Journal of Education and Health Promotion

The effect of ward round teaching on patients: The health team and the patients’ perspectives

Document Type : Original Article

Authors

. Peyman Adibi
. Mohammad Enjavian 1
. Reza Alizadeh 2
. Athar Omid 3

1 Shiraz Central Hospital, Chamran Boulevard, Shiraz

2 Department of Internal Medicine, Emam Reza Hospital, Tabriz University of Medical Sciences, Tabriz,

3 Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
Introduction: Holding bedside round teaching and involving patients in the teaching of the
students might lead to patients’ dissatisfaction. This study was carried out in order to find the
viewpoints of the patients and the medical team about the effect of clinical round on patients
hospitalized in Isfahan University of Medical Sciences. Materials and Methods: This study
is of cross‑sectional descriptive type which is carried out in Isfahan University of Medical
Sciences using researcher‑made tools. The statistical population included the hospitalized
patients, interns, residents, and nurses of the internal wards of educational hospitals. In this
study, 110 patients and 150 health team staff are participated. The analysis of the data was
done through software Statistical Package for Social Science (SPSS) 11.5 and descriptive
and inferential statistics were applied. Statistical analysis of the variance did not show any
significant difference among the interns’, nurses’, and residents’ perception of patient’s
satisfaction. Results: Generally, the patients had a positive viewpoint toward things happening
during a round, whereas the medical team’s viewpoint was negative. In both groups, the
highest satisfaction average pertained to the number of times and the duration of visits, but
both groups believed that lack of a definite responsible medical doctor, feeling of insecurity
during the incongruous and unclear discussions, and the level of respect for the patient were
the causes of dissatisfaction with the clinical round process. Conclusion: The current method
of clinical rounds can result in patients’ dissatisfaction. On the other hand, proper relationship
with them leads to the development of a more positive attitude in them. Therefore, revision and
correction of the current clinical round procedures and teaching the communication skills to
the medical team could help improve this process.

Keywords

Clinical education
health team
patient
perspectives
ward round teaching
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Journal of Education and Health Promotion
Volume 3, Issue 7
July 2013
Pages 1-5

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