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

Abstract

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.

Citations

Yim, S., Jones, R., Cooper, M., Roberts, L., & Viljoen, D. (2023). Patients’ experiences of clinical team meetings (ward rounds) at an adult in-patient eating disorders ward: Mixed-method service improvement project. BJPsych Bulletin, 1-7.

Page last reviewed: 12 June, 2025

Metadata

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Date issued: 2023-04

ID: 1216