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. |
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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 |
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