Aldamouk Amer
Internal Medicine, Luminis Health Anne Arundel Medical Center, Annapolis, USA.
Cureus. 2024 Dec 26;16(12):e76412. doi: 10.7759/cureus.76412. eCollection 2024 Dec.
Background Daily interdisciplinary rounds in hospitals are becoming standardized to maximize the multidisciplinary approach to hospitalized patient care. We hypothesize that structured Interdisciplinary Bedside Rounds (IDRs) increase the satisfaction, education, and experience of medical staff and thus detail actionable recommendations for IDR implementation or delineate measurable long-term impacts. Methods This observational study was performed in a 300-bed community hospital. Participants included internal medicine physicians, nurses, case managers, social workers, physical therapists, clinical pharmacists, and nurse leaders. Surveys were used to assess the impact of structured IDRs on medical education, clinical skills, and experience. Results We sent 100 surveys and received 72 completed surveys. Results varied among healthcare providers (physicians, nurses, pharmacists, and case managers), reflecting that physicians and nurses reported the highest benefits. There was a positive response on the impact of multidisciplinary rounds on medical staff education, skills, and experience. Conclusion Structured IDRs positively impact healthcare providers' (physicians, nurses, pharmacists, and case managers) medical education, clinical skills, and experience, as reported by participants' responses. Implementing IDRs in the health care system and medical school curriculum may impact medical education, clinical skills, experience, and patient care. However, more studies are required to examine the long-term impact of IDRs.
背景 医院每日的跨学科查房正趋于标准化，以最大限度地采用多学科方法进行住院患者护理。我们假设，结构化的跨学科床边查房（IDR）能提高医务人员的满意度、教育水平和体验，因此详细阐述了IDR实施的可行建议或描述了可衡量的长期影响。方法 这项观察性研究在一家拥有300张床位的社区医院进行。参与者包括内科医生、护士、病例管理员、社会工作者、物理治疗师、临床药剂师和护士长。通过调查来评估结构化IDR对医学教育、临床技能和体验的影响。结果 我们发放了100份调查问卷，收到72份完整的调查问卷。不同医疗服务提供者（医生、护士、药剂师和病例管理员）的结果各不相同，这表明医生和护士报告的受益最大。对于多学科查房对医务人员教育、技能和体验的影响，有积极的反馈。结论 参与者的反馈表明，结构化IDR对医疗服务提供者（医生、护士、药剂师和病例管理员）的医学教育、临床技能和体验有积极影响。在医疗系统和医学院课程中实施IDR可能会影响医学教育、临床技能、体验和患者护理。然而，需要更多研究来考察IDR的长期影响。
