Journal article
Patients’ experiences of clinical team meetings (ward rounds) at an adult in-patient eating disorders ward: mixed-method service improvement project
- Abstract:
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Aims
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.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
Actions
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- Files:
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(Preview, Version of record, pdf, 608.4KB, Terms of use)
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(Preview, Supplementary materials, pdf, 503.9KB, Terms of use)
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- Publisher copy:
- 10.1192/bjb.2023.14
Authors
- Publisher:
- Royal College of Psychiatrists
- Journal:
- BJPsych Bulletin More from this journal
- Volume:
- 47
- Issue:
- 6
- Pages:
- 316-322
- Place of publication:
- England
- Publication date:
- 2023-04-12
- Acceptance date:
- 2023-02-27
- DOI:
- EISSN:
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2056-4708
- ISSN:
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2056-4694
- Pmid:
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37042294
- Language:
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English
- Keywords:
- Pubs id:
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1338320
- Local pid:
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pubs:1338320
- Source identifiers:
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W4365134816
- Deposit date:
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2026-04-27
- ARK identifier:
Terms of use
- Copyright holder:
- Yim et al.
- Copyright date:
- 2023
- Rights statement:
- ©The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists. This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial licence (http://creativecommons.org/ licenses/by-nc/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original article is properly cited.
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