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https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/1218
Title: | Patients’ experiences of clinical team meetings (ward rounds) at an adult in-patient eating disorders ward: mixed-method service improvement project |
Authors: | Yim, See Heng Jones, Roshan Cooper, Myra Roberts, Lyn Viljoen, David |
Keywords: | Clinical Meetings Ward Rounds Patient Satisfaction |
Issue Date: | Apr-2023 |
Citation: | Yim, S., Jones, R., Cooper, M., Roberts, L., & Viljoen, D. (2023). Patients’ experiences of clinical team meetings (ward rounds) at an adult in-patient eating disorders ward: Mixed-method service improvement project. BJPsych Bulletin, 1-7. |
Abstract: | Ward rounds are key to treatment-related decision-making, but are often stressful. This project aimed to explore and improve patients’ experiences of the clinical team meeting (CTM; historically known as ward round) in an adult in-patient eating disorders unit. A mixed-method approach was adopted with in vivo observations, two focus groups and an interview. Six patients participated. Two former patients contributed to data analysis, co-production of service improvement initiatives and write-up. Results The mean CTM duration was 14.3 min. Patients spoke half of the time, followed by psychiatry colleagues. ‘Request’ was the most discussed category. Three themes were identified: CTMs are important but impersonal, a sense of palpable anxiety was generated and staff and patients had divergent views regarding CTM goals. Clinical implications The co-produced changes to CTMs were implemented and improved patient's experiences despite COVID-19 challenges. Factors beyond CTMs, including the ward's power hierarchy, culture and language, need addressing to facilitate shared decision-making. |
Description: | Open access |
URI: | https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/1218 |
Appears in Collections: | Eating Disorders |
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File | Description | Size | Format | |
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patients-experiences-of-clinical-team-meetings-ward-rounds-at-an-adult-in-patient-eating-disorders-ward-mixed-method-service-improvement-project.pdf | Main article | 696 kB | Adobe PDF | View/Open |
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