Fewtrell W D, Toms D A
Br J Med Psychol. 1985 Mar;58(1):57-62. doi: 10.1111/j.2044-8341.1985.tb02615.x.
A novel ward-round procedure was introduced on an acute psychiatric admissions ward. There was an equal balance in number of staff and patients attending the meetings simultaneously, and all team members participated in the interviewing and discussion. This was compared to the traditional type of ward-round procedure in which one patient attends at any given time, and the consultant is the exclusive interviewer and director of team discussion. The content of negotiation in the traditional ward round was compared to that in the novel style of meeting and it was found that the novel format produced a swing away from medical and diagnostic issues to domestic and social matters.
在一个急性精神科住院病房引入了一种新的查房程序。同时参加会议的工作人员和患者人数保持平衡,并且所有团队成员都参与询问和讨论。将其与传统的查房程序进行比较,传统查房程序是在任何给定时间只有一名患者参与,且顾问是唯一的询问者和团队讨论的主导者。对传统查房中的协商内容与新型会议中的协商内容进行了比较,结果发现新型模式使讨论内容从医疗和诊断问题转向了家庭和社会事务。