J 2025

Introducing multidisciplinary ward rounds in Malawi: a best practice implementation project

JOHNSON, Beverley; Clare BENNETT; Judith CARRIER; Dianne WATKINS; Chimwemwe MULA et al.

Základní údaje

Originální název

Introducing multidisciplinary ward rounds in Malawi: a best practice implementation project

Autoři

JOHNSON, Beverley; Clare BENNETT; Judith CARRIER; Dianne WATKINS; Chimwemwe MULA; Raphael KAZIDULE; Pricilla SALLEY; Miloslav KLUGAR a Jitka KLUGAROVÁ

Vydání

JBI Evidence Implementation, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2025, 2691-3321

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30230 Other clinical medicine subjects

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 1.100 v roce 2024

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/25:00143835

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

audit; best practice; Malawi; multidisciplinary (MDT); ward rounds

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 2. 3. 2026 14:25, Mgr. Tereza Miškechová

Anotace

V originále

Introduction:The Royal College of Physicians (RCP) and the Royal College of Nursing (RCN) in the United Kingdom advocate the use of structured multidisciplinary team (MDT) ward rounds since they can enable safe, effective, improved care and enhanced staff satisfaction.Objectives:This project sought to implement best practices for MDT ward rounds in a male medical ward in a hospital in Malawi.Methods:The project was conducted in line with the JBI Evidence Implementation Framework. A baseline audit of MDT ward rounds was conducted with six staff members. Audit criteria consisted of ten best practices, as recommended by JBI, the RCP, and the RCN. Stakeholder meetings were held to review the baseline audit results and highlight areas of non-compliance. JBI's Getting Research into Practice (GRiP) tool was used to identify barriers to compliance with best practices, and a follow-up audit was conducted to determine changes in practice.Results:The results only showed improvement for one criterion, which rose from 33% to 100% (n=6) where nurses attended the ward round.Conclusions:This study demonstrated some challenges in evidence implementation projects and how these can, in part, be overcome. While the results only demonstrated improvement for one criterion, this paper shows how audits can be used to promote best practice, which in this case resulted in nurses being more involved in ward rounds, improvements in MDT communication, enhanced nurse inclusion in decision-making and, consequently, patient care.Spanish abstract:http://links.lww.com/IJEBH/A233