Pearce Jessica, Redman Melody, Gajebasia Sareena, Dirksen Ruth
Hull York Medical School, University of York, York, UK.
Sheffield Children's NHS Foundation Trust, Sheffield, UK.
Clin Teach. 2019 Apr;16(2):147-151. doi: 10.1111/tct.12789. Epub 2018 Apr 17.
Ward rounds are fundamental to the care of medical inpatients, and newly graduated doctors may be expected to conduct them alone. There are no studies exploring the frequency with which this occurs, however, or how prepared they feel for this task.
Newly graduated (Foundation Year-1, FY1) doctors in Northern Lincolnshire and Goole (NLaG) National Health Service Foundation Trust were surveyed at the end of their FY1 year. An online survey asked: how often they conducted medical ward rounds alone; how prepared they felt to do so; and how often they considered 13 important aspects of care. An aide-memoire outlining aspects to consider on ward rounds was introduced during induction for a second cohort of FY1s, and the survey was repeated.
In the initial survey (2015), 42% (n = 19) of the 45 FY1s in NLaG responded: 84% (n = 16) reported conducting ward rounds alone twice or more each week, with 5% (n = 1) feeling prepared and 89% (n = 17) feeling unprepared to do so. In the second survey (2016), following the introduction of the aide-memoire, 52% (n = 25) of the 48 FY1s responded: 32% (n = 7) reported feeling prepared with the aide-memoire (a 27% increase from 2015). There was also a statistically significant increase in the frequency with which they reported considering three of 13 important aspects of care: nutrition, mobility and discharge planning. There are no studies exploring the frequency with which newly graduated doctors conduct ward rounds alone DISCUSSION: The FY1s were regularly conducting ward rounds alone, and felt unprepared for this. An aide-memoire is a low-cost intervention with some value in improving preparedness, and could be further developed and used elsewhere.
查房是内科住院患者护理的基础，新毕业的医生可能需要独立进行查房。然而，目前尚无研究探讨这种情况发生的频率，以及他们对这项任务的准备程度。
对林肯郡北部和古尔国民保健服务基金会信托基金的新毕业（第1年基础培训，FY1）医生在其FY1培训结束时进行了调查。一项在线调查询问了：他们独立进行内科查房的频率；他们觉得自己为此做好准备的程度；以及他们考虑13个重要护理方面的频率。在第二批FY1医生入职培训期间，引入了一份概述查房时需考虑方面的备忘单，并重复进行了调查。
在首次调查（2015年）中，林肯郡北部和古尔的45名FY1医生中有42%（n = 19）做出了回应：84%（n = 16）报告每周独立进行两次或更多次查房，5%（n = 1）觉得有准备，89%（n = 17）觉得没有准备。在第二次调查（2016年）中，在引入备忘单后，48名FY1医生中有52%（n = 25）做出了回应：32%（n = 7）报告借助备忘单觉得有准备（比2015年增加了27%）。他们报告考虑13个重要护理方面中的三个方面（营养、活动能力和出院计划）的频率也有统计学上的显著增加。目前尚无研究探讨新毕业医生独立进行查房的频率。
FY1医生经常独立进行查房，但对此感到没有准备。备忘单是一种低成本的干预措施，在提高准备程度方面有一定价值，可以进一步开发并在其他地方使用。
