A survey of ward round practice

Hodgson, Richard; Jamal, Amr; B, Gayathri

doi:10.1192/pb.29.5.171

Cited by 11 publications

(6 citation statements)

References 7 publications

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“…Clearly, the concept of pharmaceutical care is not yet implemented in these public hospitals, despite their being academic institutions and the biggest referral hospital of the province. That is consistent with findings from elsewhere about the confusion regarding ward round practice -for instance, Price states that little is known about the ward rounds practice amongst both professionals and patients (Price 2005), echoing views of other authors (Hodgson, Jamal & Gayathri 2005;White & Assign pharmacists specific wards on rotational basis 3 (5.8) †, Analysed only for the 52 respondents who made suggestions; %, percentage of the respondents who made the suggestions (n = 52) (not of the total number of respondents. Respondents could make more than one suggestion; percentages do not add up to 100%); CPD, continuing professional development.…”

Section: Discussionsupporting

confidence: 88%

Views of pharmacists on involvement in ward rounds in selected public hospitals in Limpopo Province

Sello

Dambisya

2014

Health SA Gesondheid

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Background: Pharmacist participation in ward rounds is of increasing interest for better pharmaceutical care, yet most pharmacists do not engage in this activity. Objective:The objective was to obtain public sector pharmacists' views and perceptions on their involvement in ward rounds.Method: A rapid assessment was conducted using a semi-structured questionnaire sent to five hospitals in Limpopo Province.Results: There were 55 respondents (61.8% female), mainly from the Polokwane-Mankweng Hospital Complex (69.1%); 45 (82%) were young pharmacists aged 25 to 34, whilst experience varied from 0 ≤ 5 years (69.1%), 5 ≤ 10 years (16.4%) to > 10 years (14.5%). The respondents included interns (n = 21), community service pharmacists (n = 7) and junior pharmacists (n = 8). Most had trained at University of Limpopo (n = 49), with a few from North-West University (n = 4), Wits (n = 1) and Durban-Westville (n = 1). The majority (94.5%) felt that it was necessary for pharmacists to be involved in ward rounds. Twenty-seven respondents (49.1%) said that pharmacists were involved in ward rounds and 21 of these (77.8%) said ward visits were to check on drug stocks, but not for direct patient care. Proposals to prepare pharmacists better for ward rounds included pre-service training (34.9%), internship (37.2%), community service (4.7%), post-graduate courses (8.1%) and continuing professional development (15.1%). Conclusion:Pharmacists in the public hospitals studied in Limpopo were willing to be involved in clinical ward rounds and suggested that this be introduced during undergraduate training. These findings support the plans for the Turfloop BPharm programme to introduce clinical ward rounds.Agtergrond: Die teenwoordigheid van aptekers tydens saalrondtes is van toenemende belang vir beter farmaseutiese sorg, maar baie aptekers is nie betrokke by by hierdie aktiwiteit nie. Doelstelling: Die doel van die studie was om die menings en persepsies van aptekers in die openbare sektor te verkry oor hulle betrokkenheid by saalrondtes.Metode: 'n Vinnige assessering was gedoen met behulp van 'n semi-gestruktureerde vraelys wat na vyf hospitale in Limpopo gestuur is.Resultate: Daar het 55 respondente aan die studie deelgeneem (61.8% vroue). Die meerderheid was van die Polokwane-Mankweng hospitaalkompleks (69.1%). Daar was 45 (82%) jong aptekers tussen die ouderdomme van 25 en 34, terwyl ervaring gewissel het van 0 tot 5 jaar (69.1%), 6 tot 10 jaar (16.4%), tot 10 jaar of meer (14.5%). Die respondente het die volgende ingesluit: interns (n = 21), gemeenskapsdiensaptekers (n = 7) en junior aptekers (n = 8). Die meeste het hul tersiêre opleiding aan die Universiteit van Limpopo verkry (n = 49), met 'n paar van die Noord-Wes Universiteit (n = 4), Wits (n = 1) en DurbanWestville (n = 1). Die meerderheid (94.5%) het gevoel dat dit wel nodig is vir aptekers om in saalrondtes betrokke te wees. 'n Totaal van 27 respondente (49.1%) het aangedui dat aptekers betrokke is by saalrondtes, maar 21 uit die 27 (77.8%) het saalbesoek omskryf as die nagaan...

