Den nya ronden

Abstract

Improved teamwork and communication: An evaluation of a new ward round system. Degree project, Programme in Medicine. 2016. Author: Kristina Filipsson, Supervisor: Petra Tunbäck and Anette Gente Lidholm, Department of Dermathology and Venerology. University of Gothenburg, Sweden. Background: To enhance patient intigrity and participation, and to improve teambased care work, a new ward round was introduced in the fall of 2015, ward 113, at the Department of Dermatology, Sahlgrenska University Hospital. Unlike the traditional medical bedside ward rounds in bays with multiple beds, the care recipient was invited to the ward round in a private room together with the entire healthcare team. Aim: To evaluate if the new ward round improve the patients´ experiences of the care and to investigate if teamwork was improved between the health professionals with regards to communication and efficiency. Method: A Patient survey of 12 patients during 3 weeks using the new ward round and 13 patients during another 3 weeks using traditional ward rounds. Two patients who had experienced both ward round systems were interviewed. Staff surveys and time measurement of medical documentation comparing the two different ward round systems. Results: Patients (response rate 86%) cared at ward 113 are very satisfied with the care they receive, no matter what ward round system is used, but they feel more involved in the medical decisions and feel that their privacy is better taken into account with the new ward round. Furthermore, the health professionals on ward 113, feel that teamwork and communication was improved and total ward round work was more time efficient when working with the new round system. Conclusions: The future of inpatient care is to work with team-based, patientcentered ward rounds which enhances the integrity and participation of the patient. Our results support a shift to the new round system. However, further qualitative research is needed. Key words: Ward Round, Inpatient care, Team-based care, Patient-centred care, Patient integrity.