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

从多学科医疗团队的角度看医院环境中的床旁查房

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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.

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