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Section: Discussionsupporting

confidence: 88%

Views of pharmacists on involvement in ward rounds in selected public hospitals in Limpopo Province

Sello

Dambisya

2014

Health SA Gesondheid

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“…2005), assessing the views of consultant psychiatrists, found that the majority of responders saw the ward round as ‘a compromise between professional efficiency and patient satisfaction’ (p. 172). It was also found that nursing and the medical profession constituted the core of the ward rounds (Hodgson et al. 2005).…”

Section: Introductionmentioning

confidence: 99%

“…Against such policy background, it is important to note that the prevailing form and structure of the 'traditional' psychiatric ward round, as described earlier, might be viewed as a somewhat controversial practice, both from a professional and patient perspective. One survey (Hodgson et al 2005), assessing the views of consultant psychiatrists, found that the majority of responders saw the ward round as 'a compromise between professional efficiency and patient satisfaction ' (p. 172). It was also found that nursing and the medical profession constituted the core of the ward rounds (Hodgson et al 2005).…”

Section: Introductionmentioning

confidence: 99%

“…One survey (Hodgson et al 2005), assessing the views of consultant psychiatrists, found that the majority of responders saw the ward round as 'a compromise between professional efficiency and patient satisfaction ' (p. 172). It was also found that nursing and the medical profession constituted the core of the ward rounds (Hodgson et al 2005). This supports evidence suggesting that 'traditional' ward rounds might serve the interests of professionals rather than patients (Palin 2005), and therefore, seems to be in urgent need of revision.…”

Section: Introductionmentioning

confidence: 99%

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Once‐a‐week psychiatric ward round or daily inpatient team meeting? A multidisciplinary mental health team's experience of new ways of working

Fiddler

Borglin

Galloway

et al. 2010

Int J Mental Health Nurs

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Evidence indicates that while service users are dissatisfied with current ward round practices, studies of how professionals experience this practice are sparse. This study highlights staff view of the once-a-week psychiatric ward round compared to a reformed ward round taking place every weekday. Interviews were conducted at one acute psychiatric ward in north-west England. Our analysis revealed a core theme, 'forming a new way of working', which could be understood from three themes. The theme, 'bound by tradition', emphasized how the traditional ward round represented a double-edged sword: it provided a safe structure, but it also highlighted a shared awareness of an urgent need to leave old ways of working behind. The process of change became discernable in the themes 'juggling the change' and 'light at the end of the tunnel', which showed that restructuring the traditional ward round was both possible and valued. We found that staff views on ward rounds are more complex than had been earlier understood, but new ways of working can be implemented, if the impact of tradition, the process of change, and the time to bed down are taken into account.

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“…In contrast, there are fewer studies about ward round practice in psychiatry. Existing works focus mainly on the patients’ view of ward rounds and practical aspects without studying the required skills of a clinician [6, 7, 38].…”

Section: Discussionmentioning

confidence: 99%

Ward round competences in surgery and psychiatry - a comparative multidisciplinary interview study

et al. 2019

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Background The ward round is a key element in everyday hospital inpatient care irrespective of the medical speciality. The underperformance in conducting ward rounds of junior clinicians has already been described. Therefore, necessary skills and competences of clinicians need to be defined, taught and delivered for curricular instruction. In addition to published data on ward round competences in internal medicine this study aims to determine the common competences for surgical and psychiatric ward rounds in order to find differences depending on the speciality. Methods Semi-structured interviews with surgical ( N = 30) and psychiatric ward staff ( N = 30) of a university hospital and five community hospitals were conducted. Competences necessary for performing ward rounds as well as structural aspects were identified by systematic content analysis and frequency analysis, supported by adequate statistics. Results Relevant competences for both fields are: collaborative clinical reasoning, communication with the patient and the team, organization, teamwork, management of difficult situations, self-management, error-management, teaching, empathy, nonverbal communication, patient-management and professionalism . Clinical skills were mentioned more often in surgical interviews, while nonverbal communication was described more often in psychiatric interviews. Empathy and communication with the team were more frequently attributed to psychiatric residents. Conclusion The competences which were identified as necessary for conducting a ward round in surgery and psychiatry are similar and correspond to previously reported competences in internal medicine. Clinical skills are of greater importance in surgery than in psychiatry. Concerning empathy and nonverbal communication , further research is needed to determine whether they are of minor importance in surgery or whether there is a lack of awareness of these competences. Electronic supplementary material The online version of this article (10.1186/s12909-019-1554-6) contains supplementary material, which is available to authorized users.

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A survey of ward round practice

Cited by 11 publications

References 7 publications

Views of pharmacists on involvement in ward rounds in selected public hospitals in Limpopo Province

Views of pharmacists on involvement in ward rounds in selected public hospitals in Limpopo Province

Once‐a‐week psychiatric ward round or daily inpatient team meeting? A multidisciplinary mental health team's experience of new ways of working

Ward round competences in surgery and psychiatry - a comparative multidisciplinary interview study

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