Interview study on clinical doctors′ ward rounds etiquette norms
10.3760/cma.j.cn111325-20240430-00340
- VernacularTitle:临床医生查房礼仪规范的质性研究
- Author:
Chaoying WANG
1
;
Mayangzong BAI
1
;
Sisi LI
1
;
Yun XIAN
1
;
Zhongwan CHEN
1
;
Wenyi XU
1
;
Tao HAN
1
;
Kunling GUO
1
;
Haomin MA
1
;
Zhiruo ZHANG
1
Author Information
1. 上海交通大学公共卫生学院，上海 200025
- Publication Type:Journal Article
- Keywords:
Health services administration;
Clinical ward rounds;
Etiquette norms;
Colaizzi′s seven-step analysis;
Doctor-patient communication;
Humanistic care
- From:
Chinese Journal of Hospital Administration
2024;40(11):851-854
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the essential elements of clinical doctors′ ward rounds etiquette norms from the perspective of whether doctors′ speech and behavior in actual ward rounds pay attention to patients′ feelings and reflect humanistic care, in order to provide references for improving patients′ treatment effects and medical experience management.Methods:From July to October 2023, a purposeful sampling method was employed to select 16 clinical doctors with ward rounds experience from the eastern, central, western, and northeastern regions across the country. Semi-structured interviews were conducted online via video, focusing on issues related to etiquette norms during ward rounds. The Colaizzi′s seven-step analysis method was used to conduct an inductive analysis of the interview materials.Results:four themes were distilled: friendly and caring body language; accurate, understandable, clear, and timely explanations; appropriate praise and affirmation to encourage patients to actively participate in their disease management; and admonitions to patients and their families regarding disease-related precautions. These four themes were summarized as the " four essentials of ward rounds, " which could be encapsulated as " altruistic inquiry; accurate explanation; affirmative engagement and adequate advice" .Conclusions:The " four essentials of ward rounds" can be made a mandatory part of the clinical doctors′ workflow in the medical quality management process and are recommended for nationwide promotion. This can further enhance the communication skills of clinical doctors, strengthen patients′ trust, improve treatment compliance, and improve doctor-patient relationships, thereby improving the treatment effects, satisfaction, and experience of inpatients.
