Bedside rounds in the hospital environment from the perspective of multiprofessional health teams

• Main Authors: Tauana Wazir Mattar e Silva (Author), Marília Alves (Author), Isabela Silva Câncio Velloso (Author), Carolina da Silva Caram (Author), Kateryna Metersky (Author), Rita de Cássia Oliveira (Author)
• Format: Book
• Published: Associação Brasileira de Enfermagem, 2024-11-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1984-0446; 10.1590/0034-7167-2023-0493
• Keywords: Interprofessional Relations; Hospitals; Patient Care Team; Professional Practice; Health Knowledge, Attitudes, Practice; Nursing; RT1-120
• Source: Revista Brasileira de Enfermagem, Vol 77, Iss 5 (2024)

ABSTRACT Objective: To analyze the configuration of power relations among the multiprofessional team in the bedside round process in the hospital. Methods: Qualitative research with data analyzed through discourse analysis, based on Michel Foucault's theoretical framework. From September to December 2022, we conducted interviews and field observations with the multiprofessional team at a hospital in Belo Horizonte, Minas Gerais, Brazil, as well as qualitative, semi-structured interviews with 37 professionals. Results: The participants pointed out that the experiences of the professionals involved in bedside rounds depend on how the physician conducts the process, and the physician-centered process makes it difficult for other professionals in the team to participate. Final considerations: The way hospitals organize bedside rounds does not promote knowledge articulation for their professionals. It hinders the circulation of power and harms interdisciplinary work in a process that maintains the physician as the main actor in clinical decisions.