Annals On Call - Bedside Rounds: The Patient Experience

2021 ◽  
Vol 174 (9) ◽  
pp. OC1
Author(s):  
Robert M. Centor ◽  
Lisa L. Willett
Keyword(s):  
Patient Experience ◽  
Bedside Rounds

Implementing bedside rounds to improve patient-centred outcomes: a systematic review

2018 ◽  
Vol 28 (4) ◽  
pp. 317-326 ◽  
Author(s):  
John T Ratelle ◽  
Adam P Sawatsky ◽  
Deanne T Kashiwagi ◽  
Will M Schouten ◽  
Patricia J Erwin ◽  
...  
Keyword(s):  
Patient Experience ◽  
Experimental Studies ◽  
Selective Reporting ◽  
Patient Knowledge ◽  
Adult Care ◽  
Cohen’S D ◽  
Bedside Rounds ◽  
Central Registry ◽  
Patient Reported ◽  
Cohen's D

BackgroundBedside rounds (BR) have been proposed as an ideal method to promote patient-centred hospital care, but there is substantial variation in their implementation and effects. Our objectives were to describe the implementation of BR in hospital settings and determine their effect on patient-centred outcomes.MethodsData sources included Ovid MEDLINE, Ovid Embase, Scopus and Ovid Cochrane Central Registry of Clinical Trials from database inception through 28 July 2017. We included experimental studies comparing BR to another form of rounds in a hospital-based setting (ie, medical/surgical unit, intensive care unit (ICU)) and reporting a quantitative patient-reported or objectively measured clinical outcome. We used random effects models to calculate pooled Cohen's d effect size estimates for the patient knowledge and patient experience outcome domains.ResultsTwenty-nine studies met inclusion criteria, including 20 from adult care (17 non-ICU, 3 ICU), and nine from paediatrics (5 non-ICU, 4 ICU), the majority of which (n=23) were conducted in the USA. Thirteen studies implemented BR with cointerventions as part of a ‘bundle’. Studies most commonly reported outcomes in the domains of patient experience (n=24) and patient knowledge (n=10). We found a small, statistically significant improvement in patient experience with BR (summary Cohen’s d=0.09, 95% CI 0.04 to 0.14, p<0.001, I2=56%), but no significant association between BR and patient knowledge (Cohen’s d=0.21, 95% CI −0.004 to –0.43, p=0.054, I2=92%). Risk of bias was moderate to high, with methodological limitations most often relating to selective reporting, low adherence rates and missing data.ConclusionsBR have been implemented in a variety of hospital settings, often ‘bundled’ with cointerventions. However, BR have demonstrated limited effect on patient-centred outcomes.

Abstract #1086: Patient Experience with Severe Low Energy Following Total Thyroidectomy for Papillary Thyroid Cancer

2017 ◽  
Vol 23 ◽  
pp. 258
Author(s):  
Elizabeth Wendt ◽  
Maria Bates ◽  
Reese Randle ◽  
Jason Orne ◽  
Cameron Macdonald ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Total Thyroidectomy ◽  
Papillary Thyroid Cancer ◽  
Patient Experience ◽  
Low Energy ◽  
Papillary Thyroid

Self-administration of mepolizumab via an autoinjector: the patient experience

2020 ◽  
Author(s):  
LA Evitt ◽  
R Follows ◽  
JH Bentley ◽  
W Williams ◽  
R von Maltzahn
Keyword(s):  
Patient Experience ◽  
Self Administration

Gaining patient experience insights

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Maitane GARCÍA-LÓPEZ ◽  
Ester VAL ◽  
Ion IRIARTE ◽  
Raquel OLARTE
Keyword(s):  
Type 1 Diabetes ◽  
Patient Experience ◽  
Patient Perspective ◽  
Continuum Of Care ◽  
Theoretical Framework ◽  
Cognitive Responses ◽  
The Continuum

Taking patient experience as a basis, this paper introduces a theoretical framework, to capture insights leading to new technological healthcare solutions. Targeting a recently diagnosed type 1 diabetes child and her mother (the principal caregiver), the framework showed its potential with effective identification of meaningful insights in a generative session. The framework is based on the patient experience across the continuum of care. It identifies insights from the patient perspective: capturing patients´ emotional and cognitive responses, understanding agents involved in patient experience, uncovering pain moments, identifying their root causes, and/or prioritizing actions for improvement. The framework deepens understanding of the patient experience by providing an integrated and multi-leveled structure to assist designers to (a) empathise with the patient and the caregiver throughout the continuum of care, (b) understand the interdependencies around the patient and different agents and (c) reveal insights at the interaction level.

Verbal compliance-gaining strategies used by male physicians and patient healthcare experience

2017 ◽  
Vol 13 (2) ◽  
pp. 185-202 ◽  
Author(s):  
Annabel Levesque ◽  
Han Z. Li
Keyword(s):  
Health Status ◽  
Patient Experience ◽  
Lifestyle Changes ◽  
Positive Patient ◽  
Negative Experience ◽  
Healthcare Experience ◽  
Healthcare Experiences ◽  
Compliance Gaining ◽  
Family Practice Clinic ◽  
Motivation Strategies

This study explores male physicians’ use of verbal compliance gaining strategies to encourage patients to adhere to medication regimens, lifestyle changes, or future appointments, and assesses which strategies are associated with patients’ reported healthcare experiences. Five physicians from a family practice clinic in northern British Columbia, Canada, were audio-recorded while interacting with 31 patients during actual consultations. Compliance-gaining utterances were coded into five categories of strategies, while patient experience with care was assessed using a questionnaire. A number of intriguing findings emerged: direct orders were related to a more negative experience with interpersonal aspects of care, but were fairly frequently used, especially with female patients. Persuasion was the only strategy that promoted a positive patient experience, but was rarely used. However, the effect of persuasion on patient experience was no longer significant when adjusting for patients’ health status. Physicians relied mostly on motivation strategies to encourage adherence, but these strategies were not related to patients’ assessment of their healthcare experiences. These results suggest that the most frequently used verbal compliance gaining strategies by physicians are not always appreciated by patients. To be more effective, it is necessary to inform physicians about which compliance-gaining strategies promote a positive patient healthcare experience.

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