1 The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, UK.
2 School of Social and Community Medicine, University of Bristol, UK.
Qual Health Res. 2017 Sep;27(11):1652-1663. doi: 10.1177/1049732317702101. Epub 2017 Apr 13.
Schwartz Rounds are evidence-based interdisciplinary discussions where health care staff can share experiences of the emotional and social aspects of care, to support improvements in patient care. Developed in acute services, they are now being implemented in various settings including U.K. community and mental health services where their implementation has not been researched. Realist evaluation was used to analyze three community and mental health case studies of Round implementation, involving Round observations ( n = 5), staff interviews ( n = 22), and post-Round evaluation sheets ( n = 206). Where Schwartz Rounds were successfully implemented and facilitated, the discussions enabled emotional resonance across interdisciplinary colleagues about caring experiences, enabling the recognition of a common humanity. Participants appreciated attending Rounds and saw they improved communications, trust, and openness with colleagues and enabled more compassionate care with patients. The wide geographical dispersal of staff and work pressures were challenges in attending Rounds, and strong leadership is needed to support their implementation.
施瓦茨轮是循证跨学科讨论，医护人员可以在此分享护理的情感和社会方面的经验，以支持改善患者护理。它最初在急症服务中开发，现在正在英国社区和精神卫生服务等各种环境中实施，而其实施情况尚未得到研究。实际评估用于分析三轮实施的三个社区和精神卫生案例研究，涉及轮观察（n=5）、员工访谈（n=22）和轮后评估表（n=206）。在成功实施和促进施瓦茨轮的地方，讨论使跨学科同事之间对护理体验产生了情感共鸣，使人们认识到共同的人性。参与者喜欢参加轮班，并认为这提高了他们与同事的沟通、信任和开放程度，并使他们能够更富有同情心的照顾患者。工作人员的广泛地理分布和工作压力是参加轮班的挑战，需要强有力的领导来支持其实施。
