A survey on experiences of ward rounds among inpatients in Singapore acute care hospitals

Aim The aim of this study was to describe the patients’ perception regarding their experiences of ward rounds during hospitalisation. Background Ward round facilitates many activities during hospitalisation, most importantly serving as a communication channel between patients and physicians for shared decision-making and information exchange. The quality of ward rounds can affect patients’ satisfaction levels and their eventual health outcomes. Method A cross-sectional study using questionnaires was conducted to examine the organisation, structure and delivery of ward rounds among 527 adult inpatients and/or caregivers of paediatric patients. Patient satisfaction levels were calculated by aggregating individual ratings, which were then evaluated based on gender, age group and ward type. Statistical analyses were evaluated using One-way Anova test, with statistical significance considered at p ≤ 0.05, which was evaluated based on gender, age group and ward type. Results Majority of patients found the ward rounds’ duration (86.6%) and timing (88.4%) suitable. Poor patient satisfaction was related to not informing patient or family on plans for discharge, provide necessary information on test and procedures and giving opportunities to raise questions or concerns. Patient satisfaction was associated with age groups ( p < 0.001, n 2 = 0.069) and ward types ( p = 0.001, n 2 = 0.031). 58% of patients expressed a preference for nurse participation during ward rounds. Conclusion Whilst the organisational and structural aspects were satisfactory, the conduct of ward rounds requires enhancement. The disparate experiences across patient age groups and ward types highlight a need for more homogenized care delivery. Healthcare providers and administrators should prioritise understanding patient preferences and values, whilst fostering health literacy to optimise patient outcomes. Implications for nursing management The findings suggest that patients prefer the presence of nurses during ward rounds. Further research can potentiate and evaluate strategies on nurses’ role and participation during ward rounds.