Reddin Gemma, Davis Niall F, Donald Kenneth Mc
St Vincent's University Hospital, Dublin, Ireland.
, Washington DC, USA.
Ir J Med Sci. 2019 Nov;188(4):1119-1128. doi: 10.1007/s11845-019-01975-z. Epub 2019 Feb 2.
Ward rounds (WR) are an invaluable part of the hospital day allowing for daily assessment of each patient and their treatment, perhaps the most crucial role of the WR is information transfer.
This study investigated inpatient's perception of the cardiology and urology WR; in particular, it examined patient-doctor communication.
Inpatients were interviewed to explore pertinent areas concerning the WR; a questionnaire was subsequently developed which analysed four aspects: information-giving and communication, emotional reaction, professionalism, and privacy.
One hundred sixty-eight inpatients completed the questionnaire. Professionalism and privacy scored highly. Emotional reaction was neutral, and information-giving and communication was poorly scored which was attributed to the use of medical jargon, apparent time constraints and patients perceived inopportunity to ask questions.
The presented data underlines a weakness in knowledge transfer to the patient during the ward round which may have a detrimental impact on post discharge morbidity where understanding and treatment adherence is critical. Improving communication is vital to establishing the WR as a practice of significance in order to deliver superior, safe patient-centred care.
查房是医院日常工作中非常重要的一部分，可对每位患者及其治疗情况进行每日评估，查房最重要的作用或许是信息传递。
本研究调查了住院患者对心内科和泌尿外科查房的看法；特别考察了医患沟通情况。
对住院患者进行访谈，以探究与查房相关的领域；随后编制了一份问卷，分析四个方面：信息提供与沟通、情绪反应、专业素养和隐私。
168名住院患者完成了问卷。专业素养和隐私方面得分较高。情绪反应呈中性，信息提供与沟通方面得分较低，这归因于使用医学术语、明显的时间限制以及患者感觉没有机会提问。
所呈现的数据突显了查房期间向患者进行知识传递方面的不足，这可能对出院后的发病率产生不利影响，而理解和坚持治疗至关重要。改善沟通对于将查房确立为一项重要的工作实践以提供优质、安全的以患者为中心的护理至关重要。
