this research were (1) to determine the competencies needed by dairy farm workers to implement antimicrobial stewardship and to inform educational resource development and (2) explore the farm contexts that influence farm worker antimicrobial stewardship capabilities. Initially, focus group discussions were conducted in person with 6 groups of veterinarians at 3 independent conferences held in the United States. To gain additional perspectives, 2 focus groups were conducted via video link with dairy producers from the midwestern United States. The focus groups had 4 to 8 participants and 2 to 4 facilitators each, and were audio recorded and transcribed for analysis. Discussions were audio recorded, transcribed, and evaluated using inductive thematic analysis, with 9 key themes identified. Participants emphasized that farm workers needed to be willing to learn, to be responsible, and to be consistent in their execution of tasks. Furthermore, farm workers needed knowledge about the rationale behind antimicrobial use strategies and disease mitigation practices. General skills needed by farm workers included good communication, excellent observation, and the ability to follow protocols and keep records. Technical skills required by farm workers related to the handling of animals, attention to cleanliness, ability to properly administer pharmaceutical products, and farm equipment maintenance. The skills and knowledge required differed among farm workers depending on their responsibilities and experience, with greater expectations for herd managers compared with employees who specialized in a specific task such as milking. Farm contexts that affected antimicrobial stewardship included the farm size, which had an impact on the 3 other themes: workplace culture, leadership, and tools. Workplace culture encompassed having an approachable environment and clear responsibilities, and leadership encompassed managerial capacity and veterinary support. Important tools for effective antimicrobial stewardship included relevant and up-to-date protocols, technology, equipment, and a proficient workforce. The evidence provided through these focus groups is useful for informing competency-based educational efforts aimed at improving antimicrobial stewardship on dairy farms.
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spelling doaj-art-2e2bc913ea3f4db2bbd525ba3f8e301d2025-08-20T03:13:48ZengElsevierJournal of Dairy Science0022-03022025-05-0110855182519210.3168/jds.2024-25302A focus group study exploring necessary competencies and contextual factors for effective antimicrobial stewardship on dairy farmsDevon J. Wilson0Elizabeth M. Parker1Rafael Portillo-Gonzalez2Pamela L. Ruegg3Gregory G. Habing4Chilliwack, BC, Canada, V4Z 1H3Department of Veterinary Preventive Medicine, The Ohio State University, Columbus, OH 43210Department of Veterinary Preventive Medicine, The Ohio State University, Columbus, OH 43210Department of Large Animal Clinical Sciences, Michigan State University, East Lansing, MI, 48824Department of Veterinary Preventive Medicine, The Ohio State University, Columbus, OH 43210; Corresponding authorABSTRACT: There is a need for improved antimicrobial stewardship on dairy farms, and changes will be largely enacted by the farm workers who are responsible for carrying out farm procedures. For this reason, efforts directed at educating and enabling farm workers in antimicrobial stewardship are necessary for compliance with farm-level antimicrobial usage policies. Therefore, the objectives of this research were (1) to determine the competencies needed by dairy farm workers to implement antimicrobial stewardship and to inform educational resource development and (2) explore the farm contexts that influence farm worker antimicrobial stewardship capabilities. Initially, focus group discussions were conducted in person with 6 groups of veterinarians at 3 independent conferences held in the United States. To gain additional perspectives, 2 focus groups were conducted via video link with dairy producers from the midwestern United States. The focus groups had 4 to 8 participants and 2 to 4 facilitators each, and were audio recorded and transcribed for analysis. Discussions were audio recorded, transcribed, and evaluated using inductive thematic analysis, with 9 key themes identified. Participants emphasized that farm workers needed to be willing to learn, to be responsible, and to be consistent in their execution of tasks. Furthermore, farm workers needed knowledge about the rationale behind antimicrobial use strategies and disease mitigation practices. General skills needed by farm workers included good communication, excellent observation, and the ability to follow protocols and keep records. Technical skills required by farm workers related to the handling of animals, attention to cleanliness, ability to properly administer pharmaceutical products, and farm equipment maintenance. The skills and knowledge required differed among farm workers depending on their responsibilities and experience, with greater expectations for herd managers compared with employees who specialized in a specific task such as milking. Farm contexts that affected antimicrobial stewardship included the farm size, which had an impact on the 3 other themes: workplace culture, leadership, and tools. Workplace culture encompassed having an approachable environment and clear responsibilities, and leadership encompassed managerial capacity and veterinary support. Important tools for effective antimicrobial stewardship included relevant and up-to-date protocols, technology, equipment, and a proficient workforce. The evidence provided through these focus groups is useful for informing competency-based educational efforts aimed at improving antimicrobial stewardship on dairy farms.http://www.sciencedirect.com/science/article/pii/S0022030225001134qualitativeeducationantimicrobial usedairy cattle
spellingShingle Devon J. Wilson
Elizabeth M. Parker
Rafael Portillo-Gonzalez
Pamela L. Ruegg
Gregory G. Habing
A focus group study exploring necessary competencies and contextual factors for effective antimicrobial stewardship on dairy farms
Journal of Dairy Science
qualitative
education
antimicrobial use
dairy cattle
title A focus group study exploring necessary competencies and contextual factors for effective antimicrobial stewardship on dairy farms
title_full A focus group study exploring necessary competencies and contextual factors for effective antimicrobial stewardship on dairy farms
title_fullStr A focus group study exploring necessary competencies and contextual factors for effective antimicrobial stewardship on dairy farms
title_full_unstemmed A focus group study exploring necessary competencies and contextual factors for effective antimicrobial stewardship on dairy farms
title_short A focus group study exploring necessary competencies and contextual factors for effective antimicrobial stewardship on dairy farms
title_sort focus group study exploring necessary competencies and contextual factors for effective antimicrobial stewardship on dairy farms
topic qualitative
education
antimicrobial use
dairy cattle
url http://www.sciencedirect.com/science/article/pii/S0022030225001134
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