[Joint clinical rounds in the ICU and satisfaction of the professionals]. / Sesiones clínicas conjuntas en UCI y satisfacción de los profesionales.

It is unknown if multidisciplinary clinical rounds provide a greater degree of satisfaction among the professionals than the traditional work methods.The objective was to compare the satisfaction of the physicians and nurses who evaluate the patients jointly with those of the professionals who do so separately and transmit the information «at bedside¼ (traditional method). An anonymous survey that examined eleven dimensions of expectations, motivation and satisfaction on the common work method was used. Greater global satisfaction was observed in regards to the joint work method both with the substitute nurses (8.3 ± 0.8 versus 3.1 ± 2.8; p < 0.001) as well as those of the staff (7.2 ± 1.3 versus 2.1 ± 1.3; p = 0.01). In the remaining dimensions examined, the scores of the professionals who participated in the joint clinical rounds were also significantly better. Among the physicians, there were no significant differences in the different dimensions or in the global satisfaction.As a conclusion, it can be stated that the joint and consensual work method for the assessment of the patients produces an improvement in all the dimensions of satisfaction, expectations, and professional performance in the nursing area that is not detected among the physicians.

Sesiones clínicas conjuntas en UCI y satisfacción de los profesionales / Joint clinical rounds in the ICU and satisfaction of the professionals

Se desconoce si las sesiones clínicas multidisciplinarias (clinical rounds) comportan mayor grado de satisfacción, entre los profesionales que los métodos tradicionales de trabajo. El objetivo fue comparar la satisfacción de médicos y enfermeras que valoran los pacientes conjuntamente con la de aquellos profesionales que lo realizan por separado y transmiten la información «a pie de cama» (método tradicional). Se empleó una encuesta anónima donde se exploraron once dimensiones de expectativas, motivación y satisfacción sobre el método de trabajo habitual. Se observó una mayor satisfacción global respecto al método de trabajo conjunto tanto en las enfermeras suplentes (8,3 ± 0,8 versus 3,1 ± 2,8; p < 0,001) como en las de plantilla (7,2 ± 1,3 versus 2,1 ± 1,3; p = 0,01). En el resto de dimensiones exploradas también fueron significativamente mejores las puntuaciones de las profesionales que participaban en sesiones conjuntas. Entre los médicos no existieron diferencias significativas en las diferentes dimensiones ni en la satisfacción global. Como conclusión puede afirmarse que el método de trabajo conjunto y consensuado para la valoración de los enfermos produce, en enfermería, una mejora en todas las dimensiones de satisfacción, expectativas y desempeño profesional que no se detecta entre los médicos (AU)

It is unknown if multidisciplinary clinical rounds provide a greater degree of satisfaction among the professionals than the traditional work methods. The objective was to compare the satisfaction of the physicians and nurses who evaluate the patients jointly with those of the professionals who do so separately and transmit the information «at bedside» (traditional method). An anonymous survey that examined eleven dimensions of expectations, motivation and satisfaction on the common work method was used. Greater global satisfaction was observed in regards to the joint work method both with the substitute nurses (8.3± 0.8 versus 3.1 ± 2.8; p < 0.001) as well as those of the staff (7.2 ± 1.3 versus 2.1 ± 1.3; p = 0.01). In the remaining dimensions examined, the scores of the professionals who participated in the joint clinical rounds were also significantly better. Among the physicians, there were no significant differences in the different dimensions or in the global satisfaction. As a conclusion, it can be stated that the joint and consensual work method for the assessment of the patients produces an improvement in all the dimensions of satisfaction, expectations, and professional performance in the nursing area that is not detected among the physicians (AU)