{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T08:03:10Z","timestamp":1780387390708,"version":"3.54.1"},"reference-count":19,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T00:00:00Z","timestamp":1681257600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec id=\"S2056469423000141_sec_a1\"><jats:title>Aims<\/jats:title><jats:p>Ward rounds are key to treatment-related decision-making, but are often stressful. This project aimed to explore and improve patients\u2019 experiences of the clinical team meeting (CTM; historically known as ward round) in an adult in-patient eating disorders unit. A mixed-method approach was adopted with <jats:italic>in vivo<\/jats:italic> observations, two focus groups and an interview. Six patients participated. Two former patients contributed to data analysis, co-production of service improvement initiatives and write-up.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469423000141_sec_a2\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The mean CTM duration was 14.3 min. Patients spoke half of the time, followed by psychiatry colleagues. \u2018Request\u2019 was the most discussed category. Three themes were identified: CTMs are important but impersonal, a sense of palpable anxiety was generated and staff and patients had divergent views regarding CTM goals.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469423000141_sec_a3\"><jats:title>Clinical implications<\/jats:title><jats:p>The co-produced changes to CTMs were implemented and improved patient's experiences despite COVID-19 challenges. Factors beyond CTMs, including the ward's power hierarchy, culture and language, need addressing to facilitate shared decision-making.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjb.2023.14","type":"journal-article","created":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T09:16:44Z","timestamp":1681291004000},"page":"316-322","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Patients\u2019 experiences of clinical team meetings (ward rounds) at an adult in-patient eating disorders ward: mixed-method service improvement project"],"prefix":"10.1192","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2241-1017","authenticated-orcid":false,"given":"See Heng","family":"Yim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshan","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myra","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyn","family":"Roberts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Viljoen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"S2056469423000141_ref7","first-page":"323","article-title":"Inpatient cognitive behavior therapy for severe eating disorders","volume":"19","author":"Dalle Grave","year":"2010","journal-title":"Psihol Teme"},{"key":"S2056469423000141_ref10","volume-title":"Code of Practice: Mental Health Act 1983","year":"2017"},{"key":"S2056469423000141_ref6","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/s40337-022-00620-y","article-title":"Integrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings","volume":"10","author":"Ibrahim","year":"2022","journal-title":"J Eat Disord"},{"key":"S2056469423000141_ref17","doi-asserted-by":"crossref","first-page":"3377","DOI":"10.1017\/S003329171500152X","article-title":"Impaired decision-making in symptomatic anorexia and bulimia nervosa patients: a meta-analysis","volume":"45","author":"Guillaume","year":"2015","journal-title":"Psychol Med"},{"key":"S2056469423000141_ref12","volume-title":"The SAGE Handbook of Qualitative Business and Management Research Methods","author":"Cassell","year":"2018"},{"key":"S2056469423000141_ref2","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1192\/pb.29.6.207","article-title":"Patients\u2019 views of the ward round: a survey","volume":"29","author":"White","year":"2005","journal-title":"Psychiatr Bull"},{"key":"S2056469423000141_ref11","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1080\/14780887.2020.1769238","article-title":"One size fits all? 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Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial licence (http:\/\/creativecommons.org\/licenses\/by-nc\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}