None listed
Conditions
Brief summary
The surgical ward round is a chaotic environment but is often the only encounter that a patient has with their treating team. There are often external demands that impact the amount of time that the treating team can spend with the patient. To address this we propose conducting a Randomised Controlled Trial (RCT) evaluating the impact of an intervention initially designed for the surgical outpatient department – the POWER form. The form is a 5 point prompt sheet/checklist given to the patient prior to the ward round. It is designed to encourage patients to engage with their team and understand their clinical issues. We hypothesise that use of a POWER form will improve patient engagement and communication on the surgical ward round.
Interventions
The intervention (POWER form) is a is a 5 point prompt sheet/checklist given to a patient prior to the ward round. It is designed to encourage patients to engage with their team and understand their clinical issues. (Please see a PDF copy of the form attached to this application).
The five points on the form are:
- What is my medical issue (or what do we suspect)?
- What are the treatment options (or further tests)
- How does this impact my ability to work/eat/exercise?
- What are the risks/ben
The intervention (POWER form) is a is a 5 point prompt sheet/checklist given to a patient prior to the ward round. It is designed to encourage patients to engage with their team and understand their clinical issues. (Please see a PDF copy of the form attached to this application). The five points on the form are: - What is my medical issue (or what do we suspect)? - What are the treatment options (or further tests) - How does this impact my ability to work/eat/exercise? - What are the risks/benefits of treatment (or what happens if I don’t have treatment)? - Who is involved in my treatment and when will it occur? Once randomised patients receiving the intervention will be given the form at least five minutes prior to their ward round encounter. The form will be printed and given to the patient with a pen and clipboard so that patients have the option of taking their own notes during the consultation. Patients do not have to complete the checklist but they are encouraged to seek answers to the five prompts prior to the team leaving their bedside. A ward round encounter typically takes between two and fifteen minutes. The ward round encounter will be recorded by a video camera and use of the intervention will be evident on the video footage.
Sponsors
The Queen Elizabeth Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients admitted to any Surgical Ward at The Queen Elizabeth Hospital. Any patient 18 years or older, who has the capacity to consent to participation, and has signed and understood the consent form.
Exclusion criteria
• Declining to participate • Patients held in isolation rooms such as those for multi-resistant organisms, confirmed or potential respiratory tract infections, COVID-19 or gastroenteritis • Patients under the age of 18
Outcome results
None listed