Patients' Perceptions of Bedside Rounding.

Abstract:

OBJECTIVES:Concerns regarding lack of privacy, poor patient understanding, and physician discomfort have led to a decline in rounding at the bedside. Our project explored patient perceptions of the implementation and value of bedside rounding. METHODS:This mixed-methods study used semi-structured qualitative interviews and a five-item Likert survey, which included questions about patients' experiences with rounds, their comfort level with the rounding process, and their understanding of care after rounds. Interviews were analyzed using the constant comparative method and conducted until thematic saturation occurred. RESULTS:Patients described positive attributes of bedside rounds: meeting the medical team, helping teach the medical team, and understanding more about their illness. Although patients enjoyed undivided attention from physicians, distractions included too many participants in rounds, confusion about roles, and unclear expectations about the goal of rounds. Although physicians sought to use patient-centered language, 53% of patients stated that medical jargon was still used. Male patients reported a statistically significant improvement in their understanding about the plan for the day and borderline significance regarding knowing who was responsible for their care as compared with female patients. CONCLUSIONS:Well-conducted, patient-centered bedside rounds greatly enhance patient-physician rapport and foster patient understanding and satisfaction.

journal_name

South Med J

journal_title

Southern medical journal

authors

Shih AF,Addo-Tabiri NO,Sofair AN

doi

10.14423/SMJ.0000000000000803

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

281-287

issue

5

eissn

0038-4348

issn

1541-8243

pii

SMJ50529

journal_volume

111

pub_type

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