Mastalerz Katarzyna A, Jordan Sarah R, Connors Susan C
Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Division of Healthcare Services, Molina Healthcare of Illinois, Downers Grove, IL, USA.
J Gen Intern Med. 2025 Feb;40(3):538-546. doi: 10.1007/s11606-024-09124-8. Epub 2024 Oct 29.
Patient and interprofessional healthcare team member experiences of bedside interdisciplinary rounds (BIDR) are generally positive. Overall, there is large heterogeneity in existing BIDR frameworks, and best practices have not been defined.
Understand patients' and interprofessional healthcare team members' experiences of BIDR.
Academic VA Medical Center (VAMC) with daily structured BIDR.
Inpatients, nurses, pharmacists, and care coordinators who participated in BIDR.
We conducted semi-structured qualitative interviews with study participants about their experiences with BIDR between January and June 2020. All interviews were recorded and professionally transcribed. We used thematic analysis to identify key themes.
We interviewed 14 inpatients and 18 interprofessional healthcare team members, including nurses, pharmacists, and care coordinators. Patients participating in BIDR reported positive perceptions of being included in the discussion of their healthcare plans and increased trust in providers; patient discomfort resulted from physician use of technical language and from being presented with unclear, vague care plans. Interdisciplinary healthcare team members participating in BIDR reported an increased understanding, respect, and trust for other team members and improved patient care; challenges were posed by lack of supportive structural elements to interprofessional workflow and prolonged physician presentations.
BIDR can build trust between patients and healthcare providers and within the interprofessional team by creating a setting where teamwork interactions can be observed. Based on our findings, we recommend trust-building practices for BIDR, which include sharing BIDR goals with patients, using patient-centered language, creating structures for interprofessional inclusion, defining team roles, using standardized communication, and addressing interprofessional inputs in real time.
患者及跨专业医疗团队成员对床边跨学科查房（BIDR）的体验总体呈积极态度。总体而言，现有的BIDR框架存在很大异质性，且尚未明确最佳实践方法。
了解患者及跨专业医疗团队成员对BIDR的体验。
设有每日结构化BIDR的学术性退伍军人医疗中心（VAMC）。
参与BIDR的住院患者、护士、药剂师及护理协调员。
2020年1月至6月，我们对研究参与者就其BIDR体验进行了半结构化定性访谈。所有访谈均进行了录音并由专业人员转录。我们采用主题分析法来确定关键主题。
我们访谈了14名住院患者以及18名跨专业医疗团队成员，包括护士、药剂师和护理协调员。参与BIDR的患者表示，对参与其医疗计划讨论有积极感受，并且对医疗服务提供者的信任增加；患者的不适感源于医生使用专业术语以及所呈现的护理计划不清晰、含糊。参与BIDR的跨专业医疗团队成员表示，对其他团队成员的理解、尊重和信任有所增加，患者护理得到改善；跨专业工作流程缺乏支持性结构要素以及医生汇报时间过长带来了挑战。
BIDR可通过营造一个能观察到团队协作互动的环境，在患者与医疗服务提供者之间以及跨专业团队内部建立信任。基于我们的研究结果，我们推荐了BIDR的信任建立做法，包括与患者分享BIDR目标、使用以患者为中心的语言、建立跨专业参与的架构、明确团队角色、使用标准化沟通以及实时处理跨专业意见。
