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Patients, health professionals, and the health system: influencers on patients' participation in ward rounds

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Walton, VE ORCID: 0000-0002-5346-3223, Hogden, A ORCID: 0000-0002-4317-7960, Long, JC, Johnson, JK and Greenfield, D ORCID: 0000-0002-0927-6025 2019 , 'Patients, health professionals, and the health system: influencers on patients' participation in ward rounds' , Patient Preference and Adherence, vol. 13 , pp. 1415-1429 , doi: 10.2147/PPA.S211073.

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Abstract

Background: The ward round is an opportunity to plan and deliver patient-centered care.Benefits include an effective and safer clinician-patient relationship, patient empowerment,reduced anxiety and increased trust in the health care system. Factors contributing to patientinvolvement in ward rounds is shaped by their preferences, ability, and opportunity.Aim: To investigate ward rounds and the patient experience with them, the relationshipbetween the patient and clinicians, and how rounds facilitate collaboration between them.Patients and methods: A multimethod study was conducted in a single Australian facilityin acute medicine and rehabilitation specialties. An observational study of ward rounds ineach setting was conducted with 14 patients, aged between 55 and 89 years followed bysemi-structured interviews conducted with the patients observed. Descriptive and thematicanalysis was undertaken.Results: One third of participants had not heard of the term ward round or could describetheir purpose. Three main influencers on the patient experience of rounds were: self; thehealth system; and medical officers. No meaningful difference was found between patients inacute medicine and rehabilitation although all wanted to receive information from the seniormedical officers. Patients more familiar with the health system were more active participantsand took greater responsibility for their involvement in rounds and described highersatisfaction.Conclusion: There is a level of acceptance within the health system that patients understandwhat a ward round is. However, their role on the round is complex and this may only bedeveloped through experiencing them. High system users teach themselves to navigaterounding processes to ensure their needs are met. To ensure equity in participation patientsshould be educated on ward rounds, what to expect and how to they can participate.

Item Type: Article
Authors/Creators:Walton, VE and Hogden, A and Long, JC and Johnson, JK and Greenfield, D
Keywords: ward rounds, patient participation, interview, education
Journal or Publication Title: Patient Preference and Adherence
Publisher: Dove Medical Press
ISSN: 1177-889X
DOI / ID Number: 10.2147/PPA.S211073
Copyright Information:

Copyright 2019 Walton et al. Licensed under Creative Commons Attribution-NonCommercial 3.0 Unported (CC BY-NC 3.0) https://creativecommons.org/licenses/by-nc/3.0/

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