Bedside rounds in the hospital environment from the perspective of multiprofessional health teams.

Autor: Silva TWME; Centro Universitário Newton Paiva. Belo Horizonte, Minas Gerais, Brazil., Alves M; Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil., Velloso ISC; Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil., Caram CDS; Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil., Metersky K; Toronto Metropolitan University. Toronto, Canada., Oliveira RC; Centro Universitário Newton Paiva. Belo Horizonte, Minas Gerais, Brazil.
Jazyk: angličtina
Zdroj: Revista brasileira de enfermagem [Rev Bras Enferm] 2024 Nov 22; Vol. 77 (5), pp. e20230493. Date of Electronic Publication: 2024 Nov 22 (Print Publication: 2024).
DOI: 10.1590/0034-7167-2023-0493
Abstrakt: Objective: To analyze the configuration of power relations among the multiprofessional team in the bedside round process in the hospital.
Methods: Qualitative research with data analyzed through discourse analysis, based on Michel Foucault's theoretical framework. From September to December 2022, we conducted interviews and field observations with the multiprofessional team at a hospital in Belo Horizonte, Minas Gerais, Brazil, as well as qualitative, semi-structured interviews with 37 professionals.
Results: The participants pointed out that the experiences of the professionals involved in bedside rounds depend on how the physician conducts the process, and the physician-centered process makes it difficult for other professionals in the team to participate.
Final Considerations: The way hospitals organize bedside rounds does not promote knowledge articulation for their professionals. It hinders the circulation of power and harms interdisciplinary work in a process that maintains the physician as the main actor in clinical decisions.
Databáze: MEDLINE