Patients' experiences of clinical team meetings (ward rounds) at an adult in-patient eating disorders ward: mixed-method service improvement project.

Abstract

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.

• Authors: See Heng Yim, Roshan Jones, Myra Cooper, Lyn Roberts, David Viljoen
• Journal: BJPsych bulletin (BJPsych Bull) Vol. 47 Issue 6 Pg. 316-322 (Dec 2023) ISSN: 2056-4694 [Print] England
• PMID: 37042294 (Publication Type: Journal Article)