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Sharing a written medical summary with patients on the post-admission ward round : a qualitative study of clinician and patient experience
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Crucefix, Anna L., Fleming, Aaron P. L., Lebus, Caroline S., Slowther, Anne-Marie and Fritz, Zoë (2021) Sharing a written medical summary with patients on the post-admission ward round : a qualitative study of clinician and patient experience. Journal of Evaluation in Clinical Practice . doi:10.1111/jep.13574
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WRAP-sharing-written-medical-summary-patients-post-admission-ward-round-Slowther-2021.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (747Kb) | Preview |
Official URL: http://dx.doi.org/10.1111/jep.13574
Abstract
Rationale, Aims and Objectives:
Sharing aspects of the traditional medical record with patients has been successful in primary and antenatal care, but has not been investigated in the UK inpatient setting. Our aim was to evaluate the impact on patient and clinician experience of providing patients with a written lay summary of their care-plan in the acute care setting.
Method:
We carried out a qualitative interview study on two acute medicine wards in an NHS University Teaching Hospital for a 4-week period in 2019. A summary record, designed in response to suggestions from doctors and patients from a previous study, was distributed to patients on the first ward round after admission. Eligible participants included all doctors and nurses working on and all patients and their families attending the acute medical units; patients were excluded if they lacked capacity to consent or were under 18. We interviewed 20 patients, 10 relatives, 10 doctors and 7 nurses.
Results:
Patients felt that the summary improved their ability to remember details about their care so they could more accurately and easily update their relatives. They did not feel that the summary induced anxiety. Patient-doctor communication was improved: patients felt empowered to ask more questions and doctors felt that it solidified their plan and encouraged them to avoid medical jargon. Most patients felt the summary included the ‘right’ amount of information. Healthcare professionals were more concerned about the risk of breaching confidentiality than patients. Doctors felt that providing summaries was time-consuming; there were differing opinions about whether this was a worthwhile investment of time. Clinicians recognized that the traditional medical record has many roles.
Conclusions:
A summary record could empower patients and improve patient-doctor communication but would require additional clinician and administrative time.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
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| Divisions: | Faculty of Medicine > Warwick Medical School | ||||||
| SWORD Depositor: | Library Publications Router | ||||||
| Library of Congress Subject Headings (LCSH): | Medical records , Communication in medicine , Physician and patient , Medical ethics , Confidential communications -- Physicians , Patient-centered health care | ||||||
| Journal or Publication Title: | Journal of Evaluation in Clinical Practice | ||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||
| ISSN: | 1356-1294 | ||||||
| Official Date: | 7 May 2021 | ||||||
| Dates: |
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| DOI: | 10.1111/jep.13574 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access | ||||||
| RIOXX Funder/Project Grant: |
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