Hdl Handle:
http://hdl.handle.net/10147/302826
Title:
Anatomy of the ward round.
Authors:
O'Hare, James A
Affiliation:
Department of Medicine, Mid-Western Regional Hospital, Dooradoyle, Limerick, National University of Ireland (Cork), Ireland. james.ohare@HSE.ie
Citation:
Anatomy of the ward round. 2008, 19 (5):309-13 Eur. J. Intern. Med.
Publisher:
European journal of internal medicine
Journal:
European journal of internal medicine
Issue Date:
Jul-2008
URI:
http://hdl.handle.net/10147/302826
DOI:
10.1016/j.ejim.2007.09.016
PubMed ID:
18549930
Abstract:
The ward round has been a central activity of hospital life for hundreds of years. It is hardly mentioned in textbooks. The ward round is a parade through the hospital of professionals where most decision making concerning patient care is made. However the traditional format may be intimidating for patients and inadequate for communication. The round provides an opportunity for the multi-disciplinary team to listen to the patient's narrative and jointly interpret his concerns. From this unfolds diagnosis, management plans, prognosis formation and the opportunity to explore social, psychological, rehabilitation and placement issues. Physical examination of the patient at the bedside still remains important. It has been a tradition to discuss the patient at the bedside but sensitive matters especially of uncertainty may better be discussed elsewhere. The senior doctor as round leader must seek the input of nursing whose observations may be under-appreciated due to traditional professional hierarchy. Reductions in the working hours of junior doctors and shortened length of stay have reduced continuity of patient care. This increases the importance of senior staff in ensuring continuity of care and the need for the joint round as the focus of optimal decision making. The traditional round incorporates teaching but patient's right to privacy and their preferences must be respected. The quality and form of the clinical note is underreported but the electronic record is slow to being accepted. The traditional multi-disciplinary round is disappearing in some centres. This may be regrettable. The anatomy and optimal functioning of the ward round deserves scientific scrutiny and experimentation.
Item Type:
Article
Language:
en
MeSH:
Communication; Education, Medical; Humans; Medical Staff, Hospital; Patient Care Team; Physician-Nurse Relations; Physician-Patient Relations; Professional-Family Relations; Professional-Patient Relations; Quality of Health Care
ISSN:
1879-0828

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Hare, James Aen_GB
dc.date.accessioned2013-10-07T11:46:00Z-
dc.date.available2013-10-07T11:46:00Z-
dc.date.issued2008-07-
dc.identifier.citationAnatomy of the ward round. 2008, 19 (5):309-13 Eur. J. Intern. Med.en_GB
dc.identifier.issn1879-0828-
dc.identifier.pmid18549930-
dc.identifier.doi10.1016/j.ejim.2007.09.016-
dc.identifier.urihttp://hdl.handle.net/10147/302826-
dc.description.abstractThe ward round has been a central activity of hospital life for hundreds of years. It is hardly mentioned in textbooks. The ward round is a parade through the hospital of professionals where most decision making concerning patient care is made. However the traditional format may be intimidating for patients and inadequate for communication. The round provides an opportunity for the multi-disciplinary team to listen to the patient's narrative and jointly interpret his concerns. From this unfolds diagnosis, management plans, prognosis formation and the opportunity to explore social, psychological, rehabilitation and placement issues. Physical examination of the patient at the bedside still remains important. It has been a tradition to discuss the patient at the bedside but sensitive matters especially of uncertainty may better be discussed elsewhere. The senior doctor as round leader must seek the input of nursing whose observations may be under-appreciated due to traditional professional hierarchy. Reductions in the working hours of junior doctors and shortened length of stay have reduced continuity of patient care. This increases the importance of senior staff in ensuring continuity of care and the need for the joint round as the focus of optimal decision making. The traditional round incorporates teaching but patient's right to privacy and their preferences must be respected. The quality and form of the clinical note is underreported but the electronic record is slow to being accepted. The traditional multi-disciplinary round is disappearing in some centres. This may be regrettable. The anatomy and optimal functioning of the ward round deserves scientific scrutiny and experimentation.en_GB
dc.language.isoenen
dc.publisherEuropean journal of internal medicineen_GB
dc.rightsArchived with thanks to European journal of internal medicineen_GB
dc.subject.meshCommunication-
dc.subject.meshEducation, Medical-
dc.subject.meshHumans-
dc.subject.meshMedical Staff, Hospital-
dc.subject.meshPatient Care Team-
dc.subject.meshPhysician-Nurse Relations-
dc.subject.meshPhysician-Patient Relations-
dc.subject.meshProfessional-Family Relations-
dc.subject.meshProfessional-Patient Relations-
dc.subject.meshQuality of Health Care-
dc.titleAnatomy of the ward round.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Medicine, Mid-Western Regional Hospital, Dooradoyle, Limerick, National University of Ireland (Cork), Ireland. james.ohare@HSE.ieen_GB
dc.identifier.journalEuropean journal of internal medicineen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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