Preliminary investigation of equine veterinary hospital staff attitudes towards pain assessment in a single centre

Background: Despite the availability of several equine pain assessment tools, their use in equine veterinary practice appears limited compared to small animal practice. This study explores potential barriers to equine pain assessment, as reported by staff at a single UK equine teaching hospital.Methods: Nine hospital staff members were interviewed using semi-structured interviews. Key themes were identified through reflexive thematic analysis.Results: Participants acknowledged the importance of pain assessment, yet highlighted limitations in current methods and their inconsistent use. Key challenges included limited observer confidence, subjective interpretations and discrepancies between staff and owner perceptions. Variability in horse temperament and pain presentation further complicated the assessment.Staff expressed a desire for improvements in pain assessment tools and clearer protocols.Limitations: The study was limited by its single-hospital design, short interview duration and small sample size. Conclusion: The study highlights the complexity of equine pain assessment in clinical practice, including tool limitations, knowledge gaps and contextual barriers. Despite valuing pain assessment, staff reported difficulties applying currently available methods. Findings suggest a need for improved tools, training and institutional supportt.