Ward stories: lessons learned from patient perception of the ward round
- 16 Downloads
Ward rounds (WR) are an invaluable part of the hospital day allowing for daily assessment of each patient and their treatment, perhaps the most crucial role of the WR is information transfer.
This study investigated inpatient’s perception of the cardiology and urology WR; in particular, it examined patient-doctor communication.
Inpatients were interviewed to explore pertinent areas concerning the WR; a questionnaire was subsequently developed which analysed four aspects: information-giving and communication, emotional reaction, professionalism, and privacy.
One hundred sixty-eight inpatients completed the questionnaire. Professionalism and privacy scored highly. Emotional reaction was neutral, and information-giving and communication was poorly scored which was attributed to the use of medical jargon, apparent time constraints and patients perceived inopportunity to ask questions.
The presented data underlines a weakness in knowledge transfer to the patient during the ward round which may have a detrimental impact on post discharge morbidity where understanding and treatment adherence is critical. Improving communication is vital to establishing the WR as a practice of significance in order to deliver superior, safe patient-centred care.
KeywordsCommunication Medical education Patient-centred care Patient perception Ward round
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
- 1.Royal College of Physicians & Royal College of Nursing (2012) Ward rounds in medicine: principles for best practice. RCP London. http://www.rcn.org.uk/_data/assets/pdf_file/0007/479329/004342.pdf. Accessed June 2016
- 3.Wagstaff K, Solts B (2003) Inpatient experience of ward rounds in acute psychiatric setting. Nurs Times 99(5):34–36Google Scholar
- 4.Darbyshire D et al (2015) Measuring ward round quality in urology. Int J Risk Saf Med 27(1):23–33Google Scholar
- 7.Amin Y. (2012) How to bring back ward rounds. The Guardian. https://www.theguardian.com/healthcarenetwork/2012/oct/17/how-to-bring-back-ward-rounds. Accessed June 2016
- 8.Editorial (2012) Ward rounds: what goes around comes around. Lancet 2012 380:9850 1281Google Scholar
- 10.Fong Ha J, Longnecker N (2010) Doctor patient communication: a review. Ochsner J 10(1):38–43Google Scholar