Swenne Christine Leo, Skytt Bernice
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Scand J Caring Sci. 2014 Jun;28(2):297-304. doi: 10.1111/scs.12059. Epub 2013 Jun 30.
Patients' participation is essential to their well-being and sense of coherence, as well as to their understanding of and adherence to prescribed treatments. Ward rounds serve as a forum for sharing information between patient and caregiver. The purpose of the ward round is to obtain information and plan medical and nursing care through staff-patient communication.
The aim and objective of this study was to investigate patients' experiences during the ward round and their ability to participate in their care.
The study was qualitative and descriptive in design. Fourteen inpatients at a cardiovascular ward were interviewed. Qualitative content analysis was used for the analysis.
The ethics of scientific work were adhered to. Each study participant gave his/her informed consent based on verbal and written information. The study was approved by the Research Ethics Committee at Uppsala University.
The analysis revealed one theme and three subthemes related to patients' experiences of ward rounds. The main theme was handling of information from the daily ward round while waiting for private consultation. The subthemes were making the best of the short time spent on ward rounds; encountering traditional roles and taking comfort in staff competency; and being able to choose the degree to which one participates in the decision-making process.
Several aspects of traditional ward round routines could be improved in regard to the two-way information exchange process between caregivers and patient. Patients' and caregivers' ability to communicate their goals and the environment in which the communication occurs are of great importance. The information provided by nurses is easier to understand than that provided by physicians. The atmosphere must be open; the patient should be treated with empathy by staff; and patients' right to participate must be acknowledged by all healthcare professionals involved.
患者的参与对于其幸福感、连贯感以及对规定治疗的理解和依从性至关重要。查房是患者与医护人员之间分享信息的一个平台。查房的目的是通过医患沟通获取信息并规划医疗和护理。
本研究的目的是调查患者在查房期间的经历以及他们参与自身护理的能力。
本研究在设计上是定性和描述性的。对心血管病房的14名住院患者进行了访谈。采用定性内容分析法进行分析。
遵循了科学研究的伦理规范。每位研究参与者根据口头和书面信息给予了知情同意。该研究获得了乌普萨拉大学研究伦理委员会的批准。
分析揭示了一个与患者查房经历相关的主题和三个子主题。主要主题是在等待私人会诊时处理日常查房中的信息。子主题包括充分利用查房的短暂时间；遇到传统角色并因医护人员的能力而感到安心；以及能够选择参与决策过程的程度。
在医护人员与患者之间的双向信息交流过程方面，传统查房常规的几个方面可以改进。患者和医护人员传达其目标的能力以及沟通发生的环境非常重要。护士提供的信息比医生提供的信息更容易理解。氛围必须开放；医护人员应设身处地对待患者；并且所有参与的医疗专业人员都必须承认患者的参与权。
