Patient participation in inpatient ward rounds on acute inpatient medical wards: a descriptive study

BMJ Quality & Safety
Bernice RedleyTracey Bucknall

Abstract

Meaningful partnering with patients is advocated to enhance care delivery. Little is known about how this is operationalised at the point of care during hospital ward rounds, where decision-making concerning patient care frequently occurs. Describe participation of patients, with differing preferences for participation, during ward rounds in acute medical inpatient services. Naturalistic, multimethod design. Data were collected using surveys and observations of ward rounds at two hospitals in Melbourne, Australia. Using convenience sampling, a stratified sample of acute general medical patients were recruited. Prior to observation and interview, patient responses to the Control Preference Scale were used to stratify them into three groups representing diverse participation preferences: active control where the patient makes decisions; shared control where the patient prefers to make decisions jointly with clinicians; and passive control where the patient prefers clinicians make decisions. Of the 52 patients observed over 133 ward rounds, 30.8% (n=16) reported an active control preference for participation in decision-making during ward rounds, 25% (n=13) expressed shared control preference and 44.2% (n=23) expressed low control...Continue Reading

References

Sep 1, 1992·Journal of Clinical Epidemiology·L F Degner, J A Sloan
Feb 15, 2001·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·M Buelow
Nov 9, 2001·Quality in Health Care : QHC·L J Donaldson
Feb 13, 2003·Journal of Advanced Nursing·Carita Sainio, Sirkka Lauri
Dec 13, 2005·Health Services Research·Judith H HibbardMartin Tusler
Dec 20, 2005·Nursing Inquiry·Lynne Barnes, Trudy Rudge
Sep 13, 2006·Patient Education and Counseling·Maarten FischerJozien Bensing
Sep 13, 2006·Patient Education and Counseling·Pnina Rotman-PikielnyYair Levy
Feb 7, 2008·The Cochrane Database of Systematic Reviews·P Bradley, B Lindsay
Feb 7, 2008·The Cochrane Database of Systematic Reviews·R E RyanS J Hill
May 16, 2008·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Pamela L HudakWendy Levinson
May 20, 2008·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Gill HubbardEdward Donaghy
May 29, 2008·Journal of General Internal Medicine·Julia A FilesKeith A Frey
Jun 14, 2008·European Journal of Internal Medicine·James A O'Hare
Jun 24, 2009·Dimensions of Critical Care Nursing : DCCN·Francis E WilsonSharon Ilari
Aug 21, 2009·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Kirsten J McCafferyMichael Wolf
Nov 17, 2009·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Richard L SkolaskyStephen T Wegener
Dec 17, 2009·Research in Nursing & Health·Margarete Sandelowski
Jan 1, 2010·Mayo Clinic Proceedings·Yves LongtinDidier Pittet
Feb 6, 2010·International Journal of Nursing Terminologies and Classifications : the Official Journal of NANDA International·Ann Catrine EldhMargareta Ehnfors
Apr 14, 2010·Journal of General Internal Medicine·Kevin J O'LearyMark V Williams
May 26, 2010·Australian Health Review : a Publication of the Australian Hospital Association·Owen M Bradfield
Jun 29, 2010·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Simron SinghMartin H N Tattersall
Oct 15, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Angela FagerlinBrian J Zikmund-Fisher
Oct 5, 2010·Patient Education and Counseling·Christina Foss, Dag Hofoss
Oct 5, 2010·Patient Education and Counseling·G S Sweet, H J Wilson
Feb 16, 2011·Nurse Researcher·Joanna Smith, Jill Firth
Mar 17, 2011·Clinical Medicine : Journal of the Royal College of Physicians of London·Roselle HerringGordon Caldwell
Apr 13, 2011·Archives of Internal Medicine·Kevin J O'LearyDiane B Wayne
Apr 3, 2012·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Man HungMatthew Samore
Jun 5, 2012·Journal of the American Veterinary Medical Association·Aradhana GuptaNobuko Wakamatsu
Sep 11, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Kevin J O'LearyMark V Williams
Sep 15, 2012·Journal of the Royal Society of Medicine·Yogen AminAidan Halligan
Sep 19, 2012·Depression Research and Treatment·Andrew J LewisJohn W Toumbourou
Nov 1, 2012·BMJ Quality & Safety·Maria FlinkUNKNOWN HANDOVER Research Collaborative
Jun 4, 2013·The Clinical Journal of Pain·Lauren J McTierMaxine Duke
Dec 18, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Lauren McTierMaxine Duke
Jan 1, 2013·BMC Medical Informatics and Decision Making·Dawn StaceyRichard L Street
Jun 13, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Kevin J O'LearyMark V Williams

❮ Previous
Next ❯

Citations

Aug 22, 2018·Journal of Nursing Management·Merja SahlströmHannele Turunen
Jun 12, 2019·Drug and Therapeutics Bulletin·Michael Wilcock, Neil Powell
Jan 21, 2020·Journal of Psychiatric and Mental Health Nursing·Una FoyeAlan Simpson
May 10, 2019·Internal Medicine Journal·Bernice RedleySara Barnes
Jul 18, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Paul WillisJenny-Anne Bishop
Oct 18, 2020·Scandinavian Journal of Caring Sciences·Georgia TobianoAndrea P Marshall
Mar 25, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Stine Eidhammer RognanLiv Mathiesen
Mar 14, 2021·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Georgia TobianoWendy Chaboyer
Dec 24, 2021·Nursing Philosophy : an International Journal for Healthcare Professionals·Danisha JenkinsDave Holmes
Jan 8, 2022·Medical Education Online·Michelle SharpJanet D Record
Dec 17, 2021·Nursing & Health Sciences·Hsueh-Fen S KaoOscar Moreno

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.