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Experiences and Needs of Core Participants in Surgical Ward Rounds: A Qualitative Exploratory Study
Helle Poulsen1,2,3, Jane Clemensen4,5,6, Jette Ammentorp7,6
1Department of Surgery, Lillebaelt Hospital, University Hospital of Southern Denmark, Sygehusvej 24, Kolding, DK.
Journal of Participatory Medicine
|March 28, 2025
Summary
Surgical ward rounds (SWRs) often exclude patients and nurses. This study found organizational and cultural barriers limit participation, suggesting digital tools could improve SWRs for better patient-centered care.
Area of Science:
- Healthcare delivery research
- Patient engagement strategies
- Qualitative research methodologies
Background:
- Surgical ward rounds (SWRs) traditionally involve limited patient and nurse participation.
- Current SWRs often lack a collaborative, person-centered approach.
- Engaging all key stakeholders in SWRs is currently rare.
Purpose of the Study:
- To explore the experiences and needs of doctors, nurses, patients, and relatives during SWRs.
- To inform a Participatory Design process for improving SWRs.
- To identify barriers and facilitators for enhanced stakeholder involvement.
Main Methods:
- Qualitative exploratory study design.
- Ethnographic field studies and focus groups.
- Dyadic interviews and systematic text condensation for data analysis.
Main Results:
- SWRs are often routine-driven, treatment-focused, and deprioritized.
- Organizational issues, traditional roles, and cultural norms hinder quality and efficiency.
- Limited participant access and preparedness were observed due to unpredictability.
Conclusions:
- A significant gap exists between SWR frameworks and participant experiences/needs.
- Traditional structures impede effective communication and collaboration.
- Digital technologies show potential for addressing SWR challenges and improving engagement.
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