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Table 2 Rounds fidelity: core components following UK focus groups

From: The origins and implementation of an intervention to support healthcare staff to deliver compassionate care: exploring fidelity and adaptation in the transfer of Schwartz Center Rounds® from the United States to the United Kingdom

1. Focus and purpose

Focus is the social and emotional issues that arise in caring for patients” and “differ from typical clinical Rounds” (e.g. not problem-solving, outcomes-oriented, clinical focus). Purpose is to support healthcare workers deliver compassionate care.

2. Generalised Rounds format

To share experiences around a theme or case, to trigger reflection and audience discussion. ‘Generalised Rounds format’ includes:

 2a. Co-facilitation

Senior consultant/medical director and facilitator with group moderation skills and knowledge of psychology.

 2b. Pre-prepared staff’ stories

Guidance on crafting story and identifying what will resonate with audience.

 2c. Audience discussion

Sufficient time for audience discussion

 2d. Participants

Rounds are open to everybody (e.g. multi-disciplinary and inclusive), and includes a distinction between panellists and audience

 2e. Safe environment

Need for ground rules on confidentiality, and facilitators to create a supportive, non-judgemental safe space

 2f. Rounds Leadership and visible organisational support

Senior consultant/medical director”, “multi-disciplinary planning group” and “ensure support of Trust board and Chief Executive”.

 2g. Food

Organisations will be responsible for providing food Rounds for attenders

3. Integrity

Rounds ‘not combined with other clinical Rounds or any other program’

4. Regularity

A series of events over time, i.e. not one-off events

  1. *italics are taken from clauses in US-UK contracts, otherwise they come from US fieldwork data
  2. This table is reproduced with permission from NIHR