Re‐exploring the ritual of the ward round

Parissopoulos, Stelios; Timmins, Fiona; Daly, Louise

doi:10.1111/nicc.12042

Cited by 10 publications

(8 citation statements)

References 30 publications

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“…Nurses participate to a more limited extent than both patients and physicians, and tend not to raise questions other than those of a purely medical nature (Weber, Stöckli, Nübling, & Langewitz, 2007). This limited involvement is in contrast to research indicating that nurses’ active participation in ward rounds has been found to be of importance for patient safety and increased quality of care (Desai, Caldwell, & Herring, 2011; Parissopoulos, Timmins, & Daly, 2013). It may also be difficult for patients to get involved in the discussion.…”

contrasting

confidence: 58%

Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective

Lindberg

Persson

Hörberg

et al. 2013

International Journal of Qualitative Studies on Health and Well

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Although the importance of patient participation is acknowledged in today’s healthcare, many challenges remain before patient participation can become an integral part of care provision. The ward round has traditionally been the forum for crucial decisions about patient care, but often with limited possibilities for patient participation. As part of the process of improving patient participation, the round in the present study has been replaced by a team meeting (TM) to which the patient has been invited. The aim of this study is to highlight nurses’ experiences of older patients’ participation in TMs. The research process was guided by the principles of phenomenological reflective life world research. Data were collected in a Swedish hospital, in a ward specializing in older patients. Nine nurses, who had invited and planned for a patient to participate in TMs and/or had experienced TMs in which patients participated, were interviewed. The essential meaning of patient participation in the TM, as experienced by the nurses, is that patient participation can be supported by a safe relationship in which the patient can make his or her voice heard. Participation is challenged by the patients’ vulnerability and by the subordinated role assigned to the patient. The essential meaning is further described by its constituents: “the need for a guide,” “patient participation challenged by structures,” and “creating space for the whole human being.” In conclusion, the nurse plays a core role in guiding the patient in an unfamiliar situation. The meaning of patient participation in the TM needs to be discussed by professionals so that the patient perspective is present.

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contrasting

confidence: 58%

Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective

Lindberg

Persson

Hörberg

et al. 2013

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

show abstract

“…They need to be clearly defined at the ward level to ensure clinicians are working with a mutual understanding of the task (Montague et al, 2004). The literature supports that there is no single definition of what a ward round should be, and even within one facility the same type of ward round can be undertaken differently (Parissopoulos et al, 2013;Mansell et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Ward rounds, participants, roles and perceptions: literature review

Walton

Hogden

Johnson

et al. 2016

International Journal of Health Care Quality Assurance

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Purpose - The purpose of this paper is to classify and describe the purpose of ward rounds, who attends each round and their role, and participants' perception of each other's role during the respective ward rounds. Design/methodology/approach - A literature review of face-to-face ward rounds in medical wards was conducted. Peer reviewed journals and government publications published between 2000 and 2014 were searched. Articles were classified according to the type of round described in the study. Purposes were identified using keywords in the description of why the round was carried out. Descriptions of tasks and interactions with team members defined participant roles. Findings - Eight round classifications were identified. The most common were the generalised ward; multidisciplinary; and consultant rounds. Multidisciplinary rounds were the most collaborative round. Medical officers were the most likely discipline to attend any round. There was limited reference to allied health clinicians and patient involvement on rounds. Perceptions attendees held of each other reiterated the need to continue to investigate teamwork. Practical implications - A collaborative approach to care planning can occur by ensuring clinicians and patients are aware of different ward round processes and their role in them. Originality/value - Analysis fulfils a gap in the literature by identifying and analysing the different ward rounds being undertaken in acute medical wards. It identifies the complexities in the long established routine hospital processes of the ward round.

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“…Nonetheless, this finding does not appear to be limited to the local setting with various European and North American studies reporting less than desirable input by critical care nurses in ward rounds (Parissopoulos et al . ) and in decisions about patient discharge from high dependence areas (Brand ), weaning from mechanical ventilation (Hancock & Easen ), pain management (Subramanian et al . ), end of life care (Carnevale et al .…”

Section: Discussionmentioning

confidence: 99%

Dual agency in critical care nursing: Balancing responsibilities towards colleagues and patients

Trapani

Scholes

Cassar

2016

Journal of Advanced Nursing

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Aim. To explore critical care nurses' decisions to seek help from doctors.Background. Despite their well-documented role in improving critically ill patients' outcomes, research indicates that nurses rarely take decisions about patients' treatment modalities on their own and constantly need to seek advice or authorisation for their clinical decisions, even for protocol-guided actions. However, research around the factors related to, and the actual process of, such referrals is limited. Design.A grounded theory study, underpinned by a symbolic interactionist perspective. Methods. Data collection took place in a general intensive care unit between 2010 and 2012and involved: 20 hours of non-participant and 50 hours of participant observation; ten informal and ten formal interviews; and two focus groups with ten nurses, selected by purposive and theoretical sampling. Data analysis was guided by the dimensional analysis approach to generating grounded theory.

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Re‐exploring the ritual of the ward round

Cited by 10 publications

References 30 publications

Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective

Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective

Ward rounds, participants, roles and perceptions: literature review

Dual agency in critical care nursing: Balancing responsibilities towards colleagues and patients

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