Kristina Šulinskaitė, Daiva Zagurskienė, Aurelija Blaževičienė
Patients' health literacy and health behaviour assessment in primary health care: evidence from a cross-sectional survey
BMC primary care
diagnostic process dynamic teambased activity important aspect ward rounds teaching hospitals however studies examined academic ward teams operate areas diagnosis handoff overnight admissions ward rounds study draws key lessons team interactions handoff process ward rounds describe ward teams operate handoff patients admitted overnight ward rounds characterize role bedside patient evaluation context qualitative ethnographic approach using field observations documentary analysis attending physicians medical residents medical students general medicine services single teaching hospital thirtyfive hours observations undertaken 4month period purposively approached diverse group attendings cover range clinical teaching experience obtained informed consent ward team members observed patients thirty patient handoffs observed across 5 ward teams 45 team members conducted thematic analysis researcher field notes electronic health record documents using social cognitive theories characterize dynamic interactions occurring real clinical environment teams spent less time ward rounds verifying history physical examination findings performing bedside evaluations discussing differential diagnoses aspects eg reviewing patient data conference rooms team handoff process overnight admissions several teambased approaches diagnosis bedside patient evaluations observed including debriefing learning decisionmaking study highlights potential strengths missed opportunities teaching learning engaging directly patients ward team handoff patients admitted overnight findings may inform curriculum development faculty training patient safety research