Can Staff Be Supported to Deliver Compassionate Care Through Implementing Schwartz Rounds in Community and Mental Health Services?

Michelle Farr, Rhiannon Barker

Research output: Contribution to journalArticle (Academic Journal)peer-review

9 Citations (Scopus)
590 Downloads (Pure)

Abstract

Schwartz Rounds are evidence-based interdisciplinary discussions where healthcare staff can share experiences of the emotional and social aspects of care, to support improvements in patient care. Developed in acute services, they are now being implemented in various settings including UK community and mental health services where their implementation has not been researched. Realist evaluation was used to analyze three community and mental health case studies of Round implementation, involving Round observations (n=5), staff interviews (n=22), and post-Round evaluation sheets (n=206). Where Schwartz Rounds were successfully implemented and facilitated, the discussions enabled emotional resonance across interdisciplinary colleagues about caring experiences, enabling the recognition of a common humanity. Participants appreciated attending Rounds and saw they improved communications, trust and openness with colleagues and enabled more compassionate care with patients. The wide geographical dispersal of staff and work pressures were challenges in attending Rounds, and strong leadership is needed to support their implementation.
Original languageEnglish
Pages (from-to)1652-1663
Number of pages12
JournalQualitative Health Research
Volume27
Issue number11
Early online date13 Apr 2017
DOIs
Publication statusPublished - Nov 2017

Keywords

  • Schwartz Rounds
  • compassion
  • mental health
  • staff support
  • culture

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