Abstract
Veterinary nurses and technicians are at risk of burnout, which negatively impacts mental and physical health, turnover, and patient care. Workplace contributors to burnout have been identified in this population, but little is known about best practice management strategies. This study used the Delphi method to explore barriers to addressing burnout and develop expert recommendations for workplace management strategies. Forty participants with a minimum of 5 years' industry experience in leadership, or wellbeing, were recruited via purposive sampling from the USA, UK, Australia, New Zealand, and Canada. Participants completed two anonymous, online, mixed-methods surveys between October 2024 and January 2025. Qualitative survey data were analysed using content analysis to identify codes and categorise solutions. Quantitative data were analysed using descriptive statistics. Barriers to addressing burnout included industry-wide barriers, such as lack of, or unclear, regulation and lack of leadership knowledge, and clinic-specific barriers, such as poor team culture, unwillingness for change, and existing burnout. Thirty-nine solutions were developed and rated as being highly, or very highly effective. These focused on themes such as improving communication, developing progression pathways, and providing leadership training and support. Existing workplace barriers must be evaluated prior to selecting strategies, to maximise effectiveness in specific contexts.