Evidence map›Paper›PMID 31363518›Full record

ArticleFuture healthcare journal2019

Afternoon ward rounds: bad for patients, bad for doctors?

Alexander Carpenter, Sona M Vora, Samantha Kestenbaum, Ameeka Thompson, Mark Devine, Emma Tenison, Eleanor Quicke, Kate Liang, Francesca Deibel

Abstract read
In one paragraph

Article in Future healthcare journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Change, change, change.Future healthcare journal · 2019
    Article
  4. Factors Predisposing to Burnout Syndrome among Medical Staff Participating in Complex Surgical Processes.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alexander CarpenterSevern Deanery, Bristol, UK.
Sona M VoraSevern Deanery, Bristol, UK.
Samantha KestenbaumSevern Deanery, Bristol, UK.
Ameeka ThompsonSevern Deanery, Bristol, UK.
Mark DevineSevern Deanery, Bristol, UK.
Emma TenisonSevern Deanery, Bristol, UK.
Eleanor QuickeSevern Deanery, Bristol, UK.
Kate LiangSevern Deanery, Bristol, UK.
Francesca DeibelSevern Deanery, Bristol, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hospital medicine in the UK is under unprecedented pressure, with increasing demand on physicians as well as challenges in recruiting new doctors into the physicianly specialties. We sought to assess the prevalence of the afternoon ward round and its effect on those undertaking them. We sampled each hospital within our postgraduate region, surveying junior doctors working on inpatient medical wards. We surveyed roughly two-thirds of eligible doctors, -finding that 30% of juniors had some commitment, of varying frequency, to ward rounds beginning after 1.00pm. Of the -doctors involved in afternoon ward rounds, the majority felt they contributed to late finishes, delayed discharge of -patients, reduced team efficiency and reduced job -satisfaction. Just under 80% felt they were less likely to consider a career in hospital medicine as a result The afternoon ward round lives on, and we should not -underestimate its effect. Low junior doctor morale coupled with high work intensity can lead to burnout as well as -impairing the effectiveness of the clinical service. Clinical -leaders should consider leaving this practice in the past so we can cope with the challenges of the future.

Indexed as

general internal medicinejunior ­doctorsmoraletime managementWard rounds

Identifiers

PMID31363518
PMCPMC6616176

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.