Sharing a written medical summary with patients on the post-admission ward round: A qualitative study of clinician and patient experience.

Anna L Crucefix,Anne‐Marie Slowther,Caroline S Lebus,Aaron P L Fleming,Zoë Fritz

doi:10.1111/jep.13574

Anna L Crucefix, Anne‐Marie Slowther + Show 3 more

Open Access

https://doi.org/10.1111/jep.13574

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Abstract

Sharing aspects of the traditional medical record with patients has been successful in primary and antenatal care, but has not been investigated in the UK inpatient setting. Our aim was to evaluate the impact on patient and clinician experience of providing patients with a written lay summary of their care-plan in the acute care setting. We carried out a qualitative interview study on two acute medicine wards in an NHS University Teaching Hospital for a 4-week period in 2019. A summary record, designed in response to suggestions from doctors and patients from a previous study, was distributed to patients on the first ward round after admission. Eligible participants included all doctors and nurses working on and all patients and their families attending the acute medical units; patients were excluded if they lacked capacity to consent or were under 18. We interviewed 20 patients, 10 relatives, 10 doctors and 7 nurses. Patients felt that the summary improved their ability to remember details about their care so they could more accurately and easily update their relatives. They did not feel that the summary induced anxiety. Patient-doctor communication was improved: patients felt empowered to ask more questions and doctors felt that it solidified their plan and encouraged them to avoid medical jargon. Most patients felt the summary included the 'right' amount of information. Healthcare professionals were more concerned about the risk of breaching confidentiality than patients. Doctors felt that providing summaries was time-consuming; there were differing opinions about whether this was a worthwhile investment of time. Clinicians recognized that the traditional medical record has many roles. A summary record could empower patients and improve patient-doctor communication but would require additional clinician and administrative time.

Highlights

Permission was sought from the clinical director of acute medicine to approach the healthcare professionals on acute admissions wards in a University Teaching Hospital
Patients who had been given a written PTWR summary were identified by a member of the clinical team or a GCP-trained medical student and given a participant information sheet (PIS) on the ward
Participants were aware of the opportunity cost of the time taken to write the summary, one noted that it might be of unequivocal benefit if used on selected patients rather than uniformly: This is the first study in the UK to investigate providing patients with a written summary of their care whilst they are still in hospital

Summary

Introduction

Conclusions: A summary record could empower patients and improve patient-doctor communication but would require additional clinician and administrative time. An evaluation of patient and clinician views on sharing the medical record, and alternative approaches to improving communication, was conducted via in-depth interviews and a questionnaire which we have previously reported.[2,13] Participants were very positive about sharing a summary note: it would allow patients to review information about their care in their own time and support them in asking questions, without changing the clinical notes used by the treating team.

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Conclusion