Healthcare Team in Ward Round: Roles and Responsibilities from the Perspective of Pediatric Surgical Residency Teachers

Abstract

Objectives: The aim of this study is to determine the roles and responsibilities of healthcare team members in ward rounds from the view of pediatric surgery teachers. Materials and Methods: A qualitative design was used with semi-structured interviews were conducted with six pediatric surgery teachers. Results: The consultant physician on ward rounds has a critical role and responsibilities. Concerning the duties of residents/senior residents and other surgeons, the importance of complying with hierarchical communication, patient management, and preparation before and during ward rounds were stressed. The roles and responsibilities of the supervisor nurse were defined as specifying medical information and observations during ward rounds and ensuring the flow of information among team members. The teachers described the nurses’ roles as passive-listening, completing the resident deficiencies and fulfilling the doctor’s instructions. Effective communication, teamwork and continuing professional development are among the important roles of the healthcare team. Conclusion: The roles and responsibilities of residents differed by their experiences and competencies. It was determined that nurses are not expected to actively participate in the decision-making process regarding patient care and have a passive role as an observer. It should be noted that it is expected of doctors in the ward round team to maintain “hierarchical communication”.

Keywords

• Ward Rounds
• Improving Health Quality
• Qualitative Research

Klinik Vizitlerde Sağlık Ekibi: Çocuk Cerrahisi Eğiticilerinin Perspektifinden Roller ve Sorumluluklar

Abstract

Amaç: Bu çalışmanın amacı, çocuk cerrahisi eğiticilerin gözünden klinik vizitlerde sağlık ekibi üyelerinin rol ve sorumluklarını belirlemektir Gereç ve Yöntem: Araştırma niteliksel desene sahip olup, altı çocuk cerrahisi eğitici ile yarı-yapılandırılmış görüşmeler yapılmıştır Bulgular: Klinik vizitlerde vizit sorumlu doktorunun kritik rol ve sorumlukları vardır. Asistan/kıdemli asistan ve diğer cerrahi doktorlarının hasta hakimiyeti başta olmak üzere, vizit öncesinde hazırlık ve vizit sırasında hiyerarşik iletişime uymalarının önemi öne çıkmıştır. Sorumlu hemşirenin rol ve sorumlukları ise vizit sırasında tıbbi bilgi ve gözlemlerini belirtme, ekip üyeleri arasında bilgi aktarımını sağlama olarak tanımlanmıştır. Eğiticilerin hemşirenin vizit sürecine aktif kalımına ilişkin görüş farklıkları olduğu dinleme asistan eksiklerini tamamlama ve hekim direktiflerini yerine getirilmesi pasif rollerinin olduğu görülmüştür. Vizit sürecinde yapıcı iletişimde bulunma, ekip işbirliği içinde çalışma ve sürekli mesleki gelişim sağlık ekibinin önemli rolleri arasındadır. Sonuç: Asistanların rol ve sorumlulukları deneyim ve düzeylerine göre farklılık gösterdiği görülmüştür. Hemşirenin hasta bakımı ile ilgili karar verme sürecine aktif olarak katılımının beklenmediği, pasif izleyici rolünün tanımlandığı belirlenmiştir. Değişik deneyimlere sahip olan vizit ekibi içindeki doktorların “hiyerarşik iletişimi” sürdürme beklentisinin öne çıktığı dikkat çekmektedir.

Keywords

• Klinik Vizit
• Sağlık Kalitesinin İyileştirilmesi
• Nitel Araştırma

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