Occurrence of sensitive topics during ward round: an ancillary analysis of the BEDSIDE-OUTSIDE trial Article Swipe
Sebastian Groß
,
Christoph Becker
,
Katharina Beck
,
Valentina Memma
,
Jens Gaab
,
Philipp Schütz
,
Jörg D. Leuppi
,
Rainer Schaefert
,
Wolf Langewitz
,
Marten Trendelenburg
,
Tobias Breidthardt
,
Jens Eckstein
,
Michael Osthoff
,
Stefano Bassetti
,
Sabina Hunziker
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1136/bmjopen-2023-073584
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1136/bmjopen-2023-073584
Objective Discussing sensitive topics (eg, medical uncertainty, social issues, non-adherence) during ward rounds is challenging and may negatively impact patient satisfaction with the healthcare they are receiving. In the previous multicentre randomised BEDSIDE-OUTSIDE trial focusing on communication during ward rounds, we investigated the interplay between sensitive topics and low reported satisfaction with care. Design Pre-planned secondary analysis of a randomised controlled trial. For this analysis data of the original trial was pooled across intervention groups. Setting Three Swiss teaching hospitals. Participants Adult patients hospitalised for medical care. Interventions We analysed predefined sensitive health topics and specific elements of communication from audiotapes recorded during ward rounds, for both patients dealing with and without sensitive topics. Primary and secondary outcome measures The primary endpoint was overall patient satisfaction with care; measured on a Visual Analogue Scale from 0 to 100. Secondary endpoints included duration of ward rounds and further satisfaction outcomes. Results Of the 919 included patients, 474 had at least one sensitive topic including medical uncertainty (n=251), psychiatric comorbidities (n=161), tumour diagnosis (n=137) and social issues (n=125). Compared with patients without sensitive topics, patients with sensitive topics reported lower satisfaction with care (mean (SD), 87.7 (±14.6) vs 90.2 (±12.1), adjusted difference −2.5 (95% CI −4.28 to −0.72), p=0.006. Among patients with sensitive topics, risk factors for low satisfaction included several parameters concerning patient–physician interaction such as disagreements during ward rounds (mean (SD), 14/212 (6.6%) vs 41/254 (16.1%), adjusted OR 2.78 (95% CI 1.47 to 5.27), p=0.002). Conclusions A large proportion of medical inpatients must deal with sensitive health topics. This is associated with lower satisfaction with care, particularly if the patient perceives the interaction with doctors during ward rounds as unsatisfactory. Educating physicians on specific communication techniques may help improve care for these patients. Trial registration number NCT03210987 .
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmjopen-2023-073584
- https://bmjopen.bmj.com/content/bmjopen/13/9/e073584.full.pdf
- OA Status
- gold
- Cited By
- 4
- References
- 29
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4386923748
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4386923748Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/bmjopen-2023-073584Digital Object Identifier
- Title
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Occurrence of sensitive topics during ward round: an ancillary analysis of the BEDSIDE-OUTSIDE trialWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-09-01Full publication date if available
- Authors
-
Sebastian Groß, Christoph Becker, Katharina Beck, Valentina Memma, Jens Gaab, Philipp Schütz, Jörg D. Leuppi, Rainer Schaefert, Wolf Langewitz, Marten Trendelenburg, Tobias Breidthardt, Jens Eckstein, Michael Osthoff, Stefano Bassetti, Sabina HunzikerList of authors in order
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https://doi.org/10.1136/bmjopen-2023-073584Publisher landing page
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https://bmjopen.bmj.com/content/bmjopen/13/9/e073584.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://bmjopen.bmj.com/content/bmjopen/13/9/e073584.full.pdfDirect OA link when available
- Concepts
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Medicine, Intensive care medicine, Medical physics, Family medicineTop concepts (fields/topics) attached by OpenAlex
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4Total citation count in OpenAlex
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2025: 3, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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29Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